Sanchez-Ramirez Diana C, Polimeni Christine
Director of Research, Office of Continuing Competency and Assessment; Assistant Professor, School of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Vice-Dean, Office of Continuing Competency and Assessment, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
J Opioid Manag. 2019 Jan/Feb;15(1):27-34. doi: 10.5055/jom.2019.0483.
To explore self-perceived knowledge and implementation of current opioid guidelines among healthcare providers, and to assess the effect of an opioid-related educational intervention.
Pre-post.
Academic.
Sixty-nine participants completed the pre-intervention survey, 45 percent of them also completed a post-survey.
A short presentation on current opioid guidelines incorporated in a larger accredited continuing professional development (CPD) event.
The 5-point Likert scale to express their level of agreement with seven statements was used to estimate their knowledge and implementation of current opioids guideline, along with their self-perceived abilities and level of comfort in prescribing opioids (Moore's conceptual framework).
Fifty percent of the participants were familiar with current opioid prescribing protocols and 46 percent were implementing them, 62 percent stated that were able to identify drug seeking behaviors in patients, 82 percent knew patients' risk factors and 78 percent evaluated them before prescribing opioids, 90 percent indicated that they prescribed non-opioid alternatives, and 35 percent expressed that they feel comfortable prescribing opioids. Self-reported levels of familiarity with the current opioid prescribing protocols ( < 0.001) and knowledge of patients' risk factors for prescribing opioids ( = 0.012) increased after the intervention. Improvements in their ability to identify drug seeking behavior in patients ( = 0.033), and in their comfort prescribing opioids for chronic non-cancer patients ( = 0.015) were also reported.
Healthcare providers' knowledge and implementation of current opioids guidelines need to be strengthened. A single presentation on the opioid crisis and guidelines incorporated within a larger CPD event showed significant gains in self-reported knowledge and skills among healthcare providers.
探讨医疗服务提供者对当前阿片类药物指南的自我认知及实施情况，并评估与阿片类药物相关的教育干预效果。
干预前后对照研究。
学术机构。
69名参与者完成了干预前调查，其中45%也完成了干预后调查。
在一次更大规模的经认可的继续职业发展（CPD）活动中，就当前阿片类药物指南进行简短介绍。
采用5点李克特量表来表达他们对七条陈述的认同程度，以此评估他们对当前阿片类药物指南的认知及实施情况，以及他们在开具阿片类药物时的自我认知能力和舒适度（摩尔概念框架）。
50%的参与者熟悉当前阿片类药物处方方案，46%正在实施这些方案，62%表示能够识别患者的药物寻求行为，82%了解患者的风险因素，78%在开具阿片类药物前对其进行评估，90%表示他们会开具非阿片类替代药物，35%表示他们对开具阿片类药物感到自在。干预后，自我报告的对当前阿片类药物处方方案的熟悉程度（<0.001）以及对开具阿片类药物患者风险因素的了解程度（=0.012）有所提高。据报告，他们识别患者药物寻求行为的能力（=0.033）以及为慢性非癌症患者开具阿片类药物时的舒适度（=0.015）也有所改善。
医疗服务提供者对当前阿片类药物指南的认知和实施需要加强。在一次更大规模的CPD活动中就阿片类药物危机和指南进行的一次简短介绍，显示出医疗服务提供者在自我报告的知识和技能方面有显著提高。
