Kania-Richmond Ania, Reece Barb Findlay, Suter Esther, Verhoef Marja J
Department of Community Health Sciences, Faculty of Medicine, University of Calgary, Calgary, AB, Canada.
Association of Registered Nurses of British Columbia, Vancouver, BC, Canada.
BMC Complement Altern Med. 2015 Feb 7;15:20. doi: 10.1186/s12906-015-0536-4.
BACKGROUND: Massage therapy (MT) is becoming established as a recognized health care profession in Canada. It has been integrated as a core service in settings such as health spas, private integrative health centers, and there is indication that MT is starting to be integrated into hospitals. Research in the area of hospital-based MT has primarily focused on the efficacy, effectiveness, and increasingly, the safety of MT. However, little is known about the professional role of massage therapists in the hospital setting. The purpose of this study was to conduct an in-depth exploration and description of massage therapists' professional role in patient care in the context of Canadian urban hospitals. METHODS: A sequential mixed methods study design was used. For the quantitative phase, a survey was sent to urban hospitals where MT services were organized by hospitals and provided by licensed massage therapists to patients to a) provide a contextual description of the hospitals and b) identify a sampling frame for the qualitative phase. The subsequent qualitative phase entailed semi structured interviews with a purposively diverse sample of participants massage therapists from the surveyed sites to explore their role perceptions. The quantitative and qualitative approaches were integrated during data collection and analysis. RESULTS: Of the hospitals that responded, sixteen urban hospitals across Canada (5%) provided MT to patients by licensed therapists. The majority of hospitals were located in Ontario and ranged from specialized small community hospitals to large multi-site hospitals. Based on interviews with 25 participants, six components of the massage therapists' professional role emerged: health care provider, team member, program support, educator, promoter of the profession, and researcher. CONCLUSIONS: While hospital-based MT in Canada is not a new phenomenon, MT is not yet an established health care profession in such settings. However, there is significant potential for the inclusion of the massage therapists' role in Canadian hospitals that should be evidence based for effective implementation.
背景：按摩疗法（MT）在加拿大正逐渐成为一种公认的医疗保健专业。它已被纳入健康水疗中心、私人综合健康中心等场所的核心服务项目，并且有迹象表明MT正开始被纳入医院服务。基于医院的MT领域的研究主要集中在MT的疗效、有效性以及日益受到关注的安全性方面。然而，对于按摩治疗师在医院环境中的专业角色却知之甚少。本研究的目的是在加拿大城市医院的背景下，深入探索和描述按摩治疗师在患者护理中的专业角色。 方法：采用了序列混合方法研究设计。在定量阶段，向城市医院发送了一份调查问卷，这些医院由医院组织MT服务，并由持牌按摩治疗师为患者提供服务，目的是：a）对医院进行背景描述；b）确定定性阶段的抽样框架。随后的定性阶段包括对来自被调查地点的有目的的多样化按摩治疗师样本进行半结构化访谈，以探索他们的角色认知。在数据收集和分析过程中，将定量和定性方法结合起来。 结果：在回复的医院中，加拿大各地有16家城市医院（5%）由持牌治疗师为患者提供MT服务。大多数医院位于安大略省，范围从专业的小型社区医院到大型多院区医院。通过对25名参与者的访谈，得出了按摩治疗师专业角色的六个组成部分：医疗保健提供者、团队成员、项目支持、教育者、行业推广者和研究者。 结论：虽然在加拿大基于医院的MT不是一个新现象，但在这种环境下，MT尚未成为一个既定的医疗保健专业。然而，将按摩治疗师的角色纳入加拿大医院具有很大的潜力，应该基于证据进行有效实施。
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