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Essential pain management: an educational program for health care workers.
C Roger Goucke1, Tracy Jackson, Wayne Morriss
1Sir Charles Gairdner Hospital, University of Western Australia, Perth, WA, 6009, Australia, Roger.Goucke@health.wa.gov.au.
World Journal of Surgery
|May 21, 2014
Summary
The Essential Pain Management (EPM) program effectively enhances pain knowledge for healthcare workers in low and middle-income countries. Its "teach the teachers" approach ensures sustainable, high-quality pain education globally.
Area of Science:
- Global Health
- Medical Education
- Pain Management
Background:
- Limited access to pain management education in low and middle-income countries (LMICs).
- Development of the Essential Pain Management (EPM) program to address this educational gap.
- EPM offers a simple, interactive educational opportunity for healthcare workers in LMICs.
Purpose of the Study:
- To evaluate the effectiveness of the EPM program in improving pain knowledge and management skills.
- To assess the program's suitability for a
- teach the teachers
Main Methods:
- Needs analysis conducted in Papua New Guinea to inform program development.
- An 8-hour educational program was created, focusing on pain knowledge and a management framework.
- Program evaluation utilized the Kirkpatrick model, including a "teach the teachers" component for sustainability.
Main Results:
- The EPM program has been implemented in 30 countries, training 1,600 participants and 340 instructors.
- Pre- and post-testing showed a significant improvement in scores, from 65.89% to 75.23% (n=581).
- Training by local instructors yielded comparable results to those taught by overseas trainers, indicating program efficacy and adaptability.
Conclusions:
- The broad adoption of EPM confirms a critical need for pain education in LMICs.
- The "teach the teachers" model and positive outcomes support the program's sustainability.
- Ongoing support via electronic platforms can further enhance long-term program sustainability and impact.