Presented to the Faculty
Of the University of Alaska Anchorage
in Partial Fulfillment of the Requirements
for the Degree of
MASTER OF SCIENCEAim 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
