Steel, A, Hall, H, Diezel, H, Wardle, J & Adams, J 2019, 'Filling the gaps in contemporary maternity care: The perceptions of complementary medicine practitioners providing care to women during pregnancy.', Complementary therapies in clinical practice, vol. 34, pp. 174-178.View/Download from: UTS OPUS or Publisher's site
BACKGROUND AND PURPOSE:As many as one in two women consult with a complementary medicine (CM) practitioner for pregnancy-related health care, yet little is known about the reason for such a high rate of use. This paper presents the perceptions of CM practitioners regarding the role they play within the existing maternity care system. MATERIALS AND METHODS:Semi-structured interviews with 23 CM practitioners were conducted and the transcripts analysed, using a Framework approach. RESULTS:Key themes pertaining to the perceived role of CM practitioners in maternity care emerged. (1) Becoming a maternity care provider: responding to a need and filling gaps in the system; (2) Characterising CM maternity care: Holistic, nurturing and addressing unmet health concerns and; (3) Treating health complaints neglected by conventional maternity care. CONCLUSION:CM practitioners often acknowledge their specialist roles as part of a multidisciplinary team of practitioners rather than attempting to offer comprehensive pregnancy care.
Hall, H, Brosnan, C, Cant, R, Collins, M & Leach, M 2018, 'Nurses' attitudes and behaviour towards patients' use of complementary therapies: A mixed methods study.', Journal of advanced nursing, vol. 74, no. 7, pp. 1649-1658.View/Download from: UTS OPUS or Publisher's site
AIM:To explore Registered Nurses' attitudes and behaviour towards patients' use of complementary therapies. BACKGROUND:Despite high rates of use of complementary therapies by the general population, little is known of how nurses respond to patients' use of these therapies. DESIGN:A two-phase sequential exploratory mixed methods design. METHODS:Nineteen Registered Nurses working in Australia participated in a semi-structured interview in 2015-2016 and emerging themes informed the development of a quantitative survey instrument administered online nationwide in 2016. FINDINGS:Emerging key themes "Promoting safe care"; "Seeking complementary therapies knowledge";" Supporting holistic health care"; and "Integrating complementary therapies in practice" were reflected in survey results. Survey responses (N = 614) revealed >90% agreement that complementary therapies align with a holistic view of health and that patients have the right to use them. Most nurses (77.5%) discussed complementary therapies with patients and 91.8% believed nurses should have some understanding of the area. One-third did not recommend complementary therapies and there was a lack of overall consensus as to whether these therapies should be integrated into nursing practice. Nurses with training in complementary therapies held more positive views than those without. CONCLUSION:Nurses were generally supportive of patients' interest in complementary therapies, although their primary concern was safety of the patient. Despite broad acceptance that nurses should have a basic understanding of complementary therapies, there was a lack of consensus about recommendation, integration into nursing practice and referral. Further research should explore how nurses can maintain safe, patient-centred care in the evolving pluralistic healthcare system.
Hall, H, Leach, MJ, Brosnan, C, Cant, R & Collins, M 2018, 'Registered Nurses' communication about patients' use of complementary therapies: A national survey', Patient Education and Counseling, vol. 101, no. 8, pp. 1403-1409.View/Download from: UTS OPUS or Publisher's site
© 2018 Elsevier B.V. Objective: To identify communication patterns of Registered Nurses regarding patients' use of complementary therapies. Methods: A cross-sectional online survey conducted in 2017 recruited Australian Registered Nurses working in any area of nursing. Results: Responses of 614 Registered Nurses were analysed. Patient-initiated discussion of complementary therapies were common for 77% of nurses; nurse-initiated discussions were perceived by 73% (sometimes/almost always/always). Nurses' personal use of complementary therapies predicted discussion with patients and education-based, oncology, or aged care/rehabilitation nurses were most likely to initiate dialogue. Many (55%) did not 'recommend' a particular therapy, although 12% 'almost always/always' did so. Four out of five nurses (84%) documented patients' use and communicated with medical/nursing colleagues about this use. Conversely, 61% 'never' or 'almost never' communicated with a complementary therapy practitioner. Conclusion: Nurses working in Australia often discuss complementary therapies, however they rarely specifically recommend their use. Their workplace environment and clinical context influenced nurses' willingness to communicate about complementary therapy use. Practice implications evidence: suggests the need for policy development to promote communication between mainstream healthcare providers and complementary therapy practitioners to support the delivery of safe, high quality patient care.
