Analysis into the experience of health professionals at incorporating complementary therapies in their clinical practice
DOI:
https://doi.org/10.22235/ech.v9i2.2316Keywords:
Complementary Therapies, Health professionals, Clinical practiceAbstract
Introduction: Complementary therapies have been increasingly incorporated into health care, especially in areas such as oncology, palliative care, rehabilitation and obstetrics. In several countries, it´s the health professionals themselves who have incorporated them into their clinical practice in an integrated way, leading them to change the paradigm of the current biomedical system, allowing them to provide a more comprehensive and autonomous care. Objective: To comprehend the experience of health professionals in Chile when incorporating complementary therapies in their clinical practice. Method: Qualitative phenomenological study. Health professionals certified in unconventional therapy were invited to participate, which they integrate into their clinical practice. After signing the consent, in-depth interviews were carried out until the data was saturated. The research process was carried out following the 10 steps of Streubert. Results: 11 health professionals participated, who develop therapies such as reiki, flower therapy and acupuncture integrated into their clinical practice. It was revealed that the incorporation of Complementary Therapies gave greater meaning to the work itself as a health professional, however, there were facilitators and obstacles to the process, which generated new challenges for integration with allopathic medicine. Conclusion: The integration of Complementary Therapies expanded the therapeutic tools, which generated in them greater professional satisfaction by providing a more human and person-centered care, recognizing the need to incorporate this knowledge into the curricula of health careers.
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References
Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Rompay M Van, et al. Original Contributions Trends in Alternative Medicine Use in the United States [Internet]. 1990. Disponible en: https://jamanetwork.com/
Velasco Lozano EA, Gusman Morales E, Ordoñez Monroy AL, Torres Razo D, De la Garza Castañón N, Álvarez Martínez C, et al. Medicina Alternativa y Complementaria: ¿Qué experiencias tienen las personas al utilizarla? Rev Cuid. 18 de agosto de 2018;7(14):18.
Greenlee H, Neugut AI, Falci L, Grace M;, Hillyer C, Buono D, et al. Association Between Complementary and Alternative Medicine Use and Breast Cancer Chemotherapy Initiation The Breast Cancer Quality of Care (BQUAL) Study. JAMA Oncol [Internet]. 2016;2(9):1170–6. Disponible en: https://jamanetwork.com/
Wode K, Henriksson R, Sharp L, Stoltenberg A, Hök Nordberg J. Cancer patients’ use of complementary and alternative medicine in Sweden: A cross-sectional study. BMC Complement Altern Med. 13 de marzo de 2019;19(1).
Armstrong M, Flemming K, Kupeli N, Stone P, Wilkinson S, Candy B. Aromatherapy, massage and reflexology: A systematic review and thematic synthesis of the perspectives from people with palliative care needs. Vol. 33, Palliative Medicine. SAGE Publications Ltd; 2019. p. 757–69.
Smith CA, Levett KM, Collins CT, Armour M, Dahlen HG, Suganuma M. Relaxation techniques for pain management in labour. Cochrane Database Syst Rev [Internet]. 28 de marzo de 2018 [citado 23 de septiembre de 2020];(3). Disponible en: http://doi.wiley.com/10.1002/14651858.CD009514.pub2
Fan Z, Liu B, Zhang Y, Li M, Lu T. The effectiveness and safety of acupuncture therapy for Guillain-Barré syndrome A systematic review and meta-analysis protocol. Med [Internet]. 2020;99(2):1–4. Disponible en: http://dx.doi.org/10.1097/MD.0000000000018619
Adams J, Lui C, Sibbritt D, Broom A, Wardle J, Homer C. Attitudes and referral practices of maternity care professionals with regard to complementary and alternative medicine: An integrative review. . J Adv Nurs. 2011;67(3):472–83.
James PB, Bah AJ, Kondorvoh IM. Exploring self-use, attitude and interest to study complementary and alternative medicine (CAM) among final year undergraduate medical, pharmacy and nursing students in Sierra Leone: A comparative study. BMC Complement Altern Med. 27 de abril de 2016;16(1).
Walker BF, Armson A, Hodgetts C, Jacques A, Chin FE, Kow G, et al. Knowledge, attitude, influences and use of complementary and alternative medicine (CAM) among chiropractic and nursing students. Chiropr Man Therap. 2017;25(29).
Kemper K, Bulla S, Krueger D, Ott MJ, McCool JA, Gardiner P. Nurses’ experiences, expectations, and preferences for mind-body practices to reduce stress. BMC Complement Altern Med. 11 de abril de 2011;11.
