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Evidence implementation among complementary medicine practitioners: a meta-summary.

Matthew J Leach1, Hope Foley1

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Journal of Complementary & Integrative Medicine
|August 23, 2022
PubMed
Summary
This summary is machine-generated.

Implementing evidence-based practices in complementary medicine (CM) is challenging due to resource limitations and misaligned research. Recognizing the need for change and adaptability are key enablers for successful evidence implementation in CM.

Keywords:
complementary medicineevidence-based practiceimplementation sciencemeta-summaryprofessional practice

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Area of Science:

  • Complementary Medicine
  • Evidence-Based Practice Implementation
  • Healthcare Research

Background:

  • Complementary Medicine (CM) practitioners face unique challenges in integrating evidence-based practices (EBP).
  • Existing research on evidence implementation in CM is fragmented.
  • Understanding barriers and enablers is crucial for improving CM practice.

Purpose of the Study:

  • To explore the factors impacting evidence implementation in complementary medicine (CM) practice.
  • To identify barriers and enablers for evidence-based practice (EBP) adoption among CM practitioners.
  • To provide insights for enhancing EBP integration in CM.

Main Methods:

  • Systematic search of MEDLINE and CINAHL for cross-sectional studies on CM practitioners.
  • Qualitative data analysis using a meta-summary approach.
  • Coding data according to the Consolidated Framework for Implementation Research (CFIR) domains.

Main Results:

  • Analysis of 14 studies involving 614 participants across 16 CM disciplines.
  • Identified 34 themes, predominantly within the CFIR's Inner Setting and Characteristics of the Intervention domains.
  • Key barriers: Lack of supportive resources (33.3%), research misalignment (14.5%), and lack of access to knowledge (10.5%).
  • Key enablers: Recognition of need for change (8.2%) and perceived adaptability of EBP (7.8%).

Conclusions:

  • Evidence implementation in CM is complex, influenced by various factors.
  • Addressing resource limitations and improving research alignment are critical.
  • A multi-faceted, multi-stakeholder approach is needed to foster EBP in CM.