Hall, H, Brosnan, C, Frawley, J, Wardle, J, Collins, M & Leach, M 2018, 'Nurses' communication regarding patients' use of complementary and alternative medicine', Collegian, vol. 25, no. 3, pp. 285-291.View/Download from: UTS OPUS or Publisher's site
© 2017. Background:: Many people integrate complementary and alternative medicine (CAM) into their health care. Nurses potentially play a significant role in communicating with patients about their CAM utilisation. Aim:: The study aimed to explore whether, how and why nurses working in Australia communicate about patients' CAM use. Methods:: This paper reports on phase one of a mixed methods study. Qualitative data was obtained, via interviews, with nineteen registered nurses who work in a wide variety of clinical environments across all states of Australia. Findings:: Four themes related to nurses' communication with patients about CAM, were developed from the qualitative data; engaging with patients about CAM, communication with doctors about patients' use of CAM, connecting with CAM practitioners and barriers to CAM communication. Discussion:: Despite their positive attitudes, nurses are often not comfortable discussing or documenting patients' CAM use. Furthermore, nurses perceive that patients may be apprehensive about disclosing their use. CAM communication with colleagues is moderated by the workplace culture and the perceived attitude of co-workers. There is very little evidence of nurses referring or collaborating with CAM practitioners. Professional expectation, time restraints and the nurses' lack of relevant CAM knowledge all have a powerful effect on limiting CAM communication. Conclusion:: Communication about patients' use of CAM is imperative to support safe therapeutic decisions. Currently, this is limited in the Australian healthcare workplace. The nursing professional needs to consider introducing basic CAM education and flexible guidelines to enable nurses' to respond appropriately to the patient driven demand for CAM.
Hall, H, Leach, M, Brosnan, C & Collins, M 2017, 'Nurses' attitudes towards complementary therapies: A systematic review and meta-synthesis', INTERNATIONAL JOURNAL OF NURSING STUDIES, vol. 69, pp. 47-56.View/Download from: UTS OPUS or Publisher's site
Frawley, J, Hall, H, Adams, J & Sibbritt, D 2017, 'Health care utilization of women who experience pregnancy related reflux, nausea and/or vomiting.', The Journal of Maternal-Fetal and Neonatal Medicine, pp. 1938-1943.View/Download from: UTS OPUS or Publisher's site
Nausea, vomiting and reflux are common conditions experienced by women during pregnancy. The objective of this project was to examine women's use of health services for these conditions.The study sample was obtained via the Australian Longitudinal Study on Women's Health. A total of 2,445 women who were pregnant or who had recently given birth in 2009 were invited to complete a sub-survey in 2010 about pregnancy and health service utilization. A response rate of 79.2% was obtained.During their pregnancy, 604 (32.9%) respondents experienced nausea, with 255 (42.2%) of these women seeking help from a health care practitioner. A total of 201 women (11%) reported repeated vomiting, and 637 women (34.7%) reported reflux, of which 78.6% and 59.2% sought help respectively. There were no significant differences in the mental and physical health measures between women with nausea, vomiting and/or reflux who sought help and women who did not. Having private health insurance with obstetric cover was associated with seeking help for reflux; this was the only demographic measure significantly associated with seeking help for any condition.Research is required to understand why many women do not seek professional help for common gastrointestinal conditions during pregnancy.
