Knowledge, attitude and use of complementary and integrative health strategies: A preliminary survey of Iranian nurses

doi:10.1016/S2095-4964(16)60245-5

Abstract

Background

Disagreement exists regarding the need for knowledge about complementary and integrative health (CIH) strategies, as well as for the need to consider such strategies in clinical nursing practice.

Objective

This study was conducted to assess the knowledge, attitude and use of CIH strategies among nurses in Iran.

Design, setting, participants and interventions

A cross-sectional study of nurses working in two hospitals of Zabol University of Medical Sciences, in southeast Iran, was conducted from October 2014 to April 2015. The questionnaire, developed specifically for this research, was used to assess the knowledge, attitude and use of CIH by nurses. Descriptive and inferential statistics were used to interpret the survey responses.

Results

Most nurses (n=95, 60.5%) have average knowledge about CIH strategies with most holding a positive attitude about use (n=81, 51.6%). The majority (n=90, 57.3%) of nurses, however, never applied CIH methods. Where CIH was used, massage was most often clinically applied (n=129, 82.2%) and a large percentage believed it useful for treating illness (n=136, 87.9%). Other CIH methods commonly used included prayer and herbal medicine.

Conclusion

Nurses have positive attitudes about CIH though knowledge was typically weak. Educational programs should carefully consider how knowledge about CIH methods could be strengthened within curricula.

Key words: Knowledge, Attitude and use, Nurses, Complementary and alternative medicine, Complementary and integrative health

Abbas Balouchi, Mozhgan Rahnama, Marie Hastings-Tolsma, Mohammadali M.Shoja, Enayatollah Bolaydehyi. Knowledge, attitude and use of complementary and integrative health strategies: A preliminary survey of Iranian nurses. Journal of Integrative Medicine, 2016, 14(2): 121-127.

