Chat Room: Homeopathic Nurses Association

Nov 2006

Guest Speaker Lia Bello & Ann McKay

The Homeopathic Nurses Association (HNA) was founded in 1984 and is a support and professional organization for nurses worldwide, who are interested in homeopathy. HNA is open to all nurses, whether or not they are using homeopathy in their patient’s healthcare and education. Homeopathy is a science and healing art founded 200 years ago by Samuel Hahnemann, based on the principle that “like cures like.” It is a leading form of complementary medicine and is practiced around the world for achieving and maintaining optimum health.

The Homeopathic Nurses Association acknowledges the increasing prevalence of homeopathy being offered in conventional healthcare settings. The number of nurses wishing to incorporate homeopathy into their nursing practice is also increasing to meet the needs of patients as well as nursing and public health goals. Homeopathy is a valuable system for nurses to understand and use. HNA is the leadership organization for the advancement and integration of homeopathy in nursing. The Homeopathic Nurses Association reaches out to those in the nursing profession to share the benefits of homeopathic healthcare, the rewards of homeopathic practice and is poised to provide leadership for the advancement of homeopathy in nursing.

HNA believes that nurses can make major contributions in shaping health policy and, because nurses closely interact with health care consumers in a wide variety of settings, they have a broad appreciation of the health needs of consumers. Additionally, HNA wishes to promote the advancement of the legitimate role of homeopathy in nursing throughout the health care system and the recognition of homeopathic nursing as a specialty area of nursing that is based on a nucleus of competencies and knowledge.

In 2003 the HNA Board of Officers identified the need for the development of Standards of Practice to articulate the role of nurses as homeopaths to patients, their families, the public, organizations, employers, educators, and certifying, regulatory and legislative bodies. A Standards Committee was convened and prepared queries and contacted all State Boards of Nursing (SBON) via telephone, email, and by visiting websites as to scope of practice for homeopathy use in nursing.

Next, a three-phase plan was created to gather, translate, and assimilate data from each BON, and to develop Homeopathic Nursing Standards of Practice. The committee’s work on these Standards was through quarterly teleconferencing, email, written comments and discussions at the Annual Meeting of the HNA. Ann met with the President of The American Holistic Nurses Association in June 2005. The American Holistic Nurses Association has previously forged the way for the specialty of holistic nursing and is willing to mentor and support HNA. Several drafts were created over a three-year period with a final draft presented at our general teleconference in September.

The Standards of Practice were accepted by the general membership that time. The Standards will be used as an internal document to provide competency, consistency, and continuity in patient care through the development of a structure to standardize homeopathy in nursing while maximizing patient outcomes and controlling health care costs.

Lia Bello was the Co-Founder, first President, and is currently the Immediate Past President of HNA. She is the President of the Council on Homeopathic Certification and has a private practice, HomeopathicCare, in Questa, NM.

Over the last 8 years, Ann McKay has served as Secretary/Treasurer, Vice President, and is currently President Elect of HNA. Ann is also a Networker, previous Rhode Island State Coordinator with the American Holistic Nurses Assn., and is co-founder of and practitioner at The Homeopathic Center of Southern New England in Providence, RI.


Moderator: Welcome, Lia Bello and Ann McKay of the Homeopathic Nurses Association.

Joanie: Can nurses legally use homeopathic remedies in any state of the USA?

Lia Bello: The Oregon Pharmacopeia for Nurse Practitioners formally added homeopathic, herbal and nutritional meds to the list that is recognized.

Ann McKay: Nevada may allow use by nurses.

Lia Bello: There may be some way for nurses that are recognized by licensing in Arizona--they need to be licensed as Homeopathic Medical Assistants.
The Homeopathic Nurses’ Association has a goal to get homeopathic nursing recognized as a specialty for nurses AND NP's.

Ann McKay: The scope of practice is different for RNs and NPs in each state. It seems that many nurses are hesitant to join homeopathic profession due to worry about legalities--which is justified in some cases... There are ways to couch your practice as ‘education’ and suggestions for wellness, allowing you to stay within the nursing scope of practice.

Debbie: Can nurses practice homeopathy without the supervision of an MD in Massachusetts?

Ann McKay: Massachusetts has a Holistic Nursing regulation, however, homeopathy was never added. When I contacted the Massachusetts State Board of Nursing, they stated there were no regulations for homeopathy and left it at that. NPs use homeopathy in Massachusetts but under the supervision of an MD; and there are many RNs who have homeopathic practices and have not been overseen by MDs.

