Inroads to Integrative Health Care: Registered Nurses’ Personal Use of Traditional Chinese Medicine Affects Professional Identity and Nursing Practice

Nurses are increasingly using Traditional Chinese Medicine (TCM) for relief of personal health issues. The purpose of this qualitative case study is to explore how nurses’ TCM experiences affect nurses’ professional identities and practices. Symbolic interaction is the research framework used. Mixed methods of coding facilitate data analysis. Sociological theories explain the findings. The study included 20 semistructured interviews of 10 practicing nurses and 10 faculty members in the Twin Cities area of Minnesota. The data provide the basis for several new conclusions. Nursing subspecialty practice norms determine how TCM experience affects nurses’ professional identities and nursing practices. Mutable nursing careers enable nurses to incorporate TCM into their nursing ‘‘toolbox.’’ Among the significant findings from this study is that nurses try TCM and share that information with others, creating inroads for integration of TCM into Western medicine.

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Modern Western Science as a Standard for Traditional Chinese Medicine: A Critical Appraisal

The Journal of Law Medicine & Ethics ◽

10.1111/j.1748-720x.2003.tb00082.x ◽

2003 ◽

Vol 31 (2) ◽

pp. 213-221 ◽

Cited By ~ 19

Author(s):

Ruiping Fan

Keyword(s):

Health Care ◽

Chinese Medicine ◽

Traditional Chinese Medicine ◽

Health Care System ◽

Care Delivery ◽

World Health ◽

Scientific Medicine ◽

Integrative Health ◽

Integrative Health Care ◽

Care System

It is generally recognized that China, while attempting to develop modern scientific medicine in carrying out its national policy for modernization, has also made significant efforts to integrate traditional Chinese medicine into its health care system. For instance, the World Health Organization's first global strategy on traditional and alternative medicine (released in May 2002) lists China as one of only four of its member states to have attained an integrative health care system. However, medical integration can take many different forms and involve quite different health care standards. A health care standard is a set of mechanisms by which distinct diagnostic and therapeutic practices and products are validated or accredited for use in health care delivery. Traditional Chinese medicine and modern scientific medicine adopt different sets of such mechanisms and thereby engage different health care standards. Accordingly, in appraising the Chinese integrative health care system, it is important to investigate which health care standard has been appealed to.

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Development of a core outcome set for myocardial infarction in clinical trials of traditional Chinese medicine: a study protocol

BMJ Open ◽

10.1136/bmjopen-2019-032256 ◽

2019 ◽

Vol 9 (12) ◽

pp. e032256 ◽

Cited By ~ 3

Author(s):

Ruijin Qiu ◽

Changming Zhong ◽

Songjie Han ◽

Tianmai He ◽

Ya Huang ◽

...

Keyword(s):

Myocardial Infarction ◽

Systematic Review ◽

Clinical Trials ◽

Chinese Medicine ◽

Traditional Chinese Medicine ◽

Core Outcome Set ◽

Core Outcome ◽

Outcome Reporting ◽

Outcome Set ◽

Semistructured Interviews

IntroductionMyocardial infarction (MI) is the most dangerous complication in patients with coronary heart disease. In China, there is an increasing number of randomised controlled trials (RCTs) of traditional Chinese medicine (TCM) for treating MI. However, the inconsistency of outcome reporting means that a large number of clinical trials cannot be included in systematic reviews to provide the best evidence for clinical practice. The aim of this study is to develop a core outcome set (COS) for future TCM clinical trials of MI, which may improve the consistency of outcome reporting and facilitate the synthesis of data across studies in systematic reviews.Methods and analysisWe will conduct a systematic review of MI clinical trials with any intervention. Semistructured interviews will be conducted to obtain the perspectives of patients with MI. The outcomes from the systematic review and semistructured interviews will be grouped and used to develop a questionnaire. The questionnaire will be developed as a supplement for the TCM syndromes of MI and will be constructed from the results of a systematic review, existing medical records and a cross-sectional study. Then two rounds of the Delphi survey will be conducted with different stakeholders (TCM experts and Western medicine experts in cardiovascular disease, methodologists, magazine editors and patients) to determine the importance of the outcomes. Only the TCM experts will need to response to the questionnaire for core TCM syndromes. A face-to-face consensus meeting will be conducted to create a final COS and recommend measurement time for each outcome.Ethics and disseminationThis project has been approved by the Ethics Committee of Dongzhimen Hospital, Beijing University of Chinese Medicine. The final COS will be published and freely available.Trial registration numberThis study is registered with the Core Outcome Measures in Effectiveness Trials database as study 1243 (available at:http://www.comet-initiative.org/studies/details/1243).

