Determinants of interprofessional collaboration in complementary medicine to develop an educational module “complementary and integrative medicine” for undergraduate students: A mixed-methods study

Prill, Paula; Steinhäuser, Jost; Herchenröder, Minettchen; Flägel, Kristina

doi:10.1080/13561820.2021.1935810

Cited by 3 publications

(3 citation statements)

References 56 publications

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“…The domains and definitions of IPC competencies obtained from qualitative methods from all stakeholder coverage at the national, regional, and provincial levels were appropriate for the primary care system in Thailand. A two-stage sequential mixed method in designing an instrument of this study is consistent with the study in health professional from four different hospitals in Japan [ 47 ], health, medical, welfare, and education field in Japan [ 29 ], and undergraduate student in complementary medicine in Germany [ 48 ]. The approach led to understand the working environment of collaborative practice in DHS of the specific context in Thailand.…”

Section: Discussionsupporting

confidence: 62%

The development of an instrument to measure interprofessional collaboration competency for primary care teams in the district health system of health region 2, Thailand

Prasitanarapun

Kitreerawutiwong

2023

BMC Prim. Care

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Background Evidence shows that interprofessional collaboration (IPC) practice contributes to the quality of health care. However, there are limited instruments to assess IPC in providing primary care in the district health system (DHS) in Thailand. The aim of this study is to develop a valid and reliable instrument to assess the IPC competency of primary care team members in DHSs. Methods This study was designed as an exploratory mixed methods study. In the qualitative phase, 37 participants, including policymakers, practitioners, and academics with experience in primary care, were involved. Data were analysed using thematic analysis, and trustworthiness was verified by triangulation and peer debriefing. In the quantitative phase, content validity, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability were conducted, and the final version of the questionnaire was evaluated with 497 participants. Results: The findings showed an I-CVI range of 0.86–1.00 and S-CVI/UA = 0.87 for 49 items with a 5-point Likert scale. EFA suggested six factors: 1) collaborative teamwork, 2) population- and community-centred care, 3) communication and mutual respect, 4) clarification of roles and responsibilities, 5) interprofessional reflection, and 6) interprofessional values and mixed skills. In the CFA results, the model fit indices were acceptable (CFI = 0.99, RMSEA = 0.049, SRMR = 0.043) or slightly less than the goodness-of-fit values (GFI = 0.84). All subscales showed acceptable Cronbach’s alpha values with a range of 0.86–0.94. Conclusions The developed IPC competency instrument was confirmed its validity and reliability that contributes to assessing the IPC competency of primary care teams in DHSs. This information provides evidence to support tailored intervention to promote the IPC competency of primary care team work to achieve a common goal.

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Section: Discussionsupporting

confidence: 62%

The development of an instrument to measure interprofessional collaboration competency for primary care teams in the district health system of health region 2, Thailand

Prasitanarapun

Kitreerawutiwong

2023

BMC Prim. Care

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“…They concluded that an interprofessional approach could help to overcome stereotypes. Prill et al conducted a mixed method study about interprofessional teaching regarding CIM and their participants emphasized the relevance of team meetings as a factor promoting interprofessional collaboration ( 55 ). This could also be relevant for university hospitals.…”

Section: Discussionmentioning

confidence: 99%

Exploring the gap: attitudes, knowledge, and training needs in complementary and integrative medicine among healthcare professionals at German university hospitals

Hesmert,

Klocke,

Stolz

et al. 2024

Front. Med.

