Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Barriers to Applying Integrative Oncology From the Perspective of the Care Providers in Iran: A Mixed-Methods Study Publisher Pubmed



Shirinabadi Farahani A1 ; Ashrafizadeh H2 ; Khoubbin Khoshnazar TAS3 ; Mehrnoush N4 ; Karami M5 ; Khademi F6 ; Eshaghian Dorcheh A7 ; Ebrahimloee S8 ; Koohi Rostamkalaee Z9 ; Rassouli M10
Authors
Show Affiliations
Authors Affiliations
  1. 1. Assistant Professor, Department of Pediatric & Neonatal Intensive Care Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Assistant Professor, School of Nursing, Student Research Committee, Dezful University of Medical Sciences, Dezful, Iran
  3. 3. Assistant Professor, Department of Medical Surgical Nursing, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran
  4. 4. Assistant Professor, School of Nursing & Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
  5. 5. PhD Candidate, Department of Medical Surgical Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  6. 6. MSc in Nursing Candidate, Department of Nursing, Faculty of Nursing, Arak University of Medical Sciences, Arak, Iran
  7. 7. PhD Candidate, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
  8. 8. MSc Candidate, Department of Nursing, Nursing & Midwifery School, Tabriz University of Medical Sciences, Tabriz, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  9. 9. PhD Candidate, Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
  10. 10. Professor, Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Source: Seminars in Oncology Nursing Published:2023