Anna: Where can I get more homeopathic training specifically for graduate nurses? I've been to 2 seminars, but they seem geared to folks who don't know medicine, so many hours are wasted for me.

Ann McKay: Have you looked into schools of homeopathy?

Lia Bello: Many graduate nurses enter homeopathic schools and do very well. It is very helpful to have a nursing background when in homeopathic practice--that is universally agreed.

Debbie: What kind of homeopathy do you practice? Classical? Where did you study?

Ann McKay: I studied with The British Institute of Homeopathy when they were based in England. They now have a US program run from New Jersey. Yes, I practice classical homeopathy.

Lia Bello: I studied at the NCH summer school in 1974 and 1981 and also went to the Royal London Homeopathic Hospital course for physicians (they let me sit in) in 1976 for 6 months. I have had a private practice since 1980 as a classical practitioner. I worked with a homeopathic MD for many years as the office nurse and on-call homeopath--Catherine Coulter worked with us there.

Marc: Does anyone know if Florida has any legislation prohibiting ARNP's to practice homeopathy. There is nothing that I could find that specifically allows it.

Ann McKay: Check the National State Board of Nursing website which lists every states’ regulations (NSBN.org)... that will direct you to “Florida”, and you can look up the regulations from there.

Lisa: Hi. Can a lay person practice homeopathy in Massachusetts without getting in a great deal of trouble?

Ann McKay: Massachusetts does not have a Health Freedom Act in place as does her neighbor Rhode Island. There are several practicing lay homeopaths in Massachusetts that I am aware of... I’m not sure if the state has contacted them, but every one of us takes a chance, we are pioneers.

Cindie: I am a new nurse practitioner in NJ and I am planning after my homeopathy training to start my own practice. Is it possible to do so and somehow not bring my NP credentials into it in order to avoid needing physician collaboration or regulations?

Lia Bello: You do not have to use your credentials, but you should consult a lawyer to ensure fully that you would not be acting as a nurse practitioner anyway.

Ann McKay: Cindie, this is an issue HNA has been grappling with for several years with no answer as yet.

Debbie: What do you think is the best materia medica? I have Murphy's and Boericke.

Lia Bello: I love Morrison's Desktop MM--also Boger’s Synoptic Key. I hardly ever use Boericke anymore now that there are modern ones. I rely almost solely on the software --MacRepertory and Reference Works.

Ann McKay: I use Prisma and Morrison.

Marc: I am studying with Andre Saine and so have found also the significance of the older masters, Lippe, Hering, Guernsey, Nash, among others.

Lia Bello: Here is a question for all of the nurses online--would you be interested in a certification proving that you are adept in homeopathy for acute ailments?

Marc: I think that the effort to develop nursing certification, Lia, would be a great benefit. Also, I think that it is essential to have a background in nursing/pathophysiology to take a case and as Andre Saine teaches, to discern between disease and lifestyle problems.

Debbie: As a nurse and a homeopathy student, I don't think I want to limit myself to a certification that just allows me to practice for acute situations. As you know, even lay people can practice acute prescribing.

Lia Bello: Yes--but many nurses work in traditional nursing and may never get all the way to full certification but should be recognized for the acute expertise and their background is great for acute prescribing.

Ann McKay: There are many nurses who do not want to learn constitutional prescribing but are interested in homeopathy for themselves and their family and friends.

Debbie: That's fine if a nurse wants to learn homeopathy to learn only acute prescribing for their personal use. They shouldn't need a certification for this. Also, homeopathy is becoming more and more well known, and to have a nursing certification that allows only for acute prescribing might be confusing to the public. They might think that homeopathy's extent is to just help with acute ailments. They may not know the other important dimension to homeopathy and that is chronic prescribing. I would love to have an online study group. Homeopathy can be so complex. It would be awesome to get support elsewhere, beside classroom support. It's always great to see what's worked for others.

Ann McKay: I am attempting to get a group together and if you are interested, let me know. You can email me at hna_pres@mac.com or if in Massachusetts, phone number is 508-223-5301.

Lia Bello: Nurses make up such a large portion of healthcare services in the US and are more open to alternatives--we need to lead the way. I am trying to get homeopathic in-service training for Hospice nurses--and have the ok of the main Hospice doctor in my area to offer this kind of homeopathic service to hospice families.

