Ali Bina, Shamblen Steve, Scarbrough William, Atwood Katharine, Sangpukdee Ua-Aree, Andrews Elise, Markowitz Jan, Wensel Amanda
Pacific Institute for Research and Evaluation, Beltsville, MD, USA.
Pacific Institute for Research and Evaluation, Beltsville, MD, USA.
Eval Program Plann. 2023 Dec;101:102353. doi: 10.1016/j.evalprogplan.2023.102353. Epub 2023 Aug 14.
Emergency Medical Services (EMS) providers are on the frontlines of the opioid response. This study explored the EMS training needs in Baltimore County, Maryland. An online survey conducted between January-June 2021 assessed knowledge, attitudes, awareness, and self-efficacy to use opioid overdose prevention strategies; burnout, compassion fatigue, stress, and wellness; and training needs among EMS providers (N = 256). Participants reported positive attitudes toward the use of opioid treatment guidelines and confidence in their ability to use the guidelines. They indicated positive attitudes toward harm reduction, but less favorable attitudes toward opioid use disorder (OUD). Although the participants understood the role of a peer recovery specialist moderately well, they were not fully comfortable with making a referral. They reported relatively low levels of burnout and compassion fatigue and good wellness practices, but indicated a moderate level of stress associated with COVID-19. Perceived training needs included: lifetime fitness and wellness, trauma-informed care, stigma awareness, stages of change, and harm reduction. Offering these trainings and enhancing EMS providers' comfort to make referrals to peer recovery support services may strengthen the referral systems and connect overdose survivors to a continuum of care.
紧急医疗服务（EMS）提供者处于应对阿片类药物问题的前沿。本研究探讨了马里兰州巴尔的摩县紧急医疗服务的培训需求。2021年1月至6月期间进行的一项在线调查评估了紧急医疗服务提供者（N = 256）使用阿片类药物过量预防策略的知识、态度、意识和自我效能；职业倦怠、同情疲劳、压力和健康状况；以及培训需求。参与者对使用阿片类药物治疗指南持积极态度，并对自己使用这些指南的能力充满信心。他们对减少伤害持积极态度，但对阿片类药物使用障碍（OUD）的态度不太积极。尽管参与者对同伴康复专家的角色有一定程度的了解，但他们对进行转诊并不完全放心。他们报告的职业倦怠和同情疲劳水平相对较低，健康习惯良好，但表示与COVID-19相关的压力处于中等水平。感知到的培训需求包括：终身健康与健身、创伤知情护理、耻辱感意识、改变阶段和减少伤害。提供这些培训并增强紧急医疗服务提供者进行转诊至同伴康复支持服务的信心，可能会加强转诊系统，并使过量用药幸存者获得连续的护理。
