ArticleBMC nursing2025
Investigating the relationship between complementary and alternative therapy attitudes and pain management self-efficacy in surgical nurses: a cross-sectional study.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Abstract
backgroundEffective pain management is central to surgical nursing, yet nurses often face challenges in practice. Self-efficacy influences nurses' ability to manage pain, whereas attitudes toward complementary and alternative medicine (CAM) may also shape clinical decision-making. However, little is known about how CAM attitudes are related to surgical nurses' pain management self-efficacy. This study aimed to investigate the relationships between complementary and alternative therapy attitudes and pain management self-efficacy among surgical nurses.
methodsA cross-sectional analytical study was conducted with 153 surgical nurses working at a foundation university hospital in a metropolitan city in Turkey. Data were collected using a descriptive questionnaire, the Pain Management Self-Efficacy Questionnaire, and the Holistic Complementary and Alternative Medicine Questionnaire. Associations were analyzed with multiple linear regression.
resultsHigher holistic health attitudes significantly and negatively predicted comprehensive (B = - 0.497, p = 0.001), evaluative (B = - 0.104, p = 0.009), supplemental (B = - 0.072, p = 0.035), and total self-efficacy scores (B = - 0.674, p = 0.001).
conclusionThis study revealed that surgical nurses' favorable holistic health attitudes were associated with lower pain management self-efficacy. Recognizing this gap highlights the need to integrate evidence-based CAM content into undergraduate and continuing education and to develop institutional protocols that support holistic approaches. Such strategies may enhance nurses' competence and confidence, ultimately improving patient-centered pain care. Future longitudinal and interventional studies are needed to confirm whether embedding CAM education strengthens self-efficacy in clinical practice. CLINICAL TRIAL NUMBER: Not applicable.
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