Attitudes of Nurses towards the Safe Use of Herbal Products: A Cross-Sectional Study

Hatice Ceylan; Huriye Sari Düz

doi:10.62425/pharmata.1639127

TR EN

Hemşirelerin Bitkisel Ürünlerin Güvenli Kullanımına Yönelik Tutumları: Kesitsel Bir Çalışma

Öz

Amaç Bu çalışma hemşirelerin bitkisel ürün kullanımına yönelik bilgi ve tutumlarını incelemek amacıyla yapılmıştır. Yöntem: Bu çalışma kesitsel bir çalışmadır: Bu çalışma STROBE kontrol listesinin kullanıldığı kesitsel bir çalışmadır. Kesitsel çalışma Mart-Mayıs 2024 tarihleri arasında 214 hemşire ile yürütülmüştür. Veriler Hemşire Tanıtım Formu ve Bitkisel Ürünlerin Kullanımına Yönelik Tutum Ölçeği kullanılarak toplanmıştır. Verileri analiz etmek için tanımlayıcı istatistikler ve t-testleri kullanılmıştır. Sonuçlar: Hemşireler Bitkisel Ürünlerin Kullanımına Yönelik Tutum Ölçeğinden ortalama 251.59 (SS=25.72) toplam puan almışlardır. Bununla birlikte, bu ürünlerin kalite kontrolü ve düzenleyici yönlerine ilişkin endişeler dile getirilmiştir. Ayrıca, medeni durum, yaş ve çalışma yılı gibi demografik faktörlerin bitkisel ürün kullanımına yönelik belirli tutumları önemli ölçüde etkilediği bulunmuştur. Sonuç Hemşireler bitkisel ürünleri olumlu olarak algılamakla birlikte, bu ürünlerin kalitesi ve düzenlenmesi ile ilgili endişeler devam etmektedir. Bu endişeleri gidermek ve demografik faktörlerin etkisini göz önünde bulundurmak için uyarlanmış eğitim müdahaleleri, hasta bakımında bitkisel ürünlerin güvenli ve bilinçli kullanımını teşvik etmek için gereklidir.

Anahtar Kelimeler

Attitudes of Nurses towards the Safe Use of Herbal Products: A Cross-Sectional Study

Abstract

Objective: This study was conducted to investigate the knowledge and attitudes of nurses towards the use of herbal products. Methods: This study is a cross-sectional study with the use of the STROBE checklist. A cross-sectional study was conducted between March and May 2024 with 214 nurses. Data were collected using a Nurse introduction form and the Attitude Scale Towards the Use of Herbal Products. Descriptive statistics and t-tests were used to analyze the data. Results: The Nurses demonstrated a mean total score of 251.59 (SD=25.72) on the Attitudes Towards the Use of Herbal Products Scale. However, concerns were expressed regarding the quality control and regulatory aspects of these products. Furthermore, demographic factors such as marital status, age, and years of employment were found to significantly influence specific attitudes towards herbal product use. Conclusion: While nurses perceive herbal products positively, concerns persist regarding their quality and regulation. Educational interventions tailored to address these concerns and consider the influence of demographic factors are essential to promote the safe and informed use of herbal products in patient care.

Keywords

Supporting Institution

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Ethical Statement

This study was conducted according to the Declaration of Helsinki. The ethical approval was obtained from the Burdur Mehmet Akif Ersoy University's Clinical Research Ethics Committee (Date: 07.02.2024 number: GO 2024/100). The participants were given information about the aim and procedure of the study.

Thanks

We would like to thank all the participants who made this study possible.

References

1. Hall H, Brosnan C, Cant R, et al. Nurses’ attitudes and behaviour towards patients’ use of complementary therapies: A mixed methods study. J Advanced Nursing. 2018;74:1649-1658. [CrossRef]
2. Somani S, Ali F, Ali T. S, Lalani N. Complementary and alternative medicine in oncology nursing. British J Nurs. 2014; 23(1):40-46. doi: 10.12968/bjon.2014.23.1.40. [CrossRef]
3. Little CV. Integrative health care: implications for nursing practice and education. British J Nurs. 2013;22(20):1160-1164. [CrossRef]
4. Jones J, Rayner S, Logue S, Imray E, Stewart D, et al. National Health Service Healthcare Staff Experience and Practices Regarding Complementary and Alternative Medicine: An Online Survey. Int J Complement Alt Med. 2017;5(4): 00159. [CrossRef]
5. Olbara G, Parigger J, Njuguna F, Skiles J, et al. Health‐care providers’ perspectives on traditional and complementary alternative medicine of childhood cancer in kenya. Pediatric Blood Cancer. 2018; 65(12). [CrossRef]
6. Wang H, Chen Y, Wang L, Liu Q, Yang S, Wang C. Advancing herbal medicine: enhancing product quality and safety through robust quality control practices. Front Pharmacol. 2023;14:1265178. [CrossRef]
7. Jamal, A. Embracing nature's therapeutic potential: Herbal medicine. IJMRA. 2023;2(1), 117-26. [CrossRef]
8. Saggar S, Mir PA, Kumar N, Chawla A, Uppal J, Shilpa S, Kaur A. Traditional and Herbal Medicines: Opportunities and Challenges. Pharmacogn Res. 2022;14(2), 107-114. [CrossRef]