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Sabah Traditional Chinese Medicine Database

Bulletin of Electrical Engineering and Informatics ◽

10.11591/eei.v7i3.1273 ◽

2018 ◽

Vol 7 (3) ◽

pp. 471-478

Author(s):

Aslina Baharum ◽

Neoh Yee Jin ◽

Shaliza Hayati A. Wahab ◽

Mohd Helmy Abd Wahab ◽

Radzi Ambar ◽

...

Keyword(s):

Hong Kong ◽

Chinese Medicine ◽

Traditional Chinese Medicine ◽

Appreciative Inquiry ◽

Mixed Method ◽

Herbal Remedies ◽

Health Issues ◽

Surrounding Area ◽

Republic Of China ◽

Positive Core

As technology grows, people tend to use or apply anything digitalized instead of printed, especially for references. This is because the printed form references are not easy to find. Even if the references are found successfully, it has already cost a lot of time, money, energy, etc. At the same time, people also put more emphasize on health issues. They are beginning to be more alert in fields that they have ignored before, such as traditional medicine and Chinese medicine. Based on these two points, it can be said that the effort of transforming Traditional Chinese Medicine (TCM) from printed based reference into online reference as a database is a public beneficial effort. There are a lot of online TCM database outside of Malaysia, especially from the People’s Republic of China, Hong Kong, and Taiwan. Those herbal remedies from overseas are somewhat different from the herbal remedies in Malaysia due to the habits and occurrences of the herbs. Through this project, it is hoped that this database will help the local people to discover and identify the herbs that they could find in the surrounding area. The objectives of this project are to identify the validity of the information of the Sabah TCM using mixed method, to develop the Sabah TCM database, and finally to evaluate the usability of the database designed using meCUE. The methodology used was 4D Appreciative Inquiry Model, which included discovery, dream, design, and destiny phases. The advantage of this model was to take a positive core to make any changes instead of finding the weaknesses of the project. Hopefully through the developed database, local Sabahan can take the advantage in identifying the proper usage of existing herbs in their surroundings.

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Identifying health information needs of senior online communities users: a text mining approach

Aslib Journal of Information Management ◽

10.1108/ajim-02-2020-0057 ◽

2020 ◽

Vol 73 (1) ◽

pp. 5-24

Author(s):

Yuxing Qian ◽

Wenxuan Gui

Keyword(s):

Chinese Medicine ◽

Traditional Chinese Medicine ◽

Health Information ◽

Online Communities ◽

Western Medicine ◽

Information Needs ◽

Information Services ◽

Health Issues ◽

Medical Systems ◽

Content Type

PurposeThe purpose of this study is to identify the health information needs of senior online communities (SOCs) users, which could provide a basis for improving senior health information services.Design/methodology/approachA total of 14,933 health-related posts in the two most popular senior online communities (Yinling and Keai) in China are crawled as a corpus. Based on the results of word frequency analysis, text classification is performed based on two aspects: medical systems (Western medicine and traditional Chinese medicine) and topics. The health information needs of SOCs users are revealed from the composition, growth trends and popularity of health information. Finally, some key points of senior health information services are discussed.FindingsThe health information needs of senior users can be divided into four types: coping with aging, dietary nutrition, physical exercise and mental health. These needs are comprehensive and involve a variety of health issues. Users are mainly concerned with physical health issues. In terms of medical systems, the number of Western medicine posts is relatively larger, whereas traditional Chinese medicine appears more in posts on coping with aging and physical exercise. The health information needs of SOCs users are in a stable status. Both the medical systems and topics could have an impact on the popularity of health information, but the number of posts is inconsistent with the level of popularity.Originality/valueThis study combines multiple perspectives to identify the health information needs of seniors in China with a comprehensive overview.

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Ethical Behavior in Medical Settings

Biofeedback ◽

10.5298/1081-5937-37.4.119 ◽

2009 ◽

Vol 37 (4) ◽

pp. 119-122 ◽

Cited By ~ 1

Author(s):

Sebastian “Seb” Striefel

Keyword(s):

Integrated Care ◽

Ethical Behavior ◽

Self Regulation ◽

Health Issues ◽

Physical And Mental Health ◽

Medical Settings ◽

Knowledge And Skills ◽

Integrative Health ◽

Integrative Health Care ◽

Mental Health Issues

Abstract Medical schools have recognized and endorsed integrative health care. As such, integrated care is becoming more common. Biofeedback practitioners already trained to work in medical settings and those willing to be so trained have a real opportunity to expand their base of services because self-regulation is an important part of integrated care and lifestyle change. Working in medical settings requires a broad base of knowledge and skill, including an understanding of both the formal and informal rules that govern activities in such settings. Having a mentor or supervisor who already possesses the requisite skills can be most useful in helping the practitioner acquire the needed knowledge and skills and to make a shift from focusing on pathology to one of promoting good physical and mental health. Issues of competence, informed consent, and confidentiality must also be addressed and often in ways not common in other settings.

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