Evaluation of Provider-Directed Communication Strategies Regarding Complementary and Alternative Health: An Integrative Review

Abstract

Aim Identify health care provider-directed facilitators and barriers to successful patientprovider communication regarding complementary and alternative medicine, and synthesize the research evidence into succinct best-evidence strategies to generate optimum patient-provider dialogue. Background Complementary and alternative medicine use is prevalent among U.S. consumers. However, consumers infrequently disclose their use, and providers inconsistently inquire about it. Currently, there is little guidance for a method on facilitating communication. In addition, no studies have synthesized the variety of factors that influence communication of this topic as a means to help identify potentially effective strategies for improving it. Method. An integrative review of publications from 2000 to 2015. A five-stage methodological framework guided the data analysis. Results Thirty-two qualitative and quantitative articles and literature reviews met inclusion criteria. All data extracted and include in this review supported two key domains of understanding, representing interpersonal and organizational characteristics. Conclusion Findings indicated that successful communication about complementary and alternative medicine will not occur unless it is considered integral to the medical encounter, required by policies, and supported by appropriate resources. Implications for Advanced Practice Nurses Conversations that include complementary and alternative approaches will support the core concept of patient-centered care and ensure the greatest level of patient safety.