Rajesh: Under what circumstances are nurses allowed to use homeopathy for their patients?

Lia Bello: Unlikely that any hospital nurses can do this--many of us start private practices because of this.

Ann McKay: We would like to invite each of you to join the Homeopathic Nurses Association. It is a way to network with like-minded nurses, as well as keeping updated on what is happening within the homeopathic nursing community. We have a meeting each year with the NCH Joint Conference, as well as general membership teleconferences throughout the year.

Lia Bello: I teach an intro course for nurses and it gives 7.5 CEs. I would be glad to share my course outline so that others of you could start teaching.

Lia Bello: The HNA Secretary-Treasurer went to the Andre Saine school.

Nancy: Could you tell us more about the software you both use?

Ann McKay: Lia uses MacRepertory, I use RADAR... it is a very good program with many more capabilities than I ever use. There is a 30-day trial demo CD that is offered by the company as a way to check it out. That is how I began using it.

Lia Bello: Either software is invaluable for repertorizing a case--doing searches for symptom references in more than 400 books

Patrick: Note that there is a third software alternative, ISIS Vision, by Miccant. It is also very good - all three are.

Ann McKay: Another benefit to having membership in HNA is that software companies offer discounts to members.

Lia Bello: There are great video trainings about the software on the websites of these companies.

Debbie: Ann, I am interested. Is there a cost for your course outline? Are you based in Mass? If so, where?

Lia Bello: 30 page notes to my one-day course cost $10. I publish an e-newsletter you might all enjoy--every few months --if you go to my site, you can sign up for the newsletter.

Margaret: There is at least one medical doctor, Iris Bell, who is doing very high quality research in homeopathy. Do you know of any nurses doing homeopathy research?

Ann McKay: Several nurses work under Iris Bell’s supervision for the great research she is doing.

Debbie Toomey: What is the CHC, and what does getting certified entail?

Lia Bello: The Council for Homeopathic Certification gives a test and assesses competency for trained homeopaths. Website is www.homeopathicdirectory.com. Nurses that go for certification through the CHC do not have to take the Health Sciences portion of the exam. I encourage you all to get certified. We need to strengthen the homeopathic profession- in this way.

Jean Hoagland: The National Center for Homeopathy encourages all to become certified. Clients will be looking for it and it establishes credence.

Ann McKay: Debbie, not sure how the study group will actually work, I am in the process of looking into it for the beginning of next year.

Lia Bello: Here is a question for all of the nurses online--would you be interested in a certification proving that you are adept in homeopathy for acute ailments?

Moderator: Answers sent in by participants: Would like Certification: 5Y, 1N if only acute. Would like a Study Group: 7Y, 0N, 1 wants certification as part of SG.
This has been a fantastic session. Thanks so much to Ann and Lia, and to all of you submitting questions, for your excellent participation!

Lia Bello: Thanks--Nurses and all others. Goodnight.

Ann McKay: Homeopathic Center of Southern New England, 295 Angell St. Providence, RI 02906 Ph. 401-454-4325; 508-223-5301 email: hna_pres@mac.com. My website is http://www.homeopathicenter.com. Homeopathic Nurses Assn. website is http://www.nursehomeopaths.org. Phone is 866-240-0495

Lia Bello: My website is http://www.homeopathicare.org. phone 800-530-8800.

Note: A participant asked about nurses using homeopathy in Arizona.
Since nurses (RN’s) are not allowed to practice independently under the scope of their license, adding some homeopathy education would not change that. They still could not practice independently. Their only way to practice homeopathy legally in Arizona would be under the jurisdiction of the AZ Board of Homeopathic Examiners, as a Homeopathic Medical Assistant.
Nurses can practice independently in those independent nursing functions that do not require a doctor's order--teaching health care, providing personal care, etc. They cannot diagnose medical conditions (can formulate a nursing diagnosis--RN only), nor can they prescribe drugs. Hope this clarifies matters.

Pamela K. Randolph RN, MS
Education Consultant
Arizona State Board of Nursing
602-889-5209 FAX 602-889-5155

The Arizona State Board of Nursing has moved to 4747 N 7th Street, Suite 200, Phoenix, AZ 85014-3653. Phone and e-mail contacts will remain the same.