远程疼痛管理：疼痛管理实践社区
TelePain: A Community of Practice for Pain Management.
作者信息
Meins Alexa R, Doorenbos Ardith Z, Eaton Linda, Gordon Debra, Theodore Brian, Tauben David
机构信息
Biobehavioral Nursing and Health Systems Department, University of Washington, Seattle, WA, USA.
Biobehavioral Nursing and Health Systems Department, University of Washington, Seattle, WA, USA ; Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, WA, USA.
出版信息
J Pain Relief. 2015 Mar 11;4(2). doi: 10.4172/2167-0846.1000177.
INTRODUCTION
Comprehensive pain management services are primarily located in urban areas, limiting specialist consultation opportunities for community healthcare providers. A community of practice (CoP) for pain management could create opportunities for consultation by establishing professional relationships between community healthcare providers and pain management specialists. A CoP is a group of people with a common concern, set of problems, or a passion for something they do. Members of a CoP for pain management increase their knowledge of evidence-based pain management strategies in a way that is meaningful and relevant. In this article, we provide evidence that TelePain, an interdisciplinary, case-based pain management teleconference consultation program through the University of Washington, qualifies as a CoP and present preliminary evidence of TelePain's effectiveness as a CoP for pain management.
METHODS
Specific behaviors and conversations gathered through participant observation during TelePain sessions were analyzed based on the 14 indicators Wegner developed to evaluate the presence of a CoP. To demonstrate preliminary effectiveness of TelePain as a CoP for pain management, descriptive statistics were used to summarize TelePain evaluation forms.
RESULTS
TelePain is an example of a successful CoP for pain management as demonstrated by the presence of Wegner's 14 indicators. Additionally, evaluation forms showed that TelePain enhanced community healthcare providers' knowledge of pain management strategies and that continued participation in TelePain lead to community healthcare providers' increased confidence in their ability to provide pain management.
CONCLUSION
TelePain, a CoP for pain management, facilitates multidisciplinary collaboration and allows members to develop interdisciplinary care plans for complex pain patients through case study discussions. Evidence-based pain management strategies gained through CoP membership could be disseminated to other healthcare providers in members' clinics, which has the potential of improving the care of chronic pain patients.
引言
全面的疼痛管理服务主要集中在城市地区，这限制了社区医疗服务提供者获得专科会诊的机会。疼痛管理实践社区（CoP）可以通过在社区医疗服务提供者和疼痛管理专家之间建立专业关系来创造会诊机会。实践社区是一群有着共同关注点、一系列问题或对其所从事之事充满热情的人。疼痛管理实践社区的成员以一种有意义且相关的方式增加他们对循证疼痛管理策略的了解。在本文中，我们提供证据表明，通过华盛顿大学开展的跨学科、基于案例的疼痛管理电话会议咨询项目TelePain符合实践社区的定义，并展示了TelePain作为疼痛管理实践社区有效性的初步证据。
方法
根据韦格纳制定的用于评估实践社区存在的14项指标，对在TelePain会议期间通过参与观察收集到的特定行为和对话进行分析。为了证明TelePain作为疼痛管理实践社区的初步有效性，使用描述性统计来总结TelePain评估表。
结果
TelePain是疼痛管理方面成功的实践社区的一个例子，韦格纳的14项指标证明了这一点。此外，评估表显示TelePain增强了社区医疗服务提供者对疼痛管理策略的了解，并且持续参与TelePain使社区医疗服务提供者对其提供疼痛管理的能力更有信心。
结论
TelePain作为一个疼痛管理实践社区，促进了多学科协作，并允许成员通过案例研究讨论为复杂疼痛患者制定跨学科护理计划。通过成为实践社区成员获得的循证疼痛管理策略可以传播给成员诊所的其他医疗服务提供者，这有可能改善慢性疼痛患者的护理。
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