Integrative oncology for palliative care nurses: pre-post training evaluation

Eran Ben-Arye*, Yehudit Tapiro, Ruth Baruch, Ahuva Tal, Bella Shulman, Orit Gressel, Pesi Israeli, Jamal Dagash, Alexander Yosipovich, Ilanit Shalom Sharabi, Patricia Zimmermann, Noah Samuels

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Objectives Integrative oncology (IO) is increasingly being incorporated in supportive and palliative cancer care. This study examined an IO-palliative care training programme for nurses from community and hospital settings. Methods A 120-hour course, attended by 24 palliative care nurses without IO training, included precourse/postcourse questionnaires examining knowledge, attitudes and level of IO-palliative care skills. Qualitative analysis examined precourse and postcourse narratives. Results Most (18; 75%) completed study questionnaires, with knowledge and attitudes towards IO changing only modestly and IO-related skills significantly for guidance on herbal medicine and lifestyle changes, manual-movement and mind-body modalities. Greater consultation skills were reported for fatigue, stomatitis, nausea, appetite, constipation/diarrhoea, insomnia, peripheral neuropathy and hot flashes. Trainees reported improved skills for pain (p=0.003), emotional (p<0.001) and informal caregiver-related concerns (p<0.001), with no change in palliative care-related skills. Qualitative analysis found both personal and professional attitude changes, with enhanced mindfulness and an expressed intent to implement the learnt skills in daily practice. Conclusions The IO-palliative care nurse training programme increased IO-related and palliative care-related consultation skills for a wide range of quality of life-related concerns. Further research is needed to explore both short-term and long-term effects and the implementation of the learnt skills in clinical practice.

Original languageEnglish
Pages (from-to)178-182
Number of pages5
JournalBMJ Supportive and Palliative Care
Volume14
Issue number2
DOIs
StatePublished - 1 Jun 2024
Externally publishedYes

Keywords

  • Complementary therapy
  • Education and training
  • Pain

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