Integrative oncology for palliative care nurses: pre-post training evaluation.

Autor:	Ben-Arye E; Technion Israel Institute of Technology, Haifa, Israel eranben@netvision.net.il.; Integrative Oncology Program, Oncology Service, Lin Medical Center, Haifa, Israel., Tapiro Y; Clalit Health Services, Tel Aviv, Israel., Baruch R; Nursing, Clalit Health Services, Tel Aviv, Israel., Tal A; Carmel Medical Center, Haifa, Israel., Shulman B; Integrative Oncology Program, Oncology Service, Lin Medical Center, Haifa, Israel., Gressel O; Integrative Oncology Program, Oncology Service, Lin Medical Center, Haifa, Israel., Israeli P; LIN Medical Center, Haifa, Israel., Dagash J; Clalit Health Services, Haifa, Israel., Yosipovich A; Carmel Medical Center, Haifa, Israel., Shalom Sharabi I; LIN Medical Center, Haifa, Israel., Zimmermann P; Clalit Health Services, Tel Aviv, Israel., Samuels N; Center for Integrative Complementary Medicine, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Jazyk:	angličtina
Zdroj:	BMJ supportive & palliative care [BMJ Support Palliat Care] 2024 May 17; Vol. 14 (2), pp. 178-182. Date of Electronic Publication: 2024 May 17.
DOI:	10.1136/spcare-2022-004117
Abstrakt:	Objectives: Integrative oncology (IO) is increasingly being incorporated in supportive and palliative cancer care. This study examined an IO-palliative care training programme for nurses from community and hospital settings. Methods: A 120-hour course, attended by 24 palliative care nurses without IO training, included precourse/postcourse questionnaires examining knowledge, attitudes and level of IO-palliative care skills. Qualitative analysis examined precourse and postcourse narratives. Results: Most (18; 75%) completed study questionnaires, with knowledge and attitudes towards IO changing only modestly and IO-related skills significantly for guidance on herbal medicine and lifestyle changes, manual-movement and mind-body modalities. Greater consultation skills were reported for fatigue, stomatitis, nausea, appetite, constipation/diarrhoea, insomnia, peripheral neuropathy and hot flashes. Trainees reported improved skills for pain (p=0.003), emotional (p<0.001) and informal caregiver-related concerns (p<0.001), with no change in palliative care-related skills. Qualitative analysis found both personal and professional attitude changes, with enhanced mindfulness and an expressed intent to implement the learnt skills in daily practice. Conclusions: The IO-palliative care nurse training programme increased IO-related and palliative care-related consultation skills for a wide range of quality of life-related concerns. Further research is needed to explore both short-term and long-term effects and the implementation of the learnt skills in clinical practice. Trial Registration Number: NCT03676153. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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