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IntroductionThe use of Complementary and Integrative Medicine (CIM) is very popular among the general population in Germany. However, international studies show that nurses, physicians, and other health care professionals (HCPs) at hospitals often do not feel sufficiently informed about different CIM approaches. Moreover, they do not feel trained enough to counsel their patients appropriately. In the German-speaking context, particularly within university hospitals, research on this subject is scarce. Therefore, the aim of this explorative study was to evaluate attitudes, subjective knowledge, and needs regarding CIM among HCPs with direct patient interaction across all four university hospitals in the federal state of Baden-Württemberg, Germany (Tübingen, Ulm, Freiburg, Heidelberg).MethodsThe multicenter, cross-sectional, anonymous full survey was conducted online using a self-developed, semi-structured, web-based questionnaire. Recruitment took place via all-inclusive e-mail distribution lists of all four university hospitals.ResultsA total of n = 2,026 participants (response rate varied by location from about 5 to 14%) fully answered the questionnaire. Nurses constituted the largest professional group (n = 1,196; 59%), followed by physicians (n = 567; 28%), physiotherapists (n = 54), psychologists (n = 48), midwives (n = 37), and other professions (n = 124). More than two-thirds (71%, n = 1,437) of the participants were female and 14% (n = 286) reported additional training in CIM. The overall attitude toward CIM (10-point Likert scale, 10 = “very favorable”) was clearly positive (M ± SD: 7.43 ± 2.33), with notable differences between professional groups: midwives (9.05 ± 1.18), physiotherapists (8.44 ± 1.74), and nurses (8.08 ± 1.95) expressed the highest support, whereas physicians (5.80 ± 2.39) the lowest. 42% of the participants incorporated CIM in patient care (from 33% of physicians to 86% of midwives). Overall, relaxation therapy (n = 1,951; 96%), external applications (n = 1,911; 94%), massage (n = 1,836; 91%), and meditation/mindfulness (n = 1,812; 89%) were rated as useful or rather useful for patients. The average self-assessed knowledge level about CIM was moderate (M ± SD: 5.83 ± 2.03). Most of the participants found CIM training at university hospitals important and saw research about CIM as one of the tasks of university hospitals. The participants expressed the highest interest in education for acupuncture/acupressure, relaxation therapies, and manual medicine.DiscussionThis comprehensive survey of health care professionals (HCPs) at university hospitals in Germany reveals a clearly positive disposition toward CIM, aligning with findings from other hospital-based surveys and highlighting differences among professional groups. While most therapies deemed beneficial for patient care are supported by positive evidence, further research is required for others. Given the average self-reported knowledge of CIM, targeted education is essential to meet the needs of both HCPs and patients and to ensure the provision of evidence-based information on the risks and benefits of CIM.

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“…Studies on integrative medicine and complementary care, have shown that despite controversies and challenges in terms of evidence, there is good chance for fostering interprofessional collaboration with mainstream medical practices. This might mean de ning and clari cation on speci cs related to TBS intervention, communication to reach an equal understanding with practitioners and education of shared professional competencies (49,50).…”

Section: Discussionmentioning

confidence: 99%

Traditional Bone Setting in Nigeria from the Perspectives of Patients and Physiotherapists— Clinical Insights for Low Back Pain Management

Adje,

Karstens,

Mbada

et al. 2024

Preprint

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Background: Traditional bone setting (TBS) remains a prevalent healthcare practice in Nigeria, offering alternative treatments for musculoskeletal conditions such as low back pain (LBP). This study explores the perspectives of both patients and physiotherapists regarding TBS and its implications for the management of LBP. Methods: A qualitative research approach was employed, utilizing semi-structured interviews with 25 participants (12 patients who had utilised TBS services for LBP, and 13 physiotherapists). Theoretical sampling was employed in participant recruitment until saturation. Recordings were transcribed and thematic analysis was done as a secondary analysis. Reporting was informed by the Consolidated Criteria for Reporting Qualitative Research (COREQ). Results: Eleven (11) participants were female and 14 were male; with a mean age of 35 years. Five themes emerged from this study themes: driving impetus for TBS, influencing perceptions with information, turning to TBS as a final recourse, exploring the primary alternative, and integrating TBS. Shift towards TBS for LBP stems from deficiencies in prevailing healthcare practices in Nigeria. Patients and physiotherapists hold varying perspectives regarding cultural significance, and effectiveness and safety of TBS compared to conventional physiotherapy interventions. Accessibility, affordability, and perceived efficacy are common facilitators for the patronage of TBS among patients, while others were hesitant and viewed it as a last resort. Negative perception of physiotherapists about TBS for LBP were based on concerns regarding the lack of scientific evidence, standardized practices, and potential complications associated with the procedures. Conclusion: Participants view TBS as a viable alternative when conventional treatments fail, driven by expectations for therapist-guided techniques, physiotherapist shortage, combined with affordability and cultural factors. Physiotherapists remain cautious, citing a need for evidence-based interventions and noting the extreme complications sometimes seen from TBS. Despite differing views, some participants advocate for an inclusive healthcare approach that integrates TBS with conventional medicine, emphasizing collaboration and better communication between healthcare providers and TBS practitioners. Future research could examine formal training programs to integrate Traditional Bone Setting (TBS) with conventional medical practices.

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Determinants of interprofessional collaboration in complementary medicine to develop an educational module “complementary and integrative medicine” for undergraduate students: A mixed-methods study

Cited by 3 publications

References 56 publications

The development of an instrument to measure interprofessional collaboration competency for primary care teams in the district health system of health region 2, Thailand

The development of an instrument to measure interprofessional collaboration competency for primary care teams in the district health system of health region 2, Thailand

Exploring the gap: attitudes, knowledge, and training needs in complementary and integrative medicine among healthcare professionals at German university hospitals

Traditional Bone Setting in Nigeria from the Perspectives of Patients and Physiotherapists— Clinical Insights for Low Back Pain Management

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