/ / Recommend

Add to citation manager EndNote| Reference Manager|ProCite|BibTeX|RefWorks

URL: http://www.jcimjournal.com/EN/10.1016/S2095-4964(16)60245-5

http://www.jcimjournal.com/EN/Y2016/V14/I2/121

TrendMD

References

1 Cassileth BR, Deng G.Complementary and alternative therapies for cancer.Oncologist. 2004; 9(1): 80-89.
2 National Center for Complementary and Integrative Health. Complementary, alternative, or integrative health: what’s in a name? (2015-03) [2015-09-21]. https://nccih.nih.gov/ health/integrative-health.
3 Clarke TC, Black LI, Stussman BJ, Barnes PM, Nahin RL.Trends in the use of complementary health approaches among adults: United States, 2002-2012.Natl Health Stat Report. 2015; (79): 1-16.
4 Posadzki P, Watson LK, Alotaibi A, Ernst E.Prevalence of use of complementary and alternative medicine (CAM) by patients/consumers in the UK: systematic review of surveys.Clin Med (Lond). 2013; 13(2): 126-131.
5 Mbada CE, Adeyemi TL, Adedoyin RA, Badmus HD, Awotidebe TO, Arije OO, Omotosho OS.Prevalence and modes of complementary and alternative medicine use among peasant farmers with musculoskeletal pain in a rural community in South-Western Nigeria.BMC Complement Altern Med. 2015; 15(1): 164.
6 Hall HG, Griffiths DL, McKenna LG. The use of complementary and alternative medicine by pregnant women: a literature review.Midwifery. 2011; 27(6): 817-824.
7 Medagama AB, Bandara R, Abeysekera RA, Imbulpitiya B, Pushpakumari T.Use of complementary and alternative medicines (CAMs) among type 2 diabetes patients in Sri Lanka: a cross sectional survey.BMC Complement Altern Med. 2014; 14: 374.
8 Do s s e t t ML, Da v i s RB, Lembo AJ, Yeh GY. Complementary and alternative medicine use by US adults with gastrointestinal conditions: results from the 2012 national health interview survey.Am J Gastroenterol. 2014; 109(11): 1705-1711.
9 Bahall M, Edwards M.Perceptions of complementary and alternative medicine among cardiac patients in South Trinidad: a qualitative study.BMC Complement Altern Med. 2015; 15: 99.
10 Wanchai A, Armer JM, Stewart BR.Thai nurses’ perspectives on the use of complementary and alternative medicine among Thai breast cancer survivors in northern Thailand.Int J Nurs Pract. 2015; 21(2): 118-124.
11 Yekta Z, Zamani A, Mehdizade M, Farajzadegan Z.Pattern of complementary and alternative medicine use in urban population.J Res Health Sci. 2007; 7(1): 24-31.
12 Hashempur MH, Heydari M, Mosavat SH, Heydari ST, Shams M.Complementary and alternative medicine use in Iranian patients with diabetes mellitus.J Integr Med. 2015; 13(5): 319-325.
13 Kemper KJ, Amata-Kynvi A, Dvorkin L, Whelan JS.Herbs and other dietary supplements: healthcare professionals’ knowledge, attitudes, and practices.Altern Ther Health Med. 2003; 9(3): 42-49.
14 World Health Organization. Traditional Medicine 2008. WHO Fact Sheet No. 134. [2015-09-21]. . Traditional Medicine 2008. WHO Fact Sheet No. 134. [2015-09-21]. http://www.who. int/topics/traditional_medicine/en/.
15 Ben-Arye E, Cassileth B, Heusser P, Afifi F, Saad B, Selvan SR.Complementary and integrative oncology in the cross-cultural region of the middle East and South Asia.Evid Based Complement Alternat Med. 2012; 2012: 940961.
16 Ben-Arye E, Schiff E, Hassan E, Mutafoglu K, Lev-Ari S, Steiner M, Lavie O, Polliack A, Silbermann M, Lev E.Integrative oncology in the Middle East: from traditional herbal knowledge to contemporary cancer care.Ann Oncol. 2012; 23(1): 211-221.
17 Yildirim Y, Parlar S, Eyigor S, Sertoz OO, Eyigor C, Fadiloglu C, Uyar M.An analysis of nursing and medical students’ attitudes towards and knowledge of complementary and alternative medicine (CAM).J Clin Nurs. 2010; 19(7-8): 1157-1166.
18 Chang HY, Chang HL.A review of nurses’ knowledge, attitudes, and ability to communicate the risks and benefits of complementary and alternative medicine.J Clin Nurs. 2015; 24(11-12): 1466-1478.
19 Yom YH, Lee KE.A comparison of the knowledge of, experience with and attitudes towards complementary and alternative medicine between nurses and patients in Korea.J Clin Nurs. 2008; 17(19): 2565-2572.
20 Hastings-Tolsma M, Terada M.Complementary medicine use by nurse midwives in the U.S.Complement Ther Clin Pract. 2009; 15(4): 212-219.
21 Orkaby B, Greenberger C.Israeli nurses’ attitudes to the holistic approach to health and their use of complementary and alternative therapies.J Holist Nurs. 2015; 33(1): 19-26.
22 Tr a i l - M a h a n T, M a o C L, B a w e l - B r i n k l e y K. Complementary and alternative medicine: nurses’ attitudes and knowledge.Pain Manag Nurs. 2013; 14(4): 277-286.
23 Brolinson PG, Price JH, Ditmyer M, Reis D.Nurses’ perceptions of complementary and alternative medical therapies.J Community Health. 2001; 26(3): 175-189.
24 Frenkel MA, Borkan JM.An approach for integrating complementary-alternative medicine into primary care.Fam Pract. 2003; 20(3): 324-332.
25 Hayes KM, Alexander IM.Alternative therapies and nurse practitioners: knowledge, professional experience, and personal use.Holist Nurs Pract. 2000; 14(3): 49-58.
26 Holroyd E, Zhang AL, Suen LK, Xue CC.Beliefs and attitudes towards complementary medicine among registered nurses in Hong Kong.Int J Nurs Stud. 2008; 45(11): 1660-1666.
27 Chu FY, Wallis M.Taiwanese nurses’ attitudes towards and use of complementary and alternative medicine in nursing practice: a cross-sectional survey.Int J Nurs Stud. 2007; 44(8): 1371-1378.
28 Wallis M, Peerson A, Young J, Parkinson S, Grant S.Nurses’ utilisation of complementary therapies: a pilot study exploring scope of practice.Collegian. 2004; 11(4): 19-25.
29 Shorofi SA.Complementary and alternative medicine (CAM) among hospitalised patients: reported use of CAM and reasons for use, CAM preferred during hospitalisation, and the socio-demographic determinants of CAM users.Complement Ther Clin Pract. 2011; 17(4): 199-205.
30 Shorofi SA, Arbon P.Nurses’ knowledge, attitudes, and professional use of complementary and alternative medicine (CAM): a survey at five metropolitan hospitals in Adelaide.Complement Ther Clin Pract. 2010; 16(4): 229-234.
31 Wilkinson J, Simpson M.Personal and professional use of complementary therapies by nurses in NSW, Australia.Complement Ther Clin Pract. 2002; 8(3): 142-147.
32 Leach MJ.Public, nurse and medical practitioner attitude and practice of natural medicine.Complement Ther Nurs Midwifery. 2004; 10(1): 13-21.
33 Kim do Y, Park WB, Kang HC, Kim MJ, Park KH, Min BI, Suh DJ, Lee HW, Jung SP, Chun M, Lee SN. Complementary and alternative medicine in the undergraduate medical curriculum: a survey of Korean medical schools.J Altern Complement Med. 2012; 18(9): 870-874.
34 Zeng Y, Zhou Y, Chen P, Luo T, Huang M.Use of complementary and alternative medicine across the childbirth spectrum in China.Complement Ther Med. 2014; 22(6): 1047-1052.
35 Akan H, Izbirak G, Kaspar EC, Kaya CA, Aydin S, Demircan N, Bucaktepe PG, Ozer C, Sahin HA, Hayran O.Knowledge and attitudes towards complementary and alternative medicine among medical students in Turkey.BMC Complement Altern Med. 2012; 12: 115.
36 Hassan A, Allam A, Al Kindi S, Abu Zeinah G, Eziada S, Bashir A.Knowledge, attitudes and practices of oncology nurses towards complementary and alternative medicine for cancer care in Qatar.J Anesth Clin Res. 2014; 5: 477.
37 Adib-Hajbaghery M, Hoseinian M.Knowledge, attitude and practice toward complementary and traditional medicine among Kashan health care staff, 2012. Complement Ther Med. 2014; 22(1): 126-132.

