Kemper Kathi J, Hill Ellie
1 The Ohio State University, Columbus, OH, USA.
J Evid Based Complementary Altern Med. 2017 Oct;22(4):618-623. doi: 10.1177/2156587216686463. Epub 2017 Jan 3.
Patient demand and clinician interest have driven professional training in integrative therapies, but few rigorous evaluations have been published.
This project evaluated the proof of concept of training in acupressure, guided imagery, massage, and Reiki on clinicians' sense of self-efficacy in providing nondrug therapies, self-confidence in providing compassionate care, and engagement with work.
Three out of 4 topics met minimum enrollment numbers; 22 of 24 participants completed follow-up as well as pretraining surveys. All would recommend the training to others and planned changes in personal and professional care. There were significant improvements in self-efficacy in using nondrug therapies, confidence in providing compassionate care, and unplanned absenteeism ( P < .05 for each).
Training in integrative therapies is feasible and associated with significant improvements in clinicians' sense of self-efficacy, confidence in providing compassionate care, and engagement with work. Additional studies are needed to determine the impact on quality of care and long-term workforce engagement.
患者需求和临床医生的兴趣推动了综合疗法的专业培训,但很少有严格的评估报告发表。
本项目评估了指压、引导式意象、按摩和灵气疗法培训对临床医生提供非药物疗法的自我效能感、提供关怀护理的自信心以及工作投入度的概念验证。
4个主题中有3个达到了最低招生人数;24名参与者中有22名完成了随访以及培训前调查。所有人都表示会向他人推荐该培训,并计划在个人和专业护理方面做出改变。在使用非药物疗法的自我效能感、提供关怀护理的自信心以及无故旷工方面有显著改善(每项P < 0.05)。
综合疗法培训是可行的,并且与临床医生的自我效能感、提供关怀护理的自信心以及工作投入度的显著提高相关。需要进一步研究以确定其对护理质量和长期劳动力投入的影响。