Task-Shifting from Acupuncturists to Nurses in Delivering Acupuncture/Acupressure or Supervising Patient Self-Administered Acupressure for Sleep Management: Is It Feasible?

将针灸师在提供针灸/指压疗法或监督患者自行进行指压疗法以进行睡眠管理方面的任务转移给护士:这是否可行?

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Abstract

Acupuncture and acupressure are widely used for managing self-reported impaired sleep quality and duration. However, outside East Asia, access is often limited due to a shortage of trained acupuncturists and minimal reimbursement under national health insurance systems, leading to treatment discontinuation or inaccessibility driven by "Financial Toxicity." This prompts a critical yet underexplored inquiry: can advanced practice nurses serve as alternative providers to deliver acupuncture/acupressure for managing these common sleep complaints, thereby improving accessibility, expanding treatment coverage, and lowering consultation costs? This comprehensive mini-review synthesizes current evidence to assess the feasibility of this promising and innovative acupuncturist-nurse task-shifting paradigm and outlines key preparatory steps for its pilot implementation.

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