专业间减少伤害培训对临床医生和学生知识,态度和耻辱感的影响
Hannah R Kazal1, Allison Walker-Elders2, Wendy Y Craig3,4
1Department of Family Medicine, Central Maine Medical Center, Lewiston, ME, USA.
Substance use & addiction journal
|December 17, 2025
概括
专业间减少伤害培训显著改善了卫生专业人员的舒适性和减少伤害策略的应用. 这种培训还减少了对使用毒品的人 (PWUD) 的耻辱感,提高了患者的护理.
科学领域:
- 公共卫生 公共卫生
- 医学教育 医学教育
- 药物成科学 药物成科学
背景情况:
- 减少危害的战略旨在尽量减少药物使用的后果,但临床医师的耻辱妨碍了他们的实施.
- 对使用毒品的人 (PWUD) 的耻辱制造了护理障碍,并对健康结果产生了负面影响.
- 了解教育干预措施对医疗保健专业人员态度的影响对于改善护理至关重要.
研究的目的:
- 评估专业间减少伤害培训对卫生专业学生和临床医生的知识和对PWUD的耻辱的影响.
- 评估培训后舒适度的变化和减少伤害的应用.
主要方法:
- 专家,医生和有实践经验的个人提供了三个虚拟的,交互式的降低伤害培训.
- 在调查前和之后,使用经过验证的仪器 (医疗状况标准) 测量知识和耻辱.
- 统计分析包括麦克纳马的测试和配对的t测试,以比较训练前和训练后的反应.
主要成果:
- 参与者适用降低危害的舒适度从68%增加到95% (P < .001).
- 危害降低策略的应用从62%上升到86% (P < .001).
- 参与者的耻辱评分在训练后显著改善 (P < .001).
结论:
- 专业间减少伤害的课程,与有实践经验的个人共同开发,可以有效地减少对PWUD的耻辱感.
- 培训提高了临床医生的舒适性,并促进了对减少危害实践的一致应用.
- 将减少危害纳入专业间教育是改善PWUD护理的关键.
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