翻转隐藏的课程,改变痛苦教育和文化
Aram S Mardian1,2, Lisa Villarroel3, Heidi E Quist1
1Chronic Pain Wellness Center, Phoenix Veterans Affairs Health Care System, Phoenix, AZ, United States.
Frontiers in pain research (Lausanne, Switzerland)
|July 5, 2023
概括
改变疼痛管理需要从生物医学转向社会心理生物学 (SPB) 模型. 利用隐藏的课程和隐含偏见识别和管理可以促进这一关键的实践变化.
科学领域:
- 医学教育 医学教育
- 疼痛管理 疼痛管理
- 医疗保健系统 医疗保健系统
背景情况:
- 疼痛管理实践的转型仍然难以捉摸.
- 生物医学模型中的陷,通过实习者观察来延续,是可能的原因.
- 需要向更全面的护理模式转变.
研究的目的:
- 建议利用隐藏的课程来实施社会心理生物学 (SPB) 护理模式.
- 引入隐性偏见识别和管理,作为实践变革的工具.
- 在疼痛管理中,为从生物医学转向SPB模型提供框架.
主要方法:
- 利用隐性偏见识别和管理来识别和解决隐性偏见.
- 在临床环境中实施识别和干预的代循环.
- 从城VA医疗保健系统的慢性疼痛健康中心绘制示例.
主要成果:
- 该研究概述了一个切换疼痛管理实践的实用方法.
- 隐性偏见的识别和管理有助于隐性因素的"浮出"和干预.
- 提出的方法允许从生物医学模型过渡到SPB模型.
结论:
- 刻意利用隐藏的课程是实施SPB模型的关键.
- 这种方法可以改变个人的疼痛管理实践.
- 集体采用可以导致整体疼痛管理的更广泛的转变.
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