Mollart L, Stulz V, Foureur M. Midwives’ personal views and beliefs about complementary and alternative medicine (CAM) A national survey. Complement Ther Clin Pract [Internet]. febrero de 2019;34:235–9. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1744388118306960
Bjersa K, Forsberg A, Fagevik Olsen M. Perceptions of complementary therapies among Swedish registered professions in surgical care. Complement Ther Clin Pract. 2011;17(1):44–9.
Pereira R, Magalhães H, Picinini J, Oliveira L, Reis P. Profissionais da área de saúde pública: atitudes, conhecimentos e experiências em relação a práticas médicas não-convencionais. Rev APS. 2008;11(4):398–405.
Trail-Mahan T, Mao C, Bawel-Brinkley K. Complementary and alternative medicine: nurses’ attitudes and knowledge. . Pain Manag Nurs. 2013;14(4):277–86.
Iorio R de C, Siqueira AAF de, Yamamura Y. Acupuntura: motivações de médicos para a procura de especialização. Rev Bras Educ Med [Internet]. junio de 2010;34(2):247–54. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022010000200008&lng=pt&tlng=pt
Subsecretaría de Salud Pública. División de Políticas Públicas Saludables y Promoción. Ministerio de Salud. Estudio sobre conocimiento, utilización y grado de satisfacción de la población chilena en relación a las Medicinas Complementarias Alternativas. 2012.
Ministerio de Salud. Diagnóstico situacional de medicinas complementarias alternativas en el país. Centro de Estudios de Opinión Ciudadana. Universidad de Talca. Chile; 2010.
Barrett B, Marchand L, Scheder J, Plane MB, Maberry R, Appelbaum D, et al. Themes of Holism, Empowerment, Access, and Legitimacy Define Complementary, Alternative, and Integrative Medicine in Relation to Conventional Biomedicine. J Altern Complement Med [Internet]. diciembre de 2003;9(6):937–47. Disponible en: http://www.liebertpub.com/doi/10.1089/107555303771952271
Ostermaier A, Barth N, Linde K. How German general practitioners justify their provision of complementary and alternative medicine - A qualitative study. BMC Complement Med Ther. 15 de abril de 2020;20(1).
van der Riet P, Dedkhard S, Srithong K. Complementary therapies in rehabilitation: nurses’ narratives. Part 1. J Clin Nurs [Internet]. marzo de 2012;21(5–6):657–67. Disponible en: http://doi.wiley.com/10.1111/j.1365-2702.2011.03852.x
Cant S, Watts P, Ruston A. Negotiating competency, professionalism and risk: The integration of complementary and alternative medicine by nurses and midwives in NHS hospitals. Soc Sci Med [Internet]. febrero de 2011;72(4):529–36. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0277953610008294
Ray M. La riqueza de la fenomenología: preocupaciones filosóficas, teóricas y metodológicas. J. Morse, (Ed.). Colombia: Asuntos críticos en la metodología de investigación cuantitativa. Editorial de Universidad de Antioquia; 2003.
Farber M. Husserl. Ed. Losargue. Buenos Aires, Argentina; 1956.
Streubert H CD. Qualitative Research in nursing. 2nd ed. Philadelphia.; 1999.
Cutshall SM, Khalsa TK, Chon TY, Vitek SM, Clark SD, Blomberg DL, et al. Curricular Development and Implementation of a Longitudinal Integrative Medicine Education Experience for Trainees and Health-Care Professionals at an Academic Medical Center. Glob Adv Heal Med. enero de 2019;8:216495611983748.
Hall H, Brosnan C, Frawley J, Wardle J, Collins M, Leach M. Nurses’ communication regarding patients’ use of complementary and alternative medicine. Collegian [Internet]. junio de 2018;25(3):285–91. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1322769617301026
Pokladnikova J, Telec I. Provision of complementary and alternative medicine: Compliance with the health professional requirements. Health Policy (New York) [Internet]. marzo de 2020;124(3):311–6. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0168851020300208
Johannessen B. Why do Norwegian nurses leave the public health service to practice CAM? Complement Ther Clin Pract [Internet]. agosto de 2009;15(3):147–51. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1744388109000280
Linde K, Alscher A, Friedrichs C, Wagenpfeil S, Karsch-Völk M, Schneider A. Belief in and use of complementary therapies among family physicians, internists and orthopaedists in Germany -cross-sectional survey. Fam Pract. 1 de febrero de 2015;32(1):62–8.