Hall, HG, Beattie, J, Lau, R, East, C & Biro, MA 2016, 'Mindfulness and perinatal mental health: A systematic review', WOMEN AND BIRTH, vol. 29, no. 1, pp. 62-71.View/Download from: UTS OPUS or Publisher's site
Cramer, H, Hall, H, Leach, M, Frawley, J, Zhang, Y, Leung, B, Adams, J & Lauche, R 2016, 'Prevalence, patterns, and predictors of meditation use among US adults: A nationally representative survey', SCIENTIFIC REPORTS, vol. 6.View/Download from: UTS OPUS or Publisher's site
Hall, H, Cramer, H, Sundberg, T, Ward, L, Adams, J, Moore, C, Sibbritt, D & Lauche, R 2016, 'The effectiveness of complementary manual therapies for pregnancy-related back and pelvic pain: A systematic review with meta-analysis', MEDICINE, vol. 95, no. 38.View/Download from: UTS OPUS or Publisher's site
Hall, H, Lauche, R, Adams, J, Steel, A, Broom, A & Sibbritt, D 2016, 'Healthcare utilisation of pregnant women who experience sciatica, leg cramps and/or varicose veins: A cross-sectional survey of 1835 pregnant women', Women and Birth, vol. 29, no. 1, pp. 35-40.View/Download from: UTS OPUS or Publisher's site
Lauche, R, Hall, H, Adams, J, Steel, A, Broom, A & Sibbritt, D 2016, 'Health-care utilisation amongst pregnant women who experience sleeping problems and/or tiredness or fatigue: secondary analysis of a cross-sectional survey of 1835 pregnant women.', Sleep and Breathing, vol. 20, no. 1, pp. 355-362.View/Download from: UTS OPUS or Publisher's site
Sleeping problems and fatigue in pregnancy are often accepted as a normal part of pregnancy; however, these conditions can be linked to serious consequences for both the mother and child. Despite established links between sleeping disturbance and a wide range of pregnancy complications, little is known about the health-care utilisation of women experiencing sleeping problems and fatigue. This study addresses the existing gap in the literature by examining cross-sectional data to identify health service utilisation patterns of pregnant women experiencing sleeping problems and/or tiredness or fatigue.In 2010, a sub-study of the Australian Longitudinal Study on Women's Health was conducted as a cross-sectional survey of 2445 women who had recently given birth. Associations between reported symptoms of sleeplessness and/or tiredness or fatigue and health service utilisation were determined using logistic regression analysis.During their pregnancy, 15.2 % of women experienced sleeping problems while 35.4 % experienced tiredness or fatigue. Women most commonly consulted with an obstetrician (n = 96) or a general practitioner (GP) (n = 74) for their tiredness or fatigue rather than a midwife (n = 56). A substantial number of women sought help from a complementary and alternative medicine (CAM) practitioner for sleeping problems (33 %) or tiredness/fatigue (28 %).Sleeping problems and/or tiredness or fatigue is reported by a reasonable percentage of pregnant women, and women obtain assistance from conventional and CAM practitioners for their symptoms, but not all seek help. Given the serious implications of untreated sleep- and fatigue-related symptoms for mother and baby, this area of research deserves and requires more attention.
Cramer, H, Frawley, J, Steel, A, Hall, H, Adams, J, Broom, A & Sibbritt, D 2015, 'Characteristics of women who practice yoga in different locations during pregnancy', BMJ Open, vol. 5, no. 8, pp. e008641-e008641.View/Download from: UTS OPUS or Publisher's site
Zhang, Y, Leach, MJ, Hall, H, Sundberg, T, Ward, L, Sibbritt, D & Adams, J 2015, 'Differences between Male and Female Consumers of Complementary and Alternative Medicine in a National US Population: A Secondary Analysis of 2012 NIHS Data', Evidence-Based Complementary and Alternative Medicine.View/Download from: UTS OPUS or Publisher's site