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优化慢性疼痛治疗中的心理健康及理解跨专业实践的试点跨专业教育课程

A Pilot Interprofessional Education Curriculum for Optimizing Mental Health in Chronic Pain Treatment and Understanding Interprofessional Practice.

作者信息

Perzhinsky Juliette, Schachman Kathleen A, Cheng Chin-I, Nagia Sally, Noveloso Bernard, Sawyer Tamara, Lepisto Brenda L, Sukhera Javeed, Cleek Elizabeth N, Chisolm Margaret S

机构信息

Foundational Sciences, Central Michigan University College of Medicine, Saginaw, USA.

Nursing, Saginaw Valley State University, Saginaw, USA.

出版信息

Cureus. 2024 Aug 20;16(8):e67292. doi: 10.7759/cureus.67292. eCollection 2024 Aug.

Abstract

INTRODUCTION

With the urgent need for clinicians capable of responding to the opioid crisis, an interprofessional education (IPE) pilot curriculum was launched to assess trainee self-efficacy in managing chronic pain and mental health conditions, and attitudes toward interprofessional practice among resident physicians, family nurse practitioners (FNP), and physician assistant (PA) students.

METHODS

This study involved the implementation of a pilot curriculum consisting of five interactive IPE sessions. All invited trainees across two academic institutions were asked to complete the assessments. Self-efficacy in managing chronic pain and mental health was measured at baseline and following IPE training using a researcher-developed tool, while attitudes toward interprofessional practice were measured with the Attitudes Toward Health Care Teams scale. Resident physicians were compared to FNP/PA students to examine differences between groups and within groups over time.

RESULTS

The final analysis involved 25 trainees who attended at least one IPE training session and completed pre-session and post-session surveys. The total pre-session survey and post-session survey response rate was 37.5% (n=36). Self-efficacy in chronic pain management improved among the resident physician (mean=3.85 ±0.40) and FNP/PA groups (mean=3.84±0.46) (p=0.05 and p=0.001), respectively. Self-efficacy in mental health management was not significantly improved among resident physicians (mean=3.41±0.49, p=0.48), but improved among FNP/PA students (mean=3.46±0.31, p<0.001). There was no difference in attitudes toward interprofessional practice.

CONCLUSION

While IPE training did not result in attitudinal changes toward interprofessional practice, it shows potential for improving self-efficacy in managing chronic pain and mental health, particularly among FNP/PA trainees. This study was limited by a small sample size of trainees included in the final analysis.

摘要

引言

鉴于迫切需要能够应对阿片类药物危机的临床医生,启动了一项跨专业教育(IPE)试点课程,以评估实习生在管理慢性疼痛和心理健康状况方面的自我效能,以及住院医师、家庭护士执业医师(FNP)和医师助理(PA)学生对跨专业实践的态度。

方法

本研究涉及实施一项由五次互动式IPE课程组成的试点课程。邀请了两个学术机构的所有实习生完成评估。使用研究人员开发的工具在基线时和IPE培训后测量管理慢性疼痛和心理健康的自我效能,同时使用对医疗团队态度量表测量对跨专业实践的态度。将住院医师与FNP/PA学生进行比较,以检查不同组之间以及同一组内随时间的差异。

结果

最终分析涉及25名参加了至少一次IPE培训课程并完成课前和课后调查的实习生。课前调查和课后调查的总回复率为37.5%(n = 36)。住院医师组(平均=3.85±0.40)和FNP/PA组(平均=3.84±0.46)在慢性疼痛管理方面的自我效能分别有所提高(p = 0.05和p = 0.001)。住院医师在心理健康管理方面的自我效能没有显著提高(平均=3.41±0.49,p = 0.48),但FNP/PA学生有所提高(平均=3.46±0.31,p<0.001)。在对跨专业实践的态度方面没有差异。

结论

虽然IPE培训并未导致对跨专业实践的态度发生变化,但它显示出在提高管理慢性疼痛和心理健康的自我效能方面的潜力,特别是在FNP/PA实习生中。本研究受到最终分析中纳入的实习生样本量较小的限制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11334385/e32afeb84896/cureus-0016-00000067292-i01.jpg

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