Training in Integrative Therapies Increases Self-Efficacy in Providing Nondrug Therapies and Self-Confidence in Offering Compassionate Care

Abstract

Background.Patient demand and clinician interest have driven professional training in integrative therapies, but few rigorous evaluations have been published.Methods.This project evaluated the proof of concept of training in acupressure, guided imagery, massage, and Reiki on clinicians’ sense of self-efficacy in providing nondrug therapies, self-confidence in providing compassionate care, and engagement with work.Results.Three out of 4 topics met minimum enrollment numbers; 22 of 24 participants completed follow-up as well as pretraining surveys. All would recommend the training to others and planned changes in personal and professional care. There were significant improvements in self-efficacy in using nondrug therapies, confidence in providing compassionate care, and unplanned absenteeism (P < .05 for each).Conclusion.Training in integrative therapies is feasible and associated with significant improvements in clinicians’ sense of self-efficacy, confidence in providing compassionate care, and engagement with work. Additional studies are needed to determine the impact on quality of care and long-term workforce engagement.

Relationship of Perception of Self Medication Behavior Use of Complementary Alternative Medicine (Cam) in Denpasar City

“…Self-efficacy has a positive impact on mental health dimensions in both CAM users and nonusers 29 .CAM use is based on experience because side effects are small and do not require special procedures 30 . Another result of the study state that health personnel information can increase CAM selection 31 . The results of other studies state that there is no significant relationship between self-efficacy and CAM 32 .…”

Teaching Guided Imagery and Relaxation Techniques in Undergraduate Nursing Education

“…Guided imagery (GI) is a nonpharmacological complementary therapy that has been used to manage pain, anxiety, and insomnia in various patient populations, including those in palliative care or critical care, oncology patients, and patients undergoing surgery or childbirth (Coelho et al, 2018; Forward et al, 2015; Meghani et al, 2017; Wood & Patricolo, 2013). The opioid epidemic has led to an interest in nonpharmacological methods such as GI to manage pain (Kemper & Hill, 2017). In GI, a relaxed state is induced, and vivid images are used to promote desired outcomes (Santos, 2016).…”

“…The need to include formal education on complementary or holistic therapies within nursing curricula has been emphasized, as well as a call for experiential education (Booth-Laforce et al, 2010; Kinchen & Loerzel, 2019). While GI training has been found to be feasible and associated with improvements in self-efficacy and confidence in providing compassionate care, it has been left to a small number of faculty with knowledge of complementary therapies to develop curricula in schools of nursing (Booth-Laforce et al, 2010; Kemper & Hill, 2017).…”

“…Loerzel, 2019). While GI training has been found to be feasible and associated with improvements in selfefficacy and confidence in providing compassionate care, it has been left to a small number of faculty with knowledge of complementary therapies to develop curricula in schools of nursing (Booth-Laforce et al, 2010;Kemper & Hill, 2017).…”

Mindfulness as one component of an integrative approach to migraine treatment in clinical practice: companion editorial

“…Both of these reasons could explain why more than 50% of adults with migraines/severe headaches using complementary and alternative medicine do not discuss it with their provider [28]. Training providers in integrative medicine may increase provider self-efficacy and confidence of such modalities and has been one method of targeting this limitation [29]. Despite these limitations, the initial time and attention invested with an integrative approach may ultimately enhance treatment outcomes, as the patient-practitioner relationship is enhanced by such warmth, attention, and confidence [30].…”