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Integrating complementary and alternative medicine into cancer care: Canadian oncology nurses’ perspectives

机译:将补充和替代医学整合到癌症治疗中:加拿大肿瘤学护士的观点

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摘要

The integration of complementary and alternative medicine (CAM) and conventional cancer care in Canada is in its nascent stages. While most patients use CAM during their cancer experience, the majority does not receive adequate support from their oncology health care professionals (HCPs) to integrate CAM safely and effectively into their treatment and care. A variety of factors influence this lack of integration in Canada, such as health care professional(HCP) education and attitudes about CAM; variable licensure, credentialing of CAM practitioners, and reimbursement issues across the country; an emerging CAM evidence base; and models of cancer care that privilege diseased-focused care at the expense of whole person care. Oncology nurses are optimally aligned to be leaders in the integration of CAM into cancer care in Canada. Beyond the respect afforded to oncology nurses by patients and family members that support them in broaching the topic of CAM, policies, and position statements exist that allow oncology nurses to include CAM as part of their scope. Oncology nurses have also taken on leadership roles in clinical innovation, research, education, and advocacy that are integral to the safe and informed integration of evidence-based CAM therapies into cancer care settings in Canada.
机译:在加拿大,补充和替代医学(CAM)与常规癌症护理的整合尚处于起步阶段。尽管大多数患者在癌症经历期间都使用CAM,但大多数患者并未得到其肿瘤医疗保健专业人员(HCP)的充分支持,无法将CAM安全有效地整合到他们的治疗和护理中。在加拿大,这种缺乏一体化的因素有很多,例如医疗保健专业人员(HCP)的教育和对CAM的态度;全国各地的可变许可,CAM从业者资格证书和报销问题;新兴的CAM证据基础;和癌症治疗模型,这些疾病治疗优先考虑以疾病为中心的治疗,而牺牲了全人治疗。在加拿大,肿瘤科护士应最佳地成为将CAM整合到癌症护理领域的领导者。患者和家属对肿瘤护士的尊重超出了支持他们提出CAM主题的范围,此外,还存在政策和职位声明,允许肿瘤护士将CAM纳入其范围。肿瘤科护士还担任了临床创新,研究,教育和倡导方面的领导角色,这些角色对于将基于证据的CAM治疗安全,知情地整合到加拿大的癌症治疗环境中至关重要。

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