The Effects of an Educational Intervention on Oncology Nurses' Attitude, Perceived Knowledge, and Self-Reported Application of Complementary Therapies
Purpose/Objectives: To evaluate the effects of an educational program on oncology nurses' attitude, perceived knowledge, and self-reported application of 10 complementary therapies (art, exercise, humor, imagery, journaling, massage, music, relaxation, spirituality, and touch).
Design: Quasi-experimental with a pre- and post-test design.
Setting: A large tertiary care medical center in the midwestern United States.
Sample: A convenience sample consisting of 44 RNs working on two hematology and oncology patient care units. Eleven nurses comprised the educational intervention group, and 14 nurses on the same unit served as one control group. A second control group was comprised of 19 nurses from a different unit.
Methods: The study approach consisted of the assessment of all participants' initial attitude toward, knowledge of, and application of complementary therapies. A researcher-developed questionnaire was completed before and at three and six months after the educational intervention.
Main Research Variables: Nurses' attitudes toward, knowledge of, and use of complementary therapies.
Findings: Nurses value complementary therapies but lack the knowledge regarding their application. In addition, a gap exists between self-reported knowledge and the actual application of therapies. An eight-hour educational intervention was useful in enhancing knowledge and, to some degree, increasing application of some of the therapies. According to participants, lack of time was the main deterrent impeding use of complementary therapies in their nursing practice.
Conclusions: Education can affect the knowledge and integration of complementary therapies in nursing practice.
Implications for Nursing: Further research is needed to evaluate outcomes and determine educational approaches that will produce positive changes in nurses' attitudes toward, knowledge of, and application of complementary therapies.
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References
American Cancer Society Minnesota Division. (1996). What do we do now? Finding your way: Families and the cancer experience [Video 1]. (Available from Media Productions, Inc., 125 S.E. Main Street, #100, Minneapolis, MN 55414)
Anderson, P. (1998). Empowerment through education. Quality of Life—A Nursing Challenge, 6(2), 41-44.
Bottorff, J. (1993). The use and meaning of touch in caring for patients with cancer. Oncology Nursing Forum, 20, 1531-1538.
Bruder, P. (1992). Administrators and patients: Using the personal touch. Hospital Topics, 70(1), 38-40.
Cohen, M. (1993). Introduction: Spirituality, quality of life and nursing care. Quality of Life, 2(3), 47-49.
Colton, H. (1983). The gift of touch: How physical contact improves communication, pleasure, and health. New York: Seaview/Pilman.
Davis, C. (1989). The use of art therapy and group process with grieving children. Comprehensive Pediatric Nursing, 12, 269-280.
Dorff, E. (1993). Religion at a time of crisis. Quality of Life, 2(3), 56-59.
Dunn, C., Sleep, J., & Collett, D. (1995). Sensing an improvement: An experimental study to evaluate the use of aromatherapy, massage, and periods of rest in an intensive care unit. Journal of Advanced Nursing, 21, 34-40.
Eisenberg, D., Davis, R., Ettner, S., Appel, S., Wilkey, S., Van Rompay, M., et al. (1998). Trends in alternative medicine use in the United States, 1990-1997: Results of a follow-up national survey. JAMA, 280, 1569-1575.
Eisenberg, D., Kessler, R., Foster, C., Norlock, F., Calkins, D., & Delbanco, T. (1993). Unconventional medicine in the United States: Prevalence, costs, and patterns of use. New England Journal of Medicine, 28, 246-252.
Emblem, J. (1992). Religion and spirituality defined according to current use in nursing literature. Journal of Professional Nursing, 8(1), 41-47.
Frost, M., Brueggen, C., & Managan, M. (1997). Intervening with the psychosocial needs of patients and families: Perceived importance and skill level. Cancer Nursing, 20, 350-358.
Gustafson, M. (1992). Prayer. In M. Snyder (Ed.)Independent nursing interventions (pp. 280-286). Albany, NY: Delmar.
Hodgson, H. (2000). Does reflexology impact on cancer patient's quality of life? Nursing Standard, 14(32), 33-38.
