Kielczynska B Basia, Kligler Benjamin, Specchio Eileen
Beth Israel Medical Center, New York, New York, USA
Albert Einstein College of Medicine, New York, New York, USA.
Qual Health Res. 2014 Sep;24(9):1242-52. doi: 10.1177/1049732314544969. Epub 2014 Jul 30.
Acupuncture, a licensed health care profession in the United States, is poorly integrated into the American health care system, despite the evidence of its effectiveness. The purpose of this study was to offer a phenomenological description of the experience of acupuncturists who delivered acupuncture care in a tertiary teaching hospital in New York City. We analyzed data using methodology proposed by Colaizzi and identified four major clusters of themes: (a) acupuncturists' excitement about practicing in a hospital setting and frustration about organizational obstacles to effective acupuncture integration; (b) pride in being holistic practitioners; (c) attempts to preserve the holism and effectiveness of acupuncture while adjusting to the limitations of an inpatient setting, and (d) acupuncturists' realization that the medical staff knew very little about acupuncture and "it's all about trust." Practitioners of other healing traditions and therapies might find our study helpful in their own efforts toward similar integration.
针灸在美国是一种有执照的医疗保健专业,但尽管有其有效性的证据,它在美国医疗保健系统中的整合程度却很低。本研究的目的是对在纽约市一家三级教学医院提供针灸护理的针灸师的经历进行现象学描述。我们使用科莱齐提出的方法分析数据,并确定了四个主要主题组:(a) 针灸师对在医院环境中执业感到兴奋,但对有效整合针灸的组织障碍感到沮丧;(b) 作为整体从业者的自豪感;(c) 在适应住院环境限制的同时,努力保持针灸的整体性和有效性;以及 (d) 针灸师意识到医务人员对针灸了解甚少,“一切都关乎信任”。其他治疗传统和疗法的从业者可能会发现我们的研究对他们自己类似的整合努力有所帮助。