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The awareness of contextual factors, placebo and nocebo effects among nursing students: Findings from a cross-sectional study.
Nurse Educ Pract. 2020 Jan; 42:102670.NE

Abstract

Contextual Factors (CFs) have been documented to influence nursing interventions and patients' outcomes triggering placebo/nocebo effects. However, given that no studies to date have explored the beliefs and the use of CFs among nursing students, a cross-sectional study was undertaken. Two Italian nursing programmes were involved and a self-administered survey tool was used. A total of 510 students participated. The majority (266; 52.2%) defined CFs as an intervention without a specific effect on the condition being treated, but with a possible nonspecific effect. They reported a substantial level of confidence in CFs and in using them more than twice/week in addition to nursing interventions to optimise clinical outcomes. Physiological and psychological therapeutic effects were mostly reported by participants in treating insomnia (n = 351; 68.8%) and chronic pain (n = 310; 60.8%). The use of CF was considered ethically acceptable when it exerted beneficial psychological effects (n = 188; 36.8%). Participants communicated to patients that a CF is a treatment that can help and will not hurt (n = 128; 25.1%). Students are aware of the value of CFs. Increasing their emphasis in nursing programmes can promote nursing students' consideration with regards to their use, their underlying mechanisms, their potential effects, as well as their ethical and comunicative implications.

Authors+Show Affiliations

Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, Aviano, Pordenone, Italy. Electronic address: lcadorin@cro.it.Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Campus of Savona, Savona, Italy. Electronic address: giacomo.rossettini@gmail.com.Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Campus of Savona, Savona, Italy. Electronic address: marco.testa@unige.it.Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Campus of Savona, Savona, Italy. Electronic address: tommaso.geri@gmail.com.Department of Medical Sciences, University of Udine, Udine, Italy. Electronic address: alvisa.palese@uniud.it.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31775083

Citation

Cadorin, Lucia, et al. "The Awareness of Contextual Factors, Placebo and Nocebo Effects Among Nursing Students: Findings From a Cross-sectional Study." Nurse Education in Practice, vol. 42, 2020, p. 102670.
Cadorin L, Rossettini G, Testa M, et al. The awareness of contextual factors, placebo and nocebo effects among nursing students: Findings from a cross-sectional study. Nurse Educ Pract. 2020;42:102670.
Cadorin, L., Rossettini, G., Testa, M., Geri, T., & Palese, A. (2020). The awareness of contextual factors, placebo and nocebo effects among nursing students: Findings from a cross-sectional study. Nurse Education in Practice, 42, 102670. https://doi.org/10.1016/j.nepr.2019.102670
Cadorin L, et al. The Awareness of Contextual Factors, Placebo and Nocebo Effects Among Nursing Students: Findings From a Cross-sectional Study. Nurse Educ Pract. 2020;42:102670. PubMed PMID: 31775083.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The awareness of contextual factors, placebo and nocebo effects among nursing students: Findings from a cross-sectional study. AU - Cadorin,Lucia, AU - Rossettini,Giacomo, AU - Testa,Marco, AU - Geri,Tommaso, AU - Palese,Alvisa, Y1 - 2019/11/19/ PY - 2018/08/03/received PY - 2019/10/02/revised PY - 2019/11/15/accepted PY - 2019/11/28/pubmed PY - 2019/11/28/medline PY - 2019/11/28/entrez KW - Contextual factors KW - Italy KW - Nocebo KW - Nursing students KW - Placebo KW - Survey SP - 102670 EP - 102670 JF - Nurse education in practice JO - Nurse Educ Pract VL - 42 N2 - Contextual Factors (CFs) have been documented to influence nursing interventions and patients' outcomes triggering placebo/nocebo effects. However, given that no studies to date have explored the beliefs and the use of CFs among nursing students, a cross-sectional study was undertaken. Two Italian nursing programmes were involved and a self-administered survey tool was used. A total of 510 students participated. The majority (266; 52.2%) defined CFs as an intervention without a specific effect on the condition being treated, but with a possible nonspecific effect. They reported a substantial level of confidence in CFs and in using them more than twice/week in addition to nursing interventions to optimise clinical outcomes. Physiological and psychological therapeutic effects were mostly reported by participants in treating insomnia (n = 351; 68.8%) and chronic pain (n = 310; 60.8%). The use of CF was considered ethically acceptable when it exerted beneficial psychological effects (n = 188; 36.8%). Participants communicated to patients that a CF is a treatment that can help and will not hurt (n = 128; 25.1%). Students are aware of the value of CFs. Increasing their emphasis in nursing programmes can promote nursing students' consideration with regards to their use, their underlying mechanisms, their potential effects, as well as their ethical and comunicative implications. SN - 1873-5223 UR - https://www.unboundmedicine.com/medline/citation/31775083/The_awareness_of_contextual_factors_placebo_and_nocebo_effects_among_nursing_students:_Findings_from_a_cross_sectional_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1471-5953(18)30586-9 DB - PRIME DP - Unbound Medicine ER -
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