{"title":"癌症患者使用补充和替代药物的护理实践的相关因素","authors":"Junko Kusunoki, Sumie Ikezaki, Tomoko Majima","doi":"10.1016/j.colegn.2023.08.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The number of cancer patients using complementary and alternative medicine (CAM) is increasing worldwide. CAM is a holistic approach and has the potential to enrich patient lives both physically and mentally. Clarifying the factors associated with CAM-related nursing practice (CRNP) can help develop nursing that contributes to quality-of-life in cancer patients.</p></div><div><h3>Aim</h3><p>To quantitatively clarify the CRNP for cancer patients and the factors associated with CRNP.</p></div><div><h3>Methods</h3><p>A cross-sectional descriptive anonymous survey on 17 previously developed CRNPs was distributed to nurses working at cancer district hospitals in Japan. Nurses evaluated the CRNP items by a four-point Likert scale, and the total item mean score was compared among background variables by t-test and ANOVA.</p></div><div><h3>Findings</h3><p>In total, 451 valid responses were collated; 17 CRNP items were rated as agree/somewhat agree by over 49.6%. The most commonly practiced item was confirming with the primary physician before responding to patients about CAM use. Conversely, nurses failed to take on the role of explaining to patients the CAM-use decisions made by the healthcare team. CRNP scores were significantly higher for nurses with CAM-related learning experience (p = 0.001), nurses with advanced professional qualifications (p = 0.002), and nurses in occupational environments with good workplace communication (p = 0.043) or managers/colleagues with sound understanding of CAM (p = 0.001).</p></div><div><h3>Discussion</h3><p>Nurses should be aware that support for CAM use is an important issue that nurses can contribute to. Securing opportunities for CAM learning and deepening understanding of CAM throughout the workplace are useful in promoting further practice.</p></div><div><h3>Conclusion</h3><p>Nurses should deepen the understanding and value of CAM across their organisation to meet the needs of patients using CAM.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 668-675"},"PeriodicalIF":1.6000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Factors associated with nursing practice for cancer patients using complementary and alternative medicine\",\"authors\":\"Junko Kusunoki, Sumie Ikezaki, Tomoko Majima\",\"doi\":\"10.1016/j.colegn.2023.08.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The number of cancer patients using complementary and alternative medicine (CAM) is increasing worldwide. CAM is a holistic approach and has the potential to enrich patient lives both physically and mentally. Clarifying the factors associated with CAM-related nursing practice (CRNP) can help develop nursing that contributes to quality-of-life in cancer patients.</p></div><div><h3>Aim</h3><p>To quantitatively clarify the CRNP for cancer patients and the factors associated with CRNP.</p></div><div><h3>Methods</h3><p>A cross-sectional descriptive anonymous survey on 17 previously developed CRNPs was distributed to nurses working at cancer district hospitals in Japan. Nurses evaluated the CRNP items by a four-point Likert scale, and the total item mean score was compared among background variables by t-test and ANOVA.</p></div><div><h3>Findings</h3><p>In total, 451 valid responses were collated; 17 CRNP items were rated as agree/somewhat agree by over 49.6%. The most commonly practiced item was confirming with the primary physician before responding to patients about CAM use. Conversely, nurses failed to take on the role of explaining to patients the CAM-use decisions made by the healthcare team. CRNP scores were significantly higher for nurses with CAM-related learning experience (p = 0.001), nurses with advanced professional qualifications (p = 0.002), and nurses in occupational environments with good workplace communication (p = 0.043) or managers/colleagues with sound understanding of CAM (p = 0.001).</p></div><div><h3>Discussion</h3><p>Nurses should be aware that support for CAM use is an important issue that nurses can contribute to. Securing opportunities for CAM learning and deepening understanding of CAM throughout the workplace are useful in promoting further practice.</p></div><div><h3>Conclusion</h3><p>Nurses should deepen the understanding and value of CAM across their organisation to meet the needs of patients using CAM.</p></div>\",\"PeriodicalId\":55241,\"journal\":{\"name\":\"Collegian\",\"volume\":\"30 5\",\"pages\":\"Pages 668-675\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2023-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Collegian\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S132276962300077X\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Collegian","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S132276962300077X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Factors associated with nursing practice for cancer patients using complementary and alternative medicine
Background
The number of cancer patients using complementary and alternative medicine (CAM) is increasing worldwide. CAM is a holistic approach and has the potential to enrich patient lives both physically and mentally. Clarifying the factors associated with CAM-related nursing practice (CRNP) can help develop nursing that contributes to quality-of-life in cancer patients.
Aim
To quantitatively clarify the CRNP for cancer patients and the factors associated with CRNP.
Methods
A cross-sectional descriptive anonymous survey on 17 previously developed CRNPs was distributed to nurses working at cancer district hospitals in Japan. Nurses evaluated the CRNP items by a four-point Likert scale, and the total item mean score was compared among background variables by t-test and ANOVA.
Findings
In total, 451 valid responses were collated; 17 CRNP items were rated as agree/somewhat agree by over 49.6%. The most commonly practiced item was confirming with the primary physician before responding to patients about CAM use. Conversely, nurses failed to take on the role of explaining to patients the CAM-use decisions made by the healthcare team. CRNP scores were significantly higher for nurses with CAM-related learning experience (p = 0.001), nurses with advanced professional qualifications (p = 0.002), and nurses in occupational environments with good workplace communication (p = 0.043) or managers/colleagues with sound understanding of CAM (p = 0.001).
Discussion
Nurses should be aware that support for CAM use is an important issue that nurses can contribute to. Securing opportunities for CAM learning and deepening understanding of CAM throughout the workplace are useful in promoting further practice.
Conclusion
Nurses should deepen the understanding and value of CAM across their organisation to meet the needs of patients using CAM.
期刊介绍：
Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN).
The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues.
Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor.
The journal, online only from 2016, is available to members of ACN and also by separate subscription.
ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.
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