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Integrative oncology for palliative care nurses: pre-post training evaluation.
Eran Ben-Arye1,2, Yehudit Tapiro3, Ruth Baruch4
1Technion Israel Institute of Technology, Haifa, Israel eranben@netvision.net.il.
BMJ Supportive & Palliative Care
|January 23, 2023
Summary
This study shows that an integrative oncology (IO) training program improved nurses' skills in managing cancer patient symptoms and supporting caregivers. The training enhanced nurses' ability to address quality of life concerns through various IO modalities.
Area of Science:
- Oncology
- Nursing Education
- Integrative Medicine
Background:
- Integrative oncology (IO) is increasingly integrated into supportive and palliative cancer care.
- Nurses play a crucial role in delivering comprehensive cancer care.
- There is a need to evaluate training programs that enhance nurses' skills in IO.
Purpose of the Study:
- To assess the impact of an integrative oncology (IO) palliative care training program for nurses.
- To evaluate changes in nurses' knowledge, attitudes, and skills related to IO in palliative care.
- To explore the effectiveness of the training on managing a range of patient-reported concerns.
Main Methods:
- A 120-hour IO-palliative care training program was conducted for 24 nurses.
- Pre- and post-course questionnaires assessed knowledge, attitudes, and skills.
- Qualitative analysis of narratives examined changes in attitudes and practice intentions.
Main Results:
- Nurses showed modest changes in knowledge and attitudes towards IO but significant improvements in IO-related skills (herbal medicine, lifestyle, manual-movement, mind-body).
- Consultation skills improved for managing symptoms like fatigue, nausea, insomnia, and hot flashes.
- Trainees reported enhanced skills for pain, emotional distress, and caregiver support, with no change in general palliative care skills.
Conclusions:
- The IO-palliative care nurse training program effectively enhanced nurses' consultation skills for various quality of life concerns.
- Personal and professional attitude shifts, including increased mindfulness, were observed.
- Further research is recommended to assess the long-term impact and clinical implementation of these skills.
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