TY - JOUR
T1 - Advanced practice providers’ knowledge, attitudes, and utilization of complementary and integrative medicine at an academic medical center
AU - Bauer, Brent A.
AU - Townsend, Karen M.
AU - Cutshall, Susanne M.
AU - Hazelton, Jennifer K.
AU - Mahapatra, Saswati
AU - Meek, Alicia M.
AU - Wahner-Roedler, Dietlind L.
N1 - Publisher Copyright:
© 2020, InnoVision Communications. All rights reserved.
PY - 2020
Y1 - 2020
N2 - Context • Complementary and integrative medicine comprises treatments used along with conventional medical care. Its use within care settings and communities has increased. Objective • We aimed to assess baseline knowledge and use of complementary and integrative medicine among advanced practice providers at an academic medical center and their attitudes toward it. Methods • A 50-question survey was sent to 1018 advanced practice providers at our academic medical center to evaluate their knowledge, attitudes, and utilization of complementary and integrative medicine therapies. Results • The 556 respondents (54.6% response rate) included physician assistants, nurse practitioners, certified registered nurse anesthetists, clinical nurse specialists, and certified nurse midwives. Respondents reported a positive attitude toward complementary and integrative medicine and were likely to refer their patients to a complementary and integrative medicine practitioner (59%). They agreed that patients whose providers incorporate complementary and integrative medicine into their care have better clinical outcomes (nurse practitioners, 93%; certified registered nurse anesthetists, 87%; physician assistants, 85%; P =.002) and improved patient satisfaction (all respondents, 84%). Advanced practice providers, especially nurse practitioners, stated that they initiate the conversation to discuss the benefits and harms of complementary and integrative medicine with their patients (nurse practitioners, 93%; certified registered nurse anesthetists, 87%; physician assistants, 85%; P <.001). Respondents most frequently endorsed overall exercise, massage, and melatonin. Prospective randomized controlled trials were the most influential factor for attitude toward complementary and integrative medicine among physician assistants (50%), and personal experience was the most influential factor among nurse practitioners (52.9%) and certified registered nurse anesthetists (46.8%). Conclusions • Advanced practice providers generally have positive attitudes toward complementary and integrative medicine, but utilization appears limited by a self-report of low knowledge of benefits and risks of various therapies. For patient safety and satisfaction, advanced practice providers require a strong complementary and integrative medicine knowledge base to counsel patients. (Altern Ther Health Med. 2020;26(5):8-16).
AB - Context • Complementary and integrative medicine comprises treatments used along with conventional medical care. Its use within care settings and communities has increased. Objective • We aimed to assess baseline knowledge and use of complementary and integrative medicine among advanced practice providers at an academic medical center and their attitudes toward it. Methods • A 50-question survey was sent to 1018 advanced practice providers at our academic medical center to evaluate their knowledge, attitudes, and utilization of complementary and integrative medicine therapies. Results • The 556 respondents (54.6% response rate) included physician assistants, nurse practitioners, certified registered nurse anesthetists, clinical nurse specialists, and certified nurse midwives. Respondents reported a positive attitude toward complementary and integrative medicine and were likely to refer their patients to a complementary and integrative medicine practitioner (59%). They agreed that patients whose providers incorporate complementary and integrative medicine into their care have better clinical outcomes (nurse practitioners, 93%; certified registered nurse anesthetists, 87%; physician assistants, 85%; P =.002) and improved patient satisfaction (all respondents, 84%). Advanced practice providers, especially nurse practitioners, stated that they initiate the conversation to discuss the benefits and harms of complementary and integrative medicine with their patients (nurse practitioners, 93%; certified registered nurse anesthetists, 87%; physician assistants, 85%; P <.001). Respondents most frequently endorsed overall exercise, massage, and melatonin. Prospective randomized controlled trials were the most influential factor for attitude toward complementary and integrative medicine among physician assistants (50%), and personal experience was the most influential factor among nurse practitioners (52.9%) and certified registered nurse anesthetists (46.8%). Conclusions • Advanced practice providers generally have positive attitudes toward complementary and integrative medicine, but utilization appears limited by a self-report of low knowledge of benefits and risks of various therapies. For patient safety and satisfaction, advanced practice providers require a strong complementary and integrative medicine knowledge base to counsel patients. (Altern Ther Health Med. 2020;26(5):8-16).
UR - http://www.scopus.com/inward/record.url?scp=85091096809&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85091096809&partnerID=8YFLogxK
M3 - Article
C2 - 32663179
AN - SCOPUS:85091096809
SN - 1078-6791
VL - 26
SP - 8
EP - 16
JO - Alternative Therapies in Health and Medicine
JF - Alternative Therapies in Health and Medicine
IS - 5
ER -