Learning Objective 1: The learner will be able to recognize the differential mutidimensional effects of a brief seated massage using moderate versus barely perceptible touch intensities.
Learning Objective 2: The learner will be able to recognize the effect of a brief seated massage on attitudes of nursing students to touch for self/patient comfort care.
Methods: Volunteer nursing students (stratified by undergraduate/second degree) gave IRB approved informed consent to undergo a 15 minute brief seated massage by a certified massage therapist (PCT) receiving L or H touch in a 2 block randomized order within-subject design. Participants completed health questionnaires/visual analog scales pertaining to physical/affectve/and attitudinal status before and after each massage. Linear mixed models nested within subject were used to test hypotheses controlling for carryover effects in this two treatment, two sequence, two period crossover design.
Results: 29 subjects (93% female, 83% single) completed the study. Prior to massage, the optimal intensity of pressure anticipated for self comfort was 6.6 where 0 is no pressure and 10, the most intense pressure imaginable. The average pressure intensity reported for H = 6.7 vs L=0.5, p<.001. The overall percent difference (feeling better or worse) in how the subject felt following massage: L=39.5% vs H=62.7% better, p<.001. Significantly more improvement was reported for energy, mood, pain, and self efficacy after H than L, p<.01. Subjects were more likely to both receive and provide touch for self and patient care after experiencing H than L, p<.01.
Conclusion: Nurse educators need to reconsider the place of touch for self and patient comfort care in the nursing curriculum, if nurses are to provide optimal care within their scope of practice.
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