Related Articles 12

[1]	Jing Hong, Xiao-wan Xu, Jing Yang, Jing Zheng, Shu-mei Dai, Ju Zhou, Qing-mei Zhang, Yi Ruan, Chang-quan Ling. Knowledge about, attitude and acceptance towards, and predictors of intention to receive the COVID-19 vaccine among cancer patients in Eastern China: A cross-sectional survey. Journal of Integrative Medicine, 2022, 20(1): 34-44.
[2]	Jose Antonio Castilla-Jimena, Isabel Ruiz-Pérez, Jesús Henares-Montiel. Impact of socioeconomic and health-related factors on consumption of homeopathic and natural remedies in Spain in 2006, 2011 and 2017. Journal of Integrative Medicine, 2022, 20(1): 52-56.
[3]	Yunita Sari, Akhyarul Anam, Annas Sumeru, Eman Sutrisna. The knowledge, attitude, practice and predictors of complementary and alternative medicine use among type 2 diabetes mellitus patients in Indonesia. Journal of Integrative Medicine, 2021, 19(4): 347-353.
[4]	Louisa Sylvia, Emerson West, Allyson M. Blackburn, Carina Gupta, Eric Bui, Tara Mahoney, Geraldine Duncan, Edward C. Wright, Simon Lejeune, Thomas J. Spencer. Acceptability of an adjunct equine-assisted activities and therapies program for veterans with posttraumatic stress disorder and/or traumatic brain injury. Journal of Integrative Medicine, 2020, 18(2): 169-173.
[5]	Shipra Shah, Jahangeer A. Bhat. Ethnomedicinal knowledge of indigenous communities and pharmaceutical potential of rainforest ecosystems in Fiji Islands. Journal of Integrative Medicine, 2019, 17(4): 244-249.
[6]	Asmae Assaidi, Ikram Dib, Monique Tits, Luc Angenot, Said Bellahcen, Nourelhouda Bouanani, Abdelkhaleq Legssyer, Mohammed Aziz, Hassane Mekhfi, Mohammed Bnouham, Michel Frederich, Abderrahim Ziyyat. Chenopodium ambrosioides induces an endothelium-dependent relaxation of rat isolated aorta. Journal of Integrative Medicine, 2019, 17(2): 115-124.
[7]	Pei Qin, Bruce D. Dick, Ada Leung, Cary A. Brown . Effectiveness of hand self-shiatsu to improve sleep following sport-related concussion in young athletes: a proof-of-concept study. Journal of Integrative Medicine, 2019, 17(1): 24-29.
[8]	Yoshiharu Motoo, Keiko Yukawa, Kazuho Hisamura, Kiichiro Tsutani, Ichiro Arai . Internet survey on the provision of complementary and alternative medicine in Japanese private clinics: a cross-sectional study. Journal of Integrative Medicine, 2019, 17(1): 8-13.
[9]	Andrian Liem, Kuncoro Dewi Rahmawati. The meaning of complementary, alternative and traditional medicine among the Indonesian psychology community: A pilot study. Journal of Integrative Medicine, 2017, 15(4): 288-294.
[10]	Jin Rui, Lin Zhi-jian, Xue Chun-miao, Zhang Bing. An improved association-mining research for exploring Chinese herbal property theory: Based on data of the Shennong’s Classic of Materia Medica. Journal of Chinese Integrative Medicine, 2013, 11(5): 352-365.
[11]	Jun-ying Fu. Analysis of international application of complementary and alternative medicine. Journal of Chinese Integrative Medicine, 2008, 6(3): 239-242.
[12]	You-hua Wang, Jin-gen Lu, Tao Liu, Guang Ji, Duan Zhou, Pei-yong Zheng. Study on knowledge discovery in traditional Chinese medical case records. Journal of Chinese Integrative Medicine, 2007, 5(4): 368-372.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed

