Healthcare professionals’ attitudes to integration of acupuncture in western medicine : A mixed-method systematic review

Journal article


Zhang, Nancy Ming, Vesty, Gillian and Zheng, Zhen. (2021). Healthcare professionals’ attitudes to integration of acupuncture in western medicine : A mixed-method systematic review. Pain Management Nursing. 22(6), pp. 684-693. https://doi.org/10.1016/j.pmn.2021.03.010
AuthorsZhang, Nancy Ming, Vesty, Gillian and Zheng, Zhen
Abstract

Background
Acupuncture is practiced in many Western countries with increasing evidence supporting its use across the healthcare system. However, this nonpharmacological intervention is yet to be widely integrated into hospitals. Fundamental to the integration of any innovation into healthcare systems is the attitudes of healthcare professionals.

Aims
To explore healthcare professionals’ attitudes towards acupuncture and identify the enablers and barriers to integration in the hospital setting.

Design
This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines; we conducted a mixed-method systematic review following Joanna Briggs Institute Reviewer's Manual 2017.

Data Sources
PubMed, CINAHL, AMED, EMBASE, Cochrane Library, and SCOPUS were searched from their inception to December 2019 using different combination of keywords.

Methods
Attitude and perception data were extracted from the articles and constructs were categorized as barriers and enablers. A convergent integrated approach was adopted whereby qualitative data themes were integrated with quantitative data constructs to generate descriptive codes around enablers and barriers at intrapersonal, interpersonal, and environmental levels according to the framework proposed by Manias et al. (2014).

Results
Twenty-six studies comprising 19 survey and seven interview studies were identified, with 24 articles (92%) reporting positive attitudes, supporting the integration of acupuncture into Western medicine. Enablers identified were prior positive experience, belief in the treatment's efficacy, and patient demand. Barriers were lack of evidentiary knowledge or experience; lack of resources such as time, providers, and funding; and paradigm differences. Twenty studies (77%) focused on medical doctors or medical student perceptions. A conceptual framework for implementing and integrating acupuncture into Western medicine is proposed.

Conclusion
Healthcare professionals’ attitudes to acupuncture are positive. Barriers to integrating acupuncture into the hospital system exist at intrapersonal, interpersonal, and external levels, with lack of resources being the key barrier. Nurses’ role in facilitating integration into Western medical pain management practice provides an avenue for future research.

The proposed conceptual framework provides guidance for nursing researchers interested in the role of acupuncture and integrated medicine in patient-centric, value-based healthcare.

Year2021
JournalPain Management Nursing
Journal citation22 (6), pp. 684-693
PublisherW.B. Saunders
ISSN1524-9042
Digital Object Identifier (DOI)https://doi.org/10.1016/j.pmn.2021.03.010
PubMed ID33962872
Scopus EID2-s2.0-85106333371
Research or scholarlyResearch
FunderNational Health and Medical Research Council (NHMRC)
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online04 May 2021
Publication process dates
Accepted29 Mar 2021
Deposited16 Dec 2021
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https://acuresearchbank.acu.edu.au/item/8x334/healthcare-professionals-attitudes-to-integration-of-acupuncture-in-western-medicine-a-mixed-method-systematic-review

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