Shorofi SA, Arbon P. Complementary and alternative medicine (CAM) among Australian hospital-based nurses: knowledge, attitude, personal and professional use, reasons for use, CAM referrals, and socio-demographic predictors of CAM users. Complement Ther Clin Pract [Internet]. mayo de 2017;27:37–45. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1744388116301256
Christina J, Abigail W, Cuthbertson LA, Whitehead D. Nurses’ Knowledge and Attitudes Toward Complementary and Alternative Medicine for Adult Patients With Cancer in Bandung, West Java, Indonesia: A Qualitative Study. J Holist Nurs [Internet]. 10 de junio de 2019;37(2):130–9. Disponible en: http://journals.sagepub.com/doi/10.1177/0898010118811047
Saha BL, Seam R, Islam MM, Das A, Koushik Ahamed S, Karmakar P, et al. General perception and self-practice of complementary and alternative medicine (CAM) among undergraduate pharmacy students of Bangladesh. BMC Complement Altern Med. 2017;17(314):1–8.
Meyerson J, Gelkopf M, Golan G, Shahamorov E. What Motivates Professionals to Learn and Use Hypnosis in Clinical Practice? Int J Clin Exp Hypn [Internet]. enero de 2013;61(1):71–80. Disponible en: http://www.tandfonline.com/doi/abs/10.1080/00207144.2013.729437
Liem A, Newcombe PA. Knowledge, attitudes, and usage of complementary-alternative medicine (CAM): A national survey of clinical psychologists in Indonesia. Curr Psychol [Internet]. 17 de mayo de 2019; Disponible en: http://link.springer.com/10.1007/s12144-019-00290-1
Vega Vega P, Barros VA, Molina CF, Villanueva AS. Experiencia de los profesionales de la salud al implementar terapias complementarias en su quehacer profesional. Rev Horiz Enfermería. 2016;27(2):8–17.
Kinchen E V., Loerzel V. Nursing Students’ Attitudes and Use of Holistic Therapies for Stress Relief. J Holist Nurs. 1 de marzo de 2019;37(1):6–17.
Olivé M, Isla M. El modelo Watson para un cambio de paradigma en los cuidados enfermeros. Rev Rol Enfermería. 2015;38(2):123–8.
Gnatta JR, Kurebayashi LFS, Turrini RNT, Da Silva MJP. Aromatherapy and nursing: Historical and theoretical conception. Rev da Esc Enferm. 2016;50(1):127–33.
Hall H, Leach M, Brosnan C, Collins M. Nurses’ attitudes towards complementary therapies: A systematic review and meta-synthesis. Int J Nurs Stud [Internet]. abril de 2017;69:47–56. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0020748917300214
Sierra-Ríos SP, Urrego-Mendoza DZ, Jaime-Jaimes JD. Conocimientos, actitudes y prácticas acerca de la medicina alternativa en médicos vinculados a hospitales públicos de Cundinamarca, Colombia Knowledge, attitudes and practice concerning complementary and alternative medicine (CAM) amongst doctors working in public hospitals in Cundinamarca, Colombia. Vol. 14, Rev. salud pública. 2012.
Booth-LaForce C, Scott CS, Heitkemper MM, Cornman BJ, Lan MC, Bond EF, et al. Complementary and Alternative Medicine (CAM) Attitudes and Competencies of Nursing Students and Faculty: Results of Integrating CAM Into the Nursing Curriculum. J Prof Nurs. septiembre de 2010;26(5):293–300.
Bertrand SW. Inroads to integrative health care: Registered nurses’ personal use of traditional chinese medicine affects professional identity and nursing practice. Complement Health Pract Rev. 2010;15(1):14–30.
Khan A, Ahmed ME, Aldarmahi A, Zaidi SF, Subahi AM, Al Shaikh A, et al. Awareness, Self-Use, Perceptions, Beliefs, and Attitudes toward Complementary and Alternative Medicines (CAM) among Health Professional Students in King Saud bin Abdulaziz University for Health Sciences Jeddah, Saudi Arabia. Evidence-based Complement Altern Med. 2020;2020.
Racz A, Crnković I, Brumini I. Attitudes and beliefs about integration of CAM education in health care professionals training programs. En: Conference Proceedings of 6th International Multidisciplinary Scientific Conference. Vienna; 2019. p. 399–406.
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