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运用跨专业协作能力达成量表评价急性疼痛与阿片类药物使用障碍的跨专业主动学习课程。

Evaluation of an interprofessional active learning session on acute pain and opioid use disorder using the interprofessional collaborative competency attainment scale.

机构信息

Anesthesiology and Pain Medicine, University of Washington, Seattle, USA.

Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, USA.

出版信息

J Interprof Care. 2020 Mar-Apr;34(2):193-201. doi: 10.1080/13561820.2019.1629398. Epub 2019 Aug 5.

DOI:10.1080/13561820.2019.1629398
PMID:31379225
Abstract

Pain is complex and best managed using an interprofessional approach. A complicating factor is the high prevalence of co-existing opioid use disorder (OUD). Interprofessional education (IPE) may be an important strategy for transforming pain and OUD care. The objective of this study was to evaluate the impact of an interactive, case-based IPE session related to acute pain management in persons with OUD on pre-licensure health science students' perceived achievement of core competencies for interprofessional collaborative practice. Students completed a self-assessment of competency before and after the IPE session, using the Interprofessional Collaborative Competency Attainment Scale. Paired samples t-tests determined differences between pre- and post-session assessments and Cohen's d effect sizes evaluated the magnitude of change. Learners ( = 160) included students from pharmacy (30.9%), social work (21.9%), dentistry (16.3%), nursing (14.4%), medicine (9.4%), and other professional schools (7.4%). Learners showed significant improvement in perceived competency for all items (all ≤ 0.002). Using a Collaborative Patient-Centered Approach and Team Functioning demonstrated the greatest overall improvement (Cohen's > 0. 80). Findings suggest that an interactive IPE session is associated with perceived achievement of core interprofessional competencies for acute pain management in persons with OUD.

摘要

疼痛是复杂的,最好采用跨专业的方法来治疗。一个复杂的因素是共存的阿片类药物使用障碍(OUD)的高患病率。跨专业教育(IPE)可能是改变疼痛和 OUD 治疗的重要策略。本研究的目的是评估与 OUD 患者急性疼痛管理相关的互动式、基于案例的 IPE 课程对医预学生对跨专业合作实践核心能力的感知成就的影响。学生在 IPE 课程前后使用跨专业合作能力获得量表对能力进行自我评估。配对样本 t 检验确定了课前和课后评估之间的差异,Cohen's d 效应大小评估了变化的幅度。学习者(n = 160)包括来自药学(30.9%)、社会工作(21.9%)、牙科(16.3%)、护理(14.4%)、医学(9.4%)和其他专业学校(7.4%)的学生。所有学习者在所有项目上的感知能力都有显著提高(所有 P ≤ 0.002)。使用协作的以患者为中心的方法和团队功能显示出最大的总体改善(Cohen's > 0.80)。研究结果表明,互动式 IPE 课程与 OUD 患者急性疼痛管理的核心跨专业能力的感知成就有关。

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