https://orcid.org/0000-0001-9009-8870
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Abstract
Background
Growing demand exists for high-quality Traditional Chinese Medicine (TCM) care, particularly through Nurse-led TCM clinics (TCM-NLCs). Nurses with extensive experience in TCM departments represent a potential workforce for this healthcare model. This qualitative study aims to investigate the willingness of these candidates to engage in TCM-NLCs, with a specific focus on their main concerns and apprehensions when facing new challenges.
Methods
Individual semi-structured face to face interviews were conducted with senior nurses from two TCM hospitals in Shanghai. Each participant had a minimum of three years of work experience in a TCM related department. Conventional qualitative content analysis was utilized.
Results
Fourteen participants were interviewed and data saturation was achieved. Nurses exhibited strong interest in practicing in TCM-NLCs. They believed that such innovative TCM nursing service model not only extends nursing role, provides greater empowerment and opportunities for professional development but also meets patients’ diverse healthcare needs, reduces reliance on other healthcare providers such as doctors, and increases hospital revenue. However, challenges such as deficiencies in evidence-based TCM nursing education, the absence of standardized practice guidelines, and limited prescriptive privileges were identified as primary obstacles to engaging in TCM-NLCs practice, potentially undermining the specialization of this advanced nursing practice model.
Conclusion
Although the nurses interviewed were highly motivated, they generally lacked confidence to practice independently in TCM-NLCs. A pressing priority is to address their concerns by providing appropriate resources as well as education and policy support to enhance their competency and ensure their practice autonomy, therefore building a more qualified pool of professionals for advanced TCM nursing practice.
Abbreviations
APN(s), Advanced practice nurse(s); BNS, Bachelor of Nursing Science; COREQ, Consolidated Criteria for Reporting Qualitative Research; ICN, International Council of Nurses; NLC(s), Nurse-led clinic(s); QCA, Qualitative Content Analysis; TCM, Traditional Chinese medicine; TCM-NLC(s), Nurse-led Traditional Chinese Medicine clinic(s).
Acknowledgments
This work was supported by Health and Medical Research Fund [20212801], Health Bureau, Hong Kong SAR and the Teaching Development Grant from the University Grants Committee of the Hong Kong Special Administrative Region, China [LTG22-25/IICA/18] to YS-H; Shanghai Key Laboratory for Pharmaceutical Metabolite Research Project [SHZYDX2023-01] to FY-Z; and TCM Research Project, Shanghai Municipal Health Commission [2022CX007] to WJ-Z.
Disclosure
The authors report no conflicts of interest in this work.