Dale Craig M, Cioffi Iacopo, Novak Christine B, Gorospe Franklin, Murphy Laura, Chugh Deepika, Watt-Watson Judy, Stevens Bonnie
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.
Tory Trauma Program, Sunnybrook Health Sciences Centre, Toronto, Canada.
Can J Pain. 2023 Jan 23;7(1):2150156. doi: 10.1080/24740527.2022.2150156. eCollection 2023.
Continuing professional development is an important means of improving access to effective patient care. Although pain content has increased significantly in prelicensure programs, little is known about how postlicensure health professionals advance or maintain competence in pain management.
The aim of this study was to investigate Canadian health professionals' continuing professional development needs, activities, and preferred modalities for pain management.
This study employed a cross-sectional self-report web survey.
The survey response rate was 57% (230/400). Respondents were primarily nurses (48%), university educated (95%), employed in academic hospital settings (62%), and had ≥11 years postlicensure experience (70%). Most patients (>50%) cared for in an average week presented with pain. Compared to those working in nonacademic settings, clinicians in academic settings reported significantly higher acute pain assessment competence (mean 7.8/10 versus 6.9/10; < 0.002) and greater access to pain specialist consultants (73% versus 29%; < 0.0001). Chronic pain assessment competence was not different between groups. Top learning needs included neuropathic pain, musculoskeletal pain, and chronic pain. Recently completed and preferred learning modalities respectively were informal and work-based: reading journal articles (56%, 54%), online independent learning (44%, 53%), and attending hospital rounds (43%, 42%); 17% had not completed any pain learning activities in the past 12 months. Respondents employed in nonacademic settings and nonphysicians were more likely to use pocket cards, mobile apps, and e-mail summaries to improve pain management.
Canadian postlicensure health professionals require greater access to and participation in interactive and multimodal methods of continuing professional development to facilitate competency in evidence-based pain management.
持续专业发展是改善有效患者护理可及性的重要手段。尽管在执业前课程中疼痛内容显著增加，但对于执业后健康专业人员如何提升或维持疼痛管理能力却知之甚少。
本研究旨在调查加拿大健康专业人员在疼痛管理方面的持续专业发展需求、活动及偏好模式。
本研究采用横断面自我报告网络调查。
调查回复率为57%（230/400）。受访者主要为护士（48%），接受过大学教育（95%），就职于学术医院环境（62%），且有≥11年的执业后经验（70%）。平均每周护理的大多数患者（>50%）存在疼痛症状。与在非学术环境工作的人员相比，学术环境中的临床医生报告的急性疼痛评估能力显著更高（平均7.8/10对6.9/10；<0.002），且有更多机会接触疼痛专科顾问（73%对29%；<0.0001）。两组之间慢性疼痛评估能力无差异。首要的学习需求包括神经性疼痛、肌肉骨骼疼痛和慢性疼痛。最近完成的及偏好的学习模式分别为非正式的和基于工作的：阅读期刊文章（56%，54%）、在线自主学习（44%，53%）以及参加医院查房（43%，42%）；17%的人在过去12个月内未完成任何疼痛学习活动。在非学术环境工作的受访者及非医生更有可能使用袖珍卡片、移动应用程序和电子邮件摘要来改善疼痛管理。
加拿大执业后健康专业人员需要更多地接触并参与互动式和多模式的持续专业发展方法，以促进循证疼痛管理能力。
