The capabilities of nurses for complementary and traditional medicine integration in Africa

Razak Mohammed GYASI, Kabila ABASS, Samuel ADU-GYAMFI, Burnett Tetteh ACCAM, Nyamadi Victoria MENSAH

Research output: Journal PublicationsJournal Article (refereed)Researchpeer-review

4 Citations (Scopus)

Abstract

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 < 0.05 as statistically significant. 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 < 0.001), the study found a positive and statistically significant correlation among CTM-related knowledge, personal use (r = 0.556, p < 0.001), and professional practice of CTM (r = 0.349, p < 0.001). 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.
Original languageEnglish
JournalJournal of Alternative and Complementary Medicine
VolumeAdvance publication
DOIs
Publication statusPublished - 1 Aug 2017

Fingerprint

Traditional Medicine
Complementary Therapies
Nurses
Evidence-Based Nursing
Delivery of Health Care
Federal Government
Professional Practice
Nursing Education
Religion
Chi-Square Distribution
Primary Health Care
Cross-Sectional Studies

Cite this

GYASI, Razak Mohammed ; ABASS, Kabila ; ADU-GYAMFI, Samuel ; ACCAM, Burnett Tetteh ; MENSAH, Nyamadi Victoria. / The capabilities of nurses for complementary and traditional medicine integration in Africa. In: Journal of Alternative and Complementary Medicine. 2017 ; Vol. Advance publication.
@article{be23dc9646924c4b93c460f88cf195b6,
title = "The capabilities of nurses for complementary and traditional medicine integration in Africa",
abstract = "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 < 0.05 as statistically significant. 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 < 0.001), the study found a positive and statistically significant correlation among CTM-related knowledge, personal use (r = 0.556, p < 0.001), and professional practice of CTM (r = 0.349, p < 0.001). 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.",
author = "GYASI, {Razak Mohammed} and Kabila ABASS and Samuel ADU-GYAMFI and ACCAM, {Burnett Tetteh} and MENSAH, {Nyamadi Victoria}",
year = "2017",
month = "8",
day = "1",
doi = "10.1089/acm.2017.0133",
language = "English",
volume = "Advance publication",
journal = "Journal of Alternative and Complementary Medicine",
issn = "1075-5535",
publisher = "Mary Ann Liebert Inc.",

}

The capabilities of nurses for complementary and traditional medicine integration in Africa. / GYASI, Razak Mohammed; ABASS, Kabila; ADU-GYAMFI, Samuel; ACCAM, Burnett Tetteh; MENSAH, Nyamadi Victoria.

In: Journal of Alternative and Complementary Medicine, Vol. Advance publication, 01.08.2017.

Research output: Journal PublicationsJournal Article (refereed)Researchpeer-review

TY - JOUR

T1 - The capabilities of nurses for complementary and traditional medicine integration in Africa

AU - GYASI, Razak Mohammed

AU - ABASS, Kabila

AU - ADU-GYAMFI, Samuel

AU - ACCAM, Burnett Tetteh

AU - MENSAH, Nyamadi Victoria

PY - 2017/8/1

Y1 - 2017/8/1

N2 - 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 < 0.05 as statistically significant. 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 < 0.001), the study found a positive and statistically significant correlation among CTM-related knowledge, personal use (r = 0.556, p < 0.001), and professional practice of CTM (r = 0.349, p < 0.001). 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.

AB - 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 < 0.05 as statistically significant. 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 < 0.001), the study found a positive and statistically significant correlation among CTM-related knowledge, personal use (r = 0.556, p < 0.001), and professional practice of CTM (r = 0.349, p < 0.001). 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.

UR - http://commons.ln.edu.hk/sw_master/6007

U2 - 10.1089/acm.2017.0133

DO - 10.1089/acm.2017.0133

M3 - Journal Article (refereed)

VL - Advance publication

JO - Journal of Alternative and Complementary Medicine

JF - Journal of Alternative and Complementary Medicine

SN - 1075-5535

ER -