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The impact of contextual factors on nursing outcomes and the role of placebo/nocebo effects: a discussion paper.
Pain Rep. 2019 May-Jun; 4(3):e716.PR

Abstract

Introduction

Placebo and nocebo effects represent one of the most fascinating topics in the health care field.

Objectives

the aims of this discussion paper were (1) to briefly introduce the placebo and nocebo effects, (2) to elucidate the contextual factors able to trigger placebo and nocebo effects in the nursing field, and (3) to debate the impact of contextual factors on nursing education, practice, organisation, and research.

Methods

a narrative review was conducted based on the available evidence.

Results

Placebo responses (from Latin "I shall please") are a beneficial outcome(s) triggered by a positive context. The opposite are the nocebo effects (from Latin "I shall harm"), which indicates an undesirable outcome(s) caused by a negative context. Both are complex and distinct psychoneurobiological phenomena in which behavioural and neurophysiological changes arise subsequent to an interaction between the patient and the health care context.

Conclusion

Placebo and nocebo concepts have been recently introduced in the nursing discipline, generating a wide debate on ethical issues; however, the impact on nursing education, clinical practice, nursing administration, and research regarding contextual factors triggering nocebo and placebo effects has not been debated to date.

Authors+Show Affiliations

Department Biological and Medical Science, University of Udine, Italy, Udine, Italy.Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Campus of Savona, Italy, Savona, Italy.Department of Pain Translational Symptom Science, School of Nursing, University of Maryland, Baltimore, MD, USA. Departments of Anesthesiology and Psychiatry, School of Medicine, Center to Advance Chronic Pain Research, University of Maryland, Baltimore, MD, USA.Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Campus of Savona, Italy, Savona, Italy.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31583342

Citation

Palese, Alvisa, et al. "The Impact of Contextual Factors On Nursing Outcomes and the Role of Placebo/nocebo Effects: a Discussion Paper." Pain Reports, vol. 4, no. 3, 2019, pp. e716.
Palese A, Rossettini G, Colloca L, et al. The impact of contextual factors on nursing outcomes and the role of placebo/nocebo effects: a discussion paper. Pain Rep. 2019;4(3):e716.
Palese, A., Rossettini, G., Colloca, L., & Testa, M. (2019). The impact of contextual factors on nursing outcomes and the role of placebo/nocebo effects: a discussion paper. Pain Reports, 4(3), e716. https://doi.org/10.1097/PR9.0000000000000716
Palese A, et al. The Impact of Contextual Factors On Nursing Outcomes and the Role of Placebo/nocebo Effects: a Discussion Paper. Pain Rep. 2019 May-Jun;4(3):e716. PubMed PMID: 31583342.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of contextual factors on nursing outcomes and the role of placebo/nocebo effects: a discussion paper. AU - Palese,Alvisa, AU - Rossettini,Giacomo, AU - Colloca,Luana, AU - Testa,Marco, Y1 - 2019/06/07/ PY - 2018/09/20/received PY - 2018/11/23/revised PY - 2019/01/05/accepted PY - 2019/10/5/entrez PY - 2019/10/5/pubmed PY - 2019/10/5/medline KW - Contextual factors KW - Nocebo KW - Nursing administration KW - Nursing education KW - Nursing outcomes KW - Nursing research KW - Placebo SP - e716 EP - e716 JF - Pain reports JO - Pain Rep VL - 4 IS - 3 N2 - Introduction: Placebo and nocebo effects represent one of the most fascinating topics in the health care field. Objectives: the aims of this discussion paper were (1) to briefly introduce the placebo and nocebo effects, (2) to elucidate the contextual factors able to trigger placebo and nocebo effects in the nursing field, and (3) to debate the impact of contextual factors on nursing education, practice, organisation, and research. Methods: a narrative review was conducted based on the available evidence. Results: Placebo responses (from Latin "I shall please") are a beneficial outcome(s) triggered by a positive context. The opposite are the nocebo effects (from Latin "I shall harm"), which indicates an undesirable outcome(s) caused by a negative context. Both are complex and distinct psychoneurobiological phenomena in which behavioural and neurophysiological changes arise subsequent to an interaction between the patient and the health care context. Conclusion: Placebo and nocebo concepts have been recently introduced in the nursing discipline, generating a wide debate on ethical issues; however, the impact on nursing education, clinical practice, nursing administration, and research regarding contextual factors triggering nocebo and placebo effects has not been debated to date. SN - 2471-2531 UR - https://www.unboundmedicine.com/medline/citation/31583342/The_impact_of_contextual_factors_on_nursing_outcomes_and_the_role_of_placebo/nocebo_effects:_a_discussion_paper_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31583342/ DB - PRIME DP - Unbound Medicine ER -
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