Nurse attitudes towards the use of complementary and alternative therapies in critical care.
BACKGROUND
There is increasing demand for complementary/alternative therapies (CAT) in critical care, however, critical care nurses' perspectives regarding CAT are unknown.


OBJECTIVE
This study was conducted to determine critical care nurses' knowledge, attitudes, and use of CAT.


METHODS
A total of 348 critical care registered nurses working at least 40% in medical, surgical, cardiac, neurological, and pediatric ICUs at 2 tertiary-level hospitals in a large Midwestern city were surveyed. One hospital is a 926-bed private, urban hospital and the second is an 1868-bed academic-affiliated medical center.


METHODS
A survey was distributed to all critical care nurses described above.


RESULTS
The level of knowledge reported by 138 nurse respondents was greatest for diet, exercise, massage, prayer, and music therapy. Use of therapies was related to knowledge and training and consistent with beliefs of legitimacy and perceptions of beneficial effects. Despite barriers including lack of knowledge, time, and training, 88% of respondents were open or eager to use CAT, and 60% reported moderate or greater desire to use CAT.


CONCLUSIONS
Critical care nurses are open to CAT use and many use them in their own practice. Because use was associated with knowledge, recommendations for future research include increasing the scientific base and enhancing knowledge to promote evidence-based incorporation of CAT in practice.
Tracy
Mary Fran
MF
Fairview-University Medical Center, Minneapolis, USA.
Lindquist
Ruth
R
Watanuki
Shigeaki
S
Sendelbach
Sue
S
Kreitzer
Mary Jo
MJ
Berman
Brian
B
Savik
Kay
K
D000328:Adult; D001291:Attitude of Health Personnel; D000529:Complementary Therapies / Q000451:nursing* / Q000706:statistics & numerical data*; D003422:Critical Care / Q000379:methods*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D014481:United States