改善边缘化社区的疼痛管理:教育下一代医疗保健专业人员
Aimee K Hildenbrand1, Lonna P Gordon2, Katherine S Salamon3
1Center for Healthcare Delivery Science, Nemours Children's Health, Wilmington, Delaware; Division of Behavioral Health, Nemours Children's Health, Wilmington, Delaware; Department of Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
The journal of pain
|September 26, 2024
概括
一个新的课程通过培训医疗保健团队来解决儿科疼痛管理中的种族不公正问题. 它与社区合作伙伴共同开发,旨在改善所有儿童平等的疼痛护理.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 疼痛管理 疼痛管理
背景情况:
- 管理不当的疼痛严重影响个人和社会,不成比例地影响边缘化社区.
- 当前医疗保健提供者对疼痛管理的培训往往忽视了生物心理社会模式和系统性种族主义的影响.
- 现有的教育缺陷导致疼痛治疗的持续差异.
研究的目的:
- 为医疗保健团队开发创新的反种族课程,以打击在疼痛管理中的种族不公正.
- 解决有关偏见的提供者教育的差距,以及它在延续疼痛护理差异中的作用.
- 为医疗保健专业人员提供知识和技能,以提供公平的疼痛护理.
主要方法:
- 与社区合作伙伴合作制定课程,包括那些有过痛苦经历的人.
- 在整个课程设计过程中利用设计思维和反种族主义镜头.
- 试点测试一个由四个模块组成的课程,在儿科卫生系统中与多学科提供者合作.
主要成果:
- 在试点测试期间,开发的课程得到了医疗保健提供者的高度接受.
- 学习者的反对于对课程内容和交付进行代改进至关重要.
- 该课程的设计是考虑到传播和实施策略.
结论:
- 一个新的课程已经开发和评估,以解决在疼痛管理中的种族不公正.
- 社区参与的反种族主义方法对于创建有效的疼痛管理教育至关重要.
- 需要进一步的研究来评估课程对提供者行为和患者结果的影响.
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