9. Zhang J, Wider B, Shang H, Li X, Ernst,E. Quality of herbal medicines: Challenges and solutions. Complement Ther Med. 2012;20(1-2), 100-106. [CrossRef]
10. Ben-Arye E, Lev E, Keshet Y, Schiff E. Integration of herbal medicine in primary care in Israel: a jewish-arab cross-cultural perspective. Evid Based Complement Alternat Med. 2011;401395. [CrossRef]
11. Ben-Arye E, Steiner M, Karkabi K, Shalom T, Levy L, PopperGiveon A, Schiff E. Barriers to Integration of Traditional and Complementary Medicine in Supportive Cancer Care of Arab Patients in Northern Israel. Evidence-Based Complementary and Alternative Medicine. 2012;401867, 9 pages. [CrossRef]
12. Agyei-Baffour P, Kudolo A, Quansah DY, et al. Integrating herbal medicine into mainstream healthcare in Ghana: clients’ acceptability, perceptions and disclosure of use. BMC Complement Altern Med. 2017;17:513. [CrossRef]
13. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke, JP. The strengthening the reporting of observational studies in epidemiology (strobe) statement: Guidelines for reporting observational studies. Int J Surg. 2014;12(12):1495-1499. [CrossRef]
14. Yıldız K. Attitude towards the Safe Use of Herbal Products Scale Development. Doctoral Dissertation, Selçuk University, Department of Public Health. Konya (Supervisor: Assoc. Dr. Fatih Kara). 2021.
15. Blanca MJ, Arnau J, López-Montiel D, Bono R, Bendayan R. Skewness and Kurtosis in Real Data Samples. Methodology. Eur J Res Meth BehavSoc Sci. 2013;9(2):78–84. [CrossRef]
16. Hatem G, Zeidan J, Goossens M, Moreira C. Normality Testing Methods and the Importance of Skewness And Kurtosis in Statistical Analysis. BAU J Sci Tech. 2022;3(2): 1-5. [CrossRef]
17. Balkrishna A, Sharma N, Srivastava D, Kukreti A, Srivastava S, Arya V. Exploring the Safety, Efficacy, and Bioactivity of Herbal Medicines: Bridging Traditional Wisdom and Modern Science in Healthcare. Future Integr Med. 2024;3(1):35-49. [CrossRef]
18. Fung HN, Wong CY. Accelerating the technological life cycle through convergence: trends from herbal medicine patents and insights from case studies in Asia Pacific. Int J Tech Learning, Innovation Development. 2017;9(4): 353-378. [CrossRef]
19. The WHO Global Report on Traditional and Complementary Medicine 2019. (2019, May 20). https://www.who.int/news/item/20-05-2019-the-who-global-report-on-traditional-and-complementary-medicine-2019-is-released
20. Alostad A, Steinke D, Schafheutle E. Herbal Medicine Classification: Policy Recommendations. Frontiers in Medicine. 2020;7. [CrossRef]
21. Arumugam N. Knowledge, Attitudes and Practices (KAP) Towards Medicinal Plants among Malaysian Consumers. Medicinal & Aromatic Plants. 2019;08(06). [CrossRef]
22. Hariyati Y, Soeparjono S, Setiyono S, Winarto PS. Presepsi Masyarakat Tengger tentang Kemanfaatan Etnobotani sebagai Obat Herbal. Jurnal Ilmu Pertanian Indonesia. 2020;25(3):440-448. [CrossRef]
23. Chang H, Chang H. A review of nurses' knowledge, attitudes, and ability to communicate the risks and benefits of complementary and alternative medicine. J Clin Nurs. 2015;24(11-12):1466-1478. [CrossRef]
24. Trail-Mahan T, Mao C, Bawel-Brinkley K. Complementary and alternative medicine: nurses' attitudes and knowledge. Pain Manag Nurs. 2013;14(4):277-286. [CrossRef]
25. Mohiuddin SG, Aziz S, Regina A, Ghadzi SS, Iqbal MZ, Iqbal MS. Use of traditional Chinese medicine in Malaysia: A knowledge and practice study among general population toward complementary and alternative medicine in relation to health and quality of life in Malaysia. J Pharm Bioallied Sci. 2021;13(1): 102-102. [CrossRef]
26. Andrew L, Maslin-Prothero SE, Costello L, Dare J, Robinson K. The influence of intimate partnerships on nurse student progression: An integrative literature review. Nurse Educ Today. 2015;35(12):1212-1220. CrossRef]
27. Gelayee DA, Mekonnen GB, Atnafie SA, Birarra MK, Asrie AB. Herbal Medicines: Personal Use, Knowledge, Attitude, Dispensing Practice, and the Barriers among Community Pharmacists in Gondar, Northwest Ethiopia. Hindawi Evidence-Based Complementary and Alternative Medicine. 2017;1-6. [CrossRef]
28. Orabi A, Alharbi RA, Abdulkhaleg N. Exploring Awareness And Attitudes Of Nurses Towards Herbal Medicine Use During Pregnancy And Breastfeeding. Afr J Health, Safety Environment. 2020;1(2):52-65. [CrossRef]
29. Gyasi RM, Abass K, Adu‐Gyamfi S, Accam BT, Nyamadi VM. The Capabilities of Nurses for Complementary and Traditional Medicine Integration in Africa. J Alternative and Complementary Med. 2017;24(3):282-290. [CrossRef]
30. Khorasgani SR, Moghtadaie L. Investigating Knowledge and Attitude of Nursing Students Towards Iranian Traditional Medicine-Case Study: Universities of Tehran in 2012-2013. Canadian Center Sci Educ. 2014;6(6). [CrossRef]