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The Capabilities of Nurses for Complementary and Traditional Medicine Integration in Africa

机译:非洲互补和传统医学一体化的护士能力

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Objective: Despite the political commitment of national governments and collaborative efforts by the World Health Organization (WHO) toward the actualization of intercultural healthcare system over the past decades, sub-Saharan African countries feature medical cohabitation rather than a truly integrated medical system. This hospital-based cross-sectional study analyzed the capabilities of nurses for complementary and traditional medicine (CTM) integration in Africa. Method: Practicing nurses ( n = 210) were recruited to respond to the CTM Health Belief Questionnaire (CHBQ) in December 2016. Normality of data was evaluated using Kolmogorov–Smirnov statistic with a Lilliefors significance correction. The authors assessed the relationship among nurses' knowledge, personal use, and clinical practice of CTM, using Spearman's Rank Order Correlation (rho). The differences and associations in continuous and categorical baseline variables were determined with Mann–Whitney U test/Kruskal–Wallis H test and Pearson's Chi-square test, respectively, at p Results: The overall mean score of nurses' knowledge of CTM therapies was 38 (interquartile range [IQR] 16). This low CTM-related knowledge reflected in the poor mean performance score of 30 (IQR 17) and 22 (IQR 6) for personal use and clinical practice of CTM, respectively, among nurses. Nurses, therefore, lacked the confidence to recommend CTM therapies to patients. Yet, nurses exhibited a high positive attitude to CTM (72.7 ± 12.5). In addition to significant associations among CTM-related knowledge, education ( p = 0.023), and religion ( p r = 0.556, p r = 0.349, p Conclusion: Given their substantial role in the primary and public healthcare system, improving nurses' knowledge of CTM through evidence-based nursing education and training remains the surest way to achieve appropriate CTM integration in Africa as outlined in the WHO Traditional Medicine Strategy 2014–2023.
机译:目的:尽管世界卫生组织(世卫组织)在过去几十年中,世界卫生组织(世卫组织)对跨文化医疗保健系统实现了政府的政治承诺,但撒哈拉以南非洲国家都有医学同居而不是真正综合的医疗系统。该医院的横截面研究分析了非洲互补和传统医学(CTM)融合的护士能力。方法:招募练习护士(N = 210),以2016年12月回应CTM健康信仰问卷(CHBQ)。使用Kolmogorov-Smirnov统计数据评估数据的正常性,其中LipreieFors意义纠正。作者使用Spearman的等级顺序相关性(RHO)评估了CTM的护士知识,个人使用和临床实践之间的关系。在P结果中分别用Mann-Whitney U Test / Kruskal-Wallis H测试和Pearson的Chi-Square测试确定了连续和分类基线变量的差异和关联:护士对CTM疗法知识的总体平均分数为38 (句子范围[IQR] 16)。这种低CTM相关的知识反映在30(IQR 17)和22(IQR 6)的差的平均性能得分中,分别为CTM的个人使用和临床实践,在护士中。因此,护士缺乏向患者推荐CTM疗法的信心。然而,护士对CTM表现出高阳性态度(72.7±12.5)。除了与CTM相关的知识中的重要协会外,教育(P = 0.023)和宗教(PR = 0.556,PR = 0.349,P结论:鉴于其在主要和公共医疗保健系统中的重要作用,改善了护士的CTM知识通过基于证据的护理教育和培训,仍然是在2014 - 2014年世卫组织传统医学战略中概述的非洲实现适当的CTM融合的最可靠程度。

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