German physicians' perceptions and views on complementary medicine in pediatric oncology: a qualitative study.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-05-01 DOI:10.1080/08880018.2022.2103218

Pia Klatt, Christin Kohrs, Barbara Stein, Markus Horneber, Daniela Reis, Jan Schildmann, Alfred Längler

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引用次数: 1

Abstract

Complementary and alternative medicine (CAM) use in children with cancer has a high prevalence. If (parents of) patients bring up the topic of CAM, pediatric oncologists (POs) face considerable challenges regarding knowledge and professional behavior. In this study, we explore German POs' understanding of CAM and related attitudes as well as challenges and strategies related to CAM discussions by means of semi-structured interviews analyzed according to principles of qualitative thematic analysis with parents of children with cancer. We could conduct 14 interviews prior to theoretical saturation. The interviews had a duration of 15-82 min (M = 30.8, SD = 18.2). Professional experience in pediatric oncology was between 0.5 and 26 years (M = 13.8, SD = 7.6). Main themes identified were a heterogeneous understanding and evaluation of CAM, partly influenced by personal experiences and individual views on plausibility; the perception that CAM discussions are a possible tool for supporting parents and their children and acknowledgement of limitations regarding implementation of CAM discussions; and uncertainty and different views regarding professional duties and tasks when being confronted with CAM as a PO. Our interdisciplinary interpretation of findings with experts from (pediatric) oncology, psychology, and ethics suggests that there is need for development of a consensus on the minimal professional standards regarding addressing CAM in pediatric oncology.

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德国医生对儿科肿瘤学补充医学的认知和看法:一项定性研究。

补充和替代医学(CAM)在儿童癌症患者中的使用具有很高的患病率。如果患者家长提出CAM的话题，儿科肿瘤学家(POs)在知识和专业行为方面面临相当大的挑战。在本研究中，我们通过半结构化访谈，根据定性主题分析的原则，对癌症儿童的父母进行分析，探讨德国POs对CAM的理解和相关态度，以及与CAM讨论相关的挑战和策略。我们可以在理论饱和之前进行14次访谈。访谈时间为15 ~ 82分钟(M = 30.8, SD = 18.2)。儿童肿瘤专业经验在0.5 ~ 26年之间(M = 13.8, SD = 7.6)。确定的主要主题是对CAM的异质理解和评价，部分受到个人经验和个人对合理性的看法的影响;认识到CAM讨论是支持父母及其子女的可能工具，并承认CAM讨论的实施存在局限性;面对CAM作为PO时对专业职责和任务的不确定性和不同看法。我们与来自(儿科)肿瘤学、心理学和伦理学的专家对研究结果进行了跨学科的解释，这表明有必要就解决儿科肿瘤学CAM的最低专业标准达成共识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.