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Toward integrated pediatric medicine: Key learnings from the pediatric integrative medicine trial
Maria Mayan1, Tatjana Alvadj2, Sarah Wildge1
1Community University Partnership for the Study of Children, Youth and Families, Faculty of Extension, University of Alberta, Edmonton, Canada.
Insights
Integrating complementary therapies in pediatric hospitals is facilitated by open-mindedness, communication, and shared definitions of positive outcomes. This approach supports patient wellbeing by bridging conventional and complementary care practices.
Area of Science:
- Integrative medicine
- Pediatric healthcare
- Complementary therapies
Background:
- A qualitative descriptive study was conducted within a larger research project examining the implementation of a pediatric integrative medicine service.
- The study focused on an acute care children's hospital in Canada, exploring the integration of complementary therapies into conventional practice.
Purpose of the Study:
- To explore the facilitators for integrating complementary therapies into conventional pediatric hospital settings.
- To understand the experiences of parents, healthcare providers, and complementary therapy providers regarding this integration.
Main Methods:
- Qualitative descriptive study design.
- Semi-structured one-on-one interviews conducted via telephone and in-person.
- Interviews conducted with 50 key stakeholders, including parents, healthcare providers, and complementary therapy providers, between May 2014 and January 2016.
Main Results:
- Facilitators for integration include stakeholders' open-mindedness and familiarity with diverse care practices.
- Open communication, mutual respect for roles, and appreciation for complementary therapies are key facilitators.
- Stakeholders' willingness to redefine 'positive outcomes' in hospital care also promotes integration.
Conclusions:
- Creating an environment with a shared commitment to patient wellbeing can mediate barriers to integrating complementary therapies.
- Successful integration hinges on fostering a collaborative atmosphere among all stakeholders involved in pediatric hospital care.
Objective:
The purpose of this study is to explore the facilitators to integrating complementary therapies in conventional pediatric hospital practice based on the experiences of parents, healthcare providers, and complementary therapy providers.
Design:
This study is part of a larger research study that examined the introduction of a pediatric integrative medicine service in an acute care children's hospital in Canada. A qualitative descriptive study was conducted using semi-structured one-on-one telephone and in-person interviews with a sample of parents of children, as well as healthcare providers and complementary therapy providers.
Results:
A total of 50 individuals, from key-stakeholder groups, were interviewed between May 2014 and January 2016. This study identified the following facilitators for the integration of complementary therapies within conventional care: 1) stakeholders' open-mindedness and familiarity with care practices outside of their experiences; 2) stakeholders' open communication, respect for eachothers' roles in the process of care, and appreciation for the role of complementary therapies within conventional medicine; and 3) stakeholders' receptiveness to redefining the meaning of a 'positive outcome' in the context of hospital care.
Conclusion:
The findings of this study demonstrate that some of the existing barriers to the integration of complementary therapies in conventional hospital care could be mediated by creating an environment where the fundamental value of commitment to patient wellbeing is equally shared by all stakeholders.
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