College of Medicine, Medical University of South Carolina, 96 Jonathan Lucas St, Charleston, SC 29425, United States of America.
College of Medicine, Medical University of South Carolina, 96 Jonathan Lucas St, Charleston, SC 29425, United States of America.
Nurse Educ Today. 2022 Apr;111:105323. doi: 10.1016/j.nedt.2022.105323. Epub 2022 Mar 5.
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a public health intervention to address overuse and risky use of alcohol and illegal substances. In order to increase SBIRT in clinical practice, training should start with future health care provider students and faculty. The main objective of this program was to improve and enhance the training of health professions students to provide competent screening, brief intervention and referral to treatment for persons who have or are at-risk for substance use disorder. This paper shares the results of an SBIRT training program at an academic health sciences center for undergraduate nursing, graduate nursing, and medical students.
DESIGN, SETTING AND PARTICIPANTS: 1229 undergraduate and graduate nursing students, medical students, faculty and preceptors at an academic medical center completed SBIRT coursework integrated into their existing curriculum. Coursework utilized an online learning platform as well as in-person skills training experiences.
An interprofessional team collaborated to create an online SBIRT curriculum consisting of 5 primary modules (total 3 h) and an SBIRT Booster module (0.5 h). The team also developed pre- and post-module quizzes and satisfaction surveys to measure changes in knowledge, confidence, and satisfaction; as well as simulations, videos, a screening tool, a provider pocket card, and an online resource library to support learning. Faculty and preceptors were trained in the program to model skills and answer student questions. A motivational interviewing specialist provided the in-person skills training sessions.
A sustainable interprofessional SBIRT training program demonstrated gains in knowledge, confidence, and skills across all programs. The team used clinical opportunities and simulation with education to promote clinical proficiency.
Interprofessional training mirrors real world clinical situations and encourages all providers to implement SBIRT in practice and decrease poor outcomes associated with substance use disorders.
筛查、简短干预和转介治疗（SBIRT）是一项公共卫生干预措施，旨在解决酒精和非法药物的过度使用和风险使用问题。为了在临床实践中增加 SBIRT，培训应从未来的医疗保健提供者学生和教师开始。该计划的主要目的是提高和增强卫生专业学生的培训，以便为有或有药物使用障碍风险的人提供有能力的筛查、简短干预和转介治疗。本文分享了在学术医疗中心对本科护理、研究生护理和医学生进行 SBIRT 培训计划的结果。
设计、设置和参与者：1229 名本科和研究生护理学生、医学生、教师和导师在学术医疗中心完成了整合到现有课程中的 SBIRT 课程。课程使用在线学习平台和面对面的技能培训经验。
一个跨专业团队合作创建了一个在线 SBIRT 课程，包括 5 个主要模块（共 3 小时）和一个 SBIRT 强化模块（0.5 小时）。该团队还开发了课前和课后模块测验和满意度调查，以衡量知识、信心和满意度的变化；以及模拟、视频、筛查工具、提供者袖珍卡和在线资源库，以支持学习。教师和导师接受了该计划的培训，以示范技能并回答学生的问题。一位动机访谈专家提供了面对面的技能培训课程。
一个可持续的跨专业 SBIRT 培训计划在所有项目中都显示出知识、信心和技能的提高。该团队利用临床机会和教育中的模拟来促进临床熟练程度。
跨专业培训反映了现实世界中的临床情况，并鼓励所有提供者在实践中实施 SBIRT，减少与药物使用障碍相关的不良后果。
