Christine N Spencer1,2, Gabriel Lopez1, Lorenzo Cohen1, Diana L Urbauer3, D Michael Hallman2, Michael J Fisch4, Patricia A Parker5. 1. Department of Palliative, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas. 2. University of Texas School of Public Health, Houston, Texas. 3. Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas. 4. Department of General Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas. 5. Department of Psychiatry and Behavioral Sciences Memorial Sloan Kettering Cancer Center, New York, New York.
Abstract
BACKGROUND: The aim of this study was to identify nurse factors (eg, knowledge, practices, and clinical habits regarding complementary and alternative medicine [CAM] as well as demographic factors) and patient characteristics (eg, age, sex, and treatment status) associated with nurses' CAM inquiry and referral patterns. METHODS: Baseline data were collected with nurse/patient questionnaires about CAM use and knowledge as part of a multicenter CAM educational clinical trial. Frequencies and nested regression models were used to assess predictors of nurses' inquiries about and referral to CAM therapies. RESULTS:Six hundred ninety-nine patients participated in the study. For patients, female sex (odds ratio [OR], 1.50; P = .019) and cancer recurrence (OR, 1.45; P = .05) were predictive of nurses' inquiries about and referral to CAM therapies. A total of 175 nurses with a mean age of 45 years and a mean experience of 20 years participated; 79% were staff nurses, and 11% were nurse practitioners. Fifty-three percent asked at least 1 of their last 5 patients about CAM use; 42% referred patients to CAM therapy. Nurses who reported being "somewhat comfortable" (OR, 2.70; P = .0001) or "very comfortable" (OR, 3.88; P < .0001) about discussing CAM, self-reported use of massage (OR, 2.20; P < .0001), and had formal CAM education (OR, 4.14; P = .0001) were more likely to ask about CAM use. Nurses who reported being "somewhat comfortable" (OR, 2.54; 95% confidence interval, 1.47-4.41; P = .0008) or "very comfortable" (OR, 7.46; P < .00001) and had formal CAM education (OR, 2.96; P < .0001) were also more likely to refer patients to CAM therapies. CONCLUSIONS: Both patient and nurse characteristics were associated with discussions about CAM. Oncology institutions that prioritize evidence-based medicine should consider introducing CAM education to their nursing staff. Cancer 2016;122:1552-9.
RCT Entities:
BACKGROUND: The aim of this study was to identify nurse factors (eg, knowledge, practices, and clinical habits regarding complementary and alternative medicine [CAM] as well as demographic factors) and patient characteristics (eg, age, sex, and treatment status) associated with nurses' CAM inquiry and referral patterns. METHODS: Baseline data were collected with nurse/patient questionnaires about CAM use and knowledge as part of a multicenter CAM educational clinical trial. Frequencies and nested regression models were used to assess predictors of nurses' inquiries about and referral to CAM therapies. RESULTS: Six hundred ninety-nine patients participated in the study. For patients, female sex (odds ratio [OR], 1.50; P = .019) and cancer recurrence (OR, 1.45; P = .05) were predictive of nurses' inquiries about and referral to CAM therapies. A total of 175 nurses with a mean age of 45 years and a mean experience of 20 years participated; 79% were staff nurses, and 11% were nurse practitioners. Fifty-three percent asked at least 1 of their last 5 patients about CAM use; 42% referred patients to CAM therapy. Nurses who reported being "somewhat comfortable" (OR, 2.70; P = .0001) or "very comfortable" (OR, 3.88; P < .0001) about discussing CAM, self-reported use of massage (OR, 2.20; P < .0001), and had formal CAM education (OR, 4.14; P = .0001) were more likely to ask about CAM use. Nurses who reported being "somewhat comfortable" (OR, 2.54; 95% confidence interval, 1.47-4.41; P = .0008) or "very comfortable" (OR, 7.46; P < .00001) and had formal CAM education (OR, 2.96; P < .0001) were also more likely to refer patients to CAM therapies. CONCLUSIONS: Both patient and nurse characteristics were associated with discussions about CAM. Oncology institutions that prioritize evidence-based medicine should consider introducing CAM education to their nursing staff. Cancer 2016;122:1552-9.
Authors: R C Kessler; R B Davis; D F Foster; M I Van Rompay; E E Walters; S A Wilkey; T J Kaptchuk; D M Eisenberg Journal: Ann Intern Med Date: 2001-08-21 Impact factor: 25.391
Authors: Cleora S Roberts; Frank Baker; Danette Hann; Joan Runfola; Cathy Witt; Jamie McDonald; Mary L Livingston; Jane Ruiterman; Rosemarie Ampela; Okrae C K Kaw; Chris Blanchard Journal: J Psychosoc Oncol Date: 2005
Authors: Grace K Dy; Lishan Bekele; Lorelei J Hanson; Alfred Furth; Sumithra Mandrekar; Jeff A Sloan; Alex A Adjei Journal: J Clin Oncol Date: 2004-12-01 Impact factor: 44.544
Authors: Brian M Shelley; Andrew L Sussman; Robert L Williams; Alissa R Segal; Benjamin F Crabtree Journal: Ann Fam Med Date: 2009 Mar-Apr Impact factor: 5.166
Authors: Fei-Yi Zhao; Gerard A Kennedy; Sonja Cleary; Russell Conduit; Wen-Jing Zhang; Qiang-Qiang Fu; Zhen Zheng Journal: Front Public Health Date: 2022-08-04
Authors: Barbara J Stussman; Richard L Nahin; Patricia M Barnes; Remle Scott; Termeh Feinberg; Brian W Ward Journal: J Integr Complement Med Date: 2022-05-12
Authors: Nadja Klafke; Cornelia Mahler; Cornelia von Hagens; Lorenz Uhlmann; Martina Bentner; Andreas Schneeweiss; Andreas Mueller; Joachim Szecsenyi; Stefanie Joos Journal: Cancer Med Date: 2019-05-21 Impact factor: 4.452