Abstract
A nationwide survey of nurses in palliative care units was conducted to clarify the present state of the profession with regard to training and practice of complementary and alternative medicine (CAM). Questionnaires were completed by 907 nurses (return rate: 77.3%). Approximately 90% of respondents had implemented CAM as an element of nursing care, and gave high scores for interest in CAM, perception of physical and psychological effects of, as well as need for, these medicines. Among the most commonly used treatments were massage, foot baths, and application of heat/cold, all of which nurses had the opportunity to learn as undergraduates. Different CAMs were used depending on the patient’s physical/psychological symptoms. Problems indicated in regard to carrying out these treatments included: “Insufficient skill level,” “Insufficient time,” and “Cannot evaluate results.” Many respondents indicated a desire for further CAM training. The results of this survey indicate that in order for CAM to be effectively incorporated into nursing care it will be necessary to accumulate evidence regarding various CAMs, and to improve CAM training programs for undergraduates and continuing education.