Hooper, I. (1998). Complementary therapies and the medical profession: A study of medical students' attitudes. Alternative Therapies in Health and Medicine, 4(3), 68-73.
Kane, N. (1997). Alternative and complementary methods of cancer management. In C. Varricchio (Ed.), A cancer source book for nurses (7th ed., pp. 152-157). Atlanta, GA: American Cancer Society.
King, I. (1981). A theory for nursing: Systems, concepts, process. New York: John Wiley and Sons.
King, I. (1992). King's theory of goal attainment. Nursing Science Quarterly, 5, 19-26.
King, M., Pettigrew, A., & Reed, F. (2000). Complementary, alternative, integrative: Have nurses kept pace with their clients? Dermatology Nursing, 12(1), 41-50.
Knowles, M., Holton, E., & Swanson, R. (1998). The adult learner: The definite classic in adult education and human resource development (5th ed.). Houston, TX: Gulf Publishing.
Lane, D. (1992). Music therapy: A gift beyond measure. Oncology Nursing Forum, 19, 863-867.
Mackereth, P., & Gale, E. (1994). Touch/massage workshops—A pilot study. Complementary Therapies in Medicine, 2, 93-98.
Maxwell-Hudson, C. (1988). The complete book of massage. New York: Random House.
McCaffery, M. (1980). Relieving pain with noninvasive techniques. Nursing, 10(12), 55-57.
Mell, G.P. (1989). Visualization: Guiding your client to optimum health through imagery. Imprint, 36(1), 92.
Menix, K. (1996). Domains of learning: Interdependent components of achievable learning outcomes. Journal of Continuing Education in Nursing, 27, 200-208.
National Cancer Institute. (1998, February). Complementary and alternative medicine education summary report cancer patient education network questionnaire. Bethesda, MD: Author.
National Center for Complementary and Alternative Medicine. (2002). About the National Center for Complementary and Alternative Medicine. Retrieved November 11, 2003, from http://nccam.nih.gov/about/aboutnccam/index.htm
Nixon, M., Teschendorff, J., Finney, J., & Karnilowicz, W. (1997). Expanding the nursing repertoire: The effect of massage on postoperative pain. Australian Journal of Advanced Nursing, 14(3), 21-26.
Post-White, J., & Johnson, M. (1991). Complementary nursing therapies in clinical oncology practice: Relaxation and imagery. Dimensions in Oncology Nursing, 5(2), 15-20.
Richardson, M., Sanders, T., Palmer, L., Greisinger, A., & Singletary, E. (2000). Complementary/alternative medicine use in a comprehensive cancer center and the implications for oncology. Journal of Clinical Oncology, 18, 2505-2514.
Sheikh, A. (1984). Imagination and healing. Farmingdale, NY: Baywood Publishing.
Spross, J., & Burke, M. (1996). Nonpharmacological management of cancer pain. In D.B. McGuire, C.H. Yarbro, & B.R. Ferrell (Eds.)Cancer pain management (pp. 159-198). Sudbury, MA: Jones and Bartlett.
Stephens, R. (1993a). Imagery: A strategic intervention to empower clients. Part I: Review of research literature. Clinical Nurse Specialist, 7, 170-174.
Stephens, R. (1993b). Imagery: A strategic intervention to empower clients. Part II: A practical guide. Clinical Nurse Specialist, 7, 235-240.
Taylor, E. (1993). The search for meaning among persons with cancer. Quality of Life: A Nursing Challenge, 2(3), 65-70.
Tobiason, S. (1981). Touching is for everyone. American Journal of Nursing, 81, 728-730.
Wilkinson, S. (1996). Get the massage. Nursing Times, 92(34), 63-64.
Wiseman, E. (1994). New ways to keep people healthy. Trustee: The Journal for Hospital Governing Boards, 47(10), 8-12.
Wykle, M., & Morris, D. (1988). The health diary. Applied Nursing Research, 1, 47-48.
ZaZa, C., & Sellick, S. (1999). Assessing the impact of evidence-based continuing education on nonpharmacologic management of cancer pain. Journal of Cancer Education, 14, 164-167.