描述和评估基于实践的OUD护理培训,以医院为基础的全科医生医生
Andrea Jakubowski1, Sumeet Singh-Tan2, Tiffany Lu1,3
1Division of General Internal Medicine, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
一次阿片类药物使用障碍 (OUD) 培训为医生提高了知识和信心,但没有改变实践. 需要更全面的培训和系统支持,以改善住院期间的OUD护理.
科学领域:
- 医学教育 医学教育
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 住院治疗为提供基于证据的阿片类药物使用障碍 (OUD) 护理提供了关键机会.
- 大多数医院的全科医生在OUD护理方面缺乏足够的培训.
- 这项研究评估了一项针对全科医生的新型OUD培训计划.
研究的目的:
- 描述一个新的OUD培训计划为医院的全科医生.
- 评估单次OUD培训对医生的知识,信心和实践的有效性.
- 确定实施OUD护理技能后培训的障碍和促进者.
主要方法:
- 一次为期1小时的OUD个人培训课程向全科医生提供,涵盖诊断,启动OUD (MOUD) 药物治疗和出院规划.
- 评估采用混合方法方法,包括培训前和12个月培训后的问卷和定性访谈/重点小组.
- 使用统计分析 (斯图尔特·麦克斯韦测试) 和快速定性分析来评估变化并确定障碍/促进因素.
主要成果:
- 虽然100%的参与者在培训后报告了足够的知识和信心,但与培训前水平相比,这些增加在统计上并不显著.
- 自我报告的提供OUD护理的频率在培训后12个月保持不变.
- 定性数据显示,随着时间的推移,信心下降,并确定了障碍,包括患者咨询挑战,出院计划困难,缺乏协议和时间压力.
结论:
- 一次OUD培训会可以增加医生的知识和信心,但不足以维持这些收益或改变临床实践.
- 进一步的OUD培训应该包括更多的会议,重点是患者咨询和出院计划.
- 解决系统性障碍对于在医院环境中成功实施OUD护理至关重要.
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