Abstract

Objective: The present study aims to explain and determine the use of integrative oncology from the perspective of the care providers in Iran. Data Sources: This mixed-methods study is a convergent type of study with quantitative and qualitative phases that have been performed simultaneously. The quantitative phase was a descriptive study that was conducted through convenience sampling. With the use of a psychometrically evaluated questionnaire with 10 items, 202 nurses and physicians were included in the study to assess their views on the integration of traditional and complementary medicine (TCM) within supportive cancer care. The qualitative part of the study was conducted through semistructured interviews with 11 care providers. The interviews were analyzed through conventional content analysis and the method proposed by Graneheim and Lundman with the use of MaxQDA software. Conclusion: After the quantitative and the qualitative data were combined, we identified four main categories as the important dimensions of using TCM: patients' main expectations of TCM services, reasons for using these services, existing challenges and barriers, and recommendations and strategies to improve the interaction between physicians and patients to facilitate the use of integrative oncology. Implication for Nursing Practice: Although cancer patients use TCM due to a wide range of expectations, there are many barriers to integrative oncology in Iran. Therefore, it is necessary to pay attention to the benefits of conventional medical and TCM treatments, conceptualize integrative oncology, and try to meet the existing challenges. © 2023 Elsevier Inc.
Related Docs
View other Related Docs
1. Priorities in Supportive Care Needs for Non-Metastatic Cancer Patients Undergoing Chemotherapy in Iran: The Oncologists’ Perceptions, Middle East Journal of Cancer (2017)
2. Challanges of Meeting the Palliative Care Needs of Colorectal Cancer Patients in Iran: A Qualitative Research, Iranian Journal of Nursing and Midwifery Research (2022)
3. Challenges of Help-Seeking in Iranian Family Caregivers of Patients With Cancer: A Qualitative Study, International Journal of Cancer Management (2022)
4. Complementary and Alternative Medicine Usage and Its Determinant Factors Among Iranian Patients With Cancer, World Cancer Research Journal (2019)
5. Exploring the Barriers Related to the Healthcare System in Implementing Quality Intravenous Chemotherapy: A Qualitative Study, Supportive Care in Cancer (2022)
6. The Shadow of Paternalism on Patient-Centeredness in Oncology Nursing Care: A Barrier of Health-Care Promotion, Journal of Education and Health Promotion (2022)
7. Requirements for Promoting Help-Seeking Behaviors in Family Caregivers of Cancer Patients: A Qualitative Study, Journal of Education and Health Promotion (2023)
8. Development, Implementation and Evaluation a Palliative Care Program for Colorectal Cancer Patients: A Mixed Methods Protocol Study, BMC Cancer (2022)
Experts (# of related papers)
View all Related Experts
Masoud Bahrami (20)
Alireza Irajpour (12)
Other Related Docs
9. Development, Implementation, and Evaluation of a Program to Expand the Nurse's Roles in Colorectal Cancer Prevention: A Mixed-Methods Protocol Study, Journal of Education and Health Promotion (2023)
10. Mental Health in the Workplace From the Perspective of Oncology Nurses in Iran: A Qualitative Descriptive Study, Iranian Journal of Nursing and Midwifery Research (2025)
11. Effective Factors in Providing Holistic Care: A Qualitative Study, Indian Journal of Palliative Care (2015)
12. Complementary and Alternative Medicine in Cancer Patients and the Causes of Tendency to Use Such Treatments in Isfahan, Iran, Advanced Biomedical Research (2022)
13. Determining the Expected Competencies for Oncology Nursing: A Needs Assessment Study, Iranian Journal of Nursing and Midwifery Research (2018)
14. Iranian Nurses Perceptions of Cancer Patients Quality of Life, International Journal of Cancer Management (2016)
15. Oncology Nurses' Needs Respecting Healthy Work Environment in Iran: A Descriptive Exploratory Study, Asia-Pacific Journal of Oncology Nursing (2021)
16. Challenges Related to Health Care for Iranian Women With Breast Cancer During the Covid-19 Pandemic: A Qualitative Study, Asian Journal of Social Health and Behavior (2023)
17. Burnout: Interpreting the Perception of Iranian Primary Rural Health Care Providers From Working and Organizational Conditions, International Journal of Preventive Medicine (2012)
18. The Needs of Colorectal Cancer Patients/Survivors: A Narrative Review, Journal of Education and Health Promotion (2022)
19. The Effect of a Family Need-Based Program on Burden of Caregivers of Leukemia Patients in Isfahan in 2013-2014, Iranian Journal of Nursing and Midwifery Research (2014)
20. Communication Culture in Cancer Nursing Care: An Ethnographic Study, Supportive Care in Cancer (2022)
21. Occupational Stressors in Oncology Nurses: A Qualitative Descriptive Study, Journal of Clinical Nursing (2021)
22. Patients' Satisfaction Form Iranian Traditional Medicine, Journal of Isfahan Medical School (2012)
23. Challenges Encountered by Nurses Working in Acute Psychiatric Wards: A Qualitative Study in Iran, Issues in Mental Health Nursing (2018)
24. Iranian Nurses' Experience of Essential Technical Competences in Disaster Response: A Qualitative Content Analysis Study, Iranian Journal of Nursing and Midwifery Research (2014)
25. Structural Challenges in the Health Domain of the Health System Reform: A Qualitative Study, Journal of Education and Health Promotion (2019)
26. Spiritual Well-Being and Quality of Life in Iranian Women With Breast Cancer Undergoing Radiation Therapy, Supportive Care in Cancer (2013)
27. Challenges in the Elderly Care System in Iran: A Qualitative Study, Scientific Journal of Kurdistan University of Medical Sciences (2023)
28. Strategies for Improving Nurses’ Performance Regarding Cardiovascular Patient’S Adherence to Treatment Regimen: Content Analysis, Iranian Journal of Nursing and Midwifery Research (2023)
29. Exploring Perceptions and Preferences of Patients, Families, Physicians, and Nurses Regarding Cancer Disclosure: A Descriptive Qualitative Study, Supportive Care in Cancer (2016)
30. Exploring the Experiences of Nurses and Physicians Infected With Covid-19, Journal of Education and Health Promotion (2022)
31. Identification of Native Physicians Retention Components in Iranian Health System: A Mixed Method Study, Shiraz E Medical Journal (2021)
32. Nurses’ Experiences of Transitional Care in Multiple Chronic Conditions, Home Health Care Management and Practice (2021)
33. The Quality of Guidelines on the End-Of-Life Care: A Systematic Quality Appraisal Using Agree Ii Instrument, Supportive Care in Cancer (2020)
34. Barriers to Home-Based Palliative Care in People With Cancer: A Qualitative Study of the Perspective of Caregivers, Nursing Open (2020)
35. Translation and Validation of the Persian Version of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (Facit-Sp) Among Muslim Iranians in Treatment for Cancer, Palliative and Supportive Care (2012)
36. Nurse’S Roles in Colorectal Cancer Prevention: A Narrative Review, Journal of Prevention (2022)
37. The Elderly Perception and Views on Their Health - Facilitating and Inhibiting Factors in Elderly Health Care in Iran: A Qualitative Study, Procedia - Social and Behavioral Sciences (2010)
38. Impact of a Spiritual Care Program on Spiritual Wellbeing of Oncology Nurses: A Randomized Clinical Trial, Iranian Journal of Nursing and Midwifery Research (2019)
39. Psychological Challenges of Female Caregivers in Providing Home-Based Palliative Care for Patients With Advanced Cancer: A Descriptive-Exploratory Study, Journal of Education and Health Promotion (2024)
40. Exploring Challenges of Health System in Iranian Traditional Medicine: A Qualitative Study, Ethiopian journal of health sciences (2020)
41. Mothers’ Attitudes Toward the Use of Complementary and Alternative Medicine in Children With Cancer, International Journal of Cancer Management (2020)
42. Caregivers Needing Care: The Unmet Needs of the Family Caregivers of End-Of-Life Cancer Patients, Supportive Care in Cancer (2018)
43. Essential Package of Palliative Care for Iranian Children With Cancer, International Journal of Cancer Management (2024)
44. Perception of Iranian Patients With Cancer, Their Relatives, and Health Care Professionals Towards Length of Life and Quality of Life: A Local Survey, Shiraz E Medical Journal (2021)
45. The Effect of a Death Anxiety Therapeutic Package Based on Acceptance and Commitment Therapy on Death Avoidance, Mental Health and Quality of Life of Cancer Patients, Iranian Journal of Psychiatry and Clinical Psychology (2020)
46. Exploring the Barriers of Adherence to Dietary Recommendations Among Patients With Type 2 Diabetes: A Qualitative Study in Iran, Nursing Open (2020)
47. Emotional Competence: A Core Competence in Gerontological Nursing in Iran, International Journal of Older People Nursing (2018)
48. Exploring the Occupational Health Needs of Oncology Nurses: A Qualitative Study, Journal of Education and Health Promotion (2021)
49. Palliative Care Models for Cancer Patients: Learning for Planning in Nursing (Review), Journal of Cancer Education (2020)
50. Psycho-Oncology Curriculum Needs Assessment in Postgraduate Education, International Journal of Body, Mind and Culture (2020)