Comments

Recommended 10

[1]	Jin-rong Fu. Establishment of multivariate diagnosis and treatment system of modern gynecology of traditional Chinese medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 22-24
[2]	Hao Li, Ming-jiang Yao, Wen-ming Zhao, Jie Guan, Lin-lin Cai, Ling Cui. A randomized, controlled, double-blind trial of Huannao Yicong capsule in senile patients with mild cognitive impairment. Journal of Chinese Integrative Medicine, 2008, 6(1): 25-31
[3]	Zhi-chun Jin. Problems in establishing clinical guideline for integrated traditional Chinese and Western medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 5-8
[4]	SUN Ming-yu, ZUO Jian, DUAN Ji-feng, HAN Jun, FAN Shi-ming, ZHANG Wei, ZHU Li-fang, YAO Ming-hui. Antitumor activities of kushen flavonoids in vivo and in vitro. Journal of Chinese Integrative Medicine, 2008, 6(1): 51-59
[5]	Min Cheng, Qiong Feng, Shu-wen Qian, Hui Gao, Cui-qing Zhu. Preliminary assay of p-amyloid binding elements in heart-beneficial recipe. Journal of Chinese Integrative Medicine, 2008, 6(1): 68-72
[6]	Ning-qun Wang, Liang-duo Jiang, Zong-xing Li. Research progress in asthma-related quality of life. Journal of Chinese Integrative Medicine, 2008, 6(1): 93-97
[7]	Jing-yuan Mao, Chang-xiao Liu, Heng-he Wang, Guang-li Wei , Zhen-peng Zhang, Jie Xing, Wang Xian liang , Ying-fei Bi . Effects of Shenmai Injection on serum concentration and pharmacokinetics of digoxin in dogs with heart failure. Journal of Chinese Integrative Medicine, 2010, 8(11): 1070-1074
[8]	Zhi-mei Wang, Bin Zhang. A study on translation of ellipses in Huangdi Neijing from perspective of hermeneutic theory. Journal of Chinese Integrative Medicine, 2010, 8(11): 1097-1100
[9]	Gui Yu, Jie Wang. Thinking on building the network cardiovasology of Chinese medicine. Journal of Chinese Integrative Medicine, 2012, 10(11): 1206-1210
[10]	Pedro Saganha João, Doenitz Christoph, Greten Tobias, Efferth Thomas, J. Greten Henry. Qigong therapy for physiotherapists suffering from burnout: a preliminary study. Journal of Chinese Integrative Medicine, 2012, 10(11): 1233-1239