提高私人初级保健诊所对阿片类药物使用障碍的知识和态度:一项质量改进项目。

Sukhwant Kaur Jassar, Amanda Hundley, Amanda Giesler
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引用次数: 0

摘要

摘要:阿片类药物使用障碍(OUD)持续影响着全球社区。2016年4月,不列颠哥伦比亚省特别宣布进入公共卫生紧急状态。众所周知,OUD患者在获得护理方面经常遇到障碍,包括提供者的知识和培训有限,以及医学界持续存在的耻辱感。护理实践博士质量改进项目旨在提供针对障碍的OUD教育,同时使用多种有效的教学方法,如测试强化学习,向在私人初级保健诊所工作的家庭护士从业人员(FNPs)提供,以评估对知识和态度的影响。回顾一项经验调查,没有参与者接受过关于OUD的事先教育(N = 7)。使用药物和药物问题认知问卷来评估态度。回顾资料,接受针对性障碍教育(Mdn = 66)后,接受教育前的态度(Mdn = 74)有所改善,W = 0, p < 0.05。在三个时间点测试知识。在审查了唯一标识符之后,成功地链接了四个参与者测试。接受教育后知识水平(M = 7.75, Mdn = 7.5)较基线知识水平(M = 6, Mdn = 6)有所提高,1个月后知识水平进一步提高(M = 8.5, Mdn = 8.5)。虽然该项目受到样本量的限制,但向之前没有接受过OUD教育的fnp提供教育,并采用考试强化学习等方式,显示出对知识和态度的有利影响。鉴于阿片类药物的流行,护理领导必须继续积极参与实习fnp和接受OUD教育的学生。fnp完全有能力成为这一领域的领军者,可以动员团队克服私人初级保健诊所之间的障碍,增加获得保健的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancing Knowledge and Attitudes Regarding Opioid Use Disorder Among Private Primary Care Clinics: A Quality Improvement Project.

Abstract: Opioid use disorder (OUD) continues to impact communities worldwide. British Columbia specifically declared a public health emergency in April 2016. It is known that patients with OUD often experience barriers in access to care, including limited knowledge and training among providers, as well as persisting stigma in the medical community. The Doctor of Nursing Practice quality improvement project sought to provide barrier-targeted OUD education while using multiple effective teaching methods, such as test-enhanced learning, to family nurse practitioners (FNPs) working among private primary care clinics to assess the impact on knowledge and attitudes. In review of an experience survey, zero participants had received prior education on OUD (N = 7). The Drug and Drug Problems Perceptions Questionnaire was used to assess attitudes. In review of the data, attitudes before receiving education (Mdn = 74) improved after receiving barrier-targeted education (Mdn = 66), W = 0, p < .05. Knowledge was tested at three time points. After a review of unique identifiers, four participant tests were successfully linked. It was found that knowledge after receiving education (M = 7.75, Mdn = 7.5) improved in comparison with baseline knowledge (M = 6, Mdn = 6) and further improved after a 1-month time frame (M = 8.5, Mdn = 8.5). Although the project was limited by sample size, providing education to FNPs who have not received prior education on OUD, and using modalities such as test-enhanced learning, showed a favorable impact on knowledge and attitudes. In light of the opioid epidemic, nursing leaders must continue to actively engage practicing FNPs and students with OUD education. FNPs are well positioned to be champions in this area and may mobilize teams to overcome barriers among private primary care clinics and increase access to care.

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