国家成瘾问题研讨会:支持阿片类药物使用障碍管理能力发展的虚拟改编。

Gabriela Garcia-Vassallo, Noel B Quinn, Brent A Moore, Sara Chaudhry, David T Moore, Sarah T Sorenson, Shawn Braddock, Ellen L Edens
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引用次数: 0

摘要

背景:需要为医护人员提供可获得的、手册化的、以技能为基础的培训,以便广泛传播:为使医护人员做好准备,以满足受阿片类药物流行病影响的人群的需求,需要提供可获得的、手册化的、以技能为基础的培训,以便广泛传播:方法:一个跨专业的药物使用障碍(SUD)专科护理团队设计了一个为期 2 天的研讨会和模拟培训,并将其改编成虚拟平台、手册,提供给一个大型医疗保健系统的医护人员和受训人员。在 10 个月的时间里,该研讨会共举办了 6 次,共有来自美国各地的 177 名学员参加了培训。培训采用互动体验式学习策略,包括测试知识的游戏、小组案例讨论、技能视频演示、患者小组讨论,以及 3 次模拟慢性疼痛患者在长期阿片类药物治疗过程中出现阿片类药物使用障碍的情景,以努力培养在初级保健和普通心理健康环境中管理 SUDs 的技能和信心:结果: 在完成研修班后调查的学员中,大多数人认为研修班的内容和培训结构都很有用,尤其是与药物管理、污名化和合作护理相关的内容。此外,在评估、诊断和治疗 SUD 方面的总体信心分数也有所提高。技能培养练习,如跨专业团队模拟,被认为是最有益的。该研讨会受到了全国的关注,因此与医疗系统的模拟中心建立了合作关系,以便进行更广泛的推广:结论:要扩大 SUD 治疗的覆盖面,就必须对医护人员进行培训,以有效改变态度、增加知识并提高关键技能。为期两天的跨专业研讨会受到了参与者的欢迎,他们对研讨会的接受度和满意度都很高,并表现出对治疗药物依赖性失调症的信心有所增强。这种手册化、协作式、以技能为基础的学习体验可以促进医务人员做好准备,并愿意在不同的医疗环境中将药物依赖性精神障碍视为一种可接受治疗的慢性疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
National Addiction Workshop: A Virtual Adaptation to Support Competency Development in Opioid Use Disorder Management.

Background: Accessible, manualized, skill-based training ready for wide dissemination is needed to prepare healthcare staff to meet the needs of people impacted by the opioid epidemic.

Methods: A 2-day workshop and simulation training was designed by an interprofessional substance use disorder (SUD) specialty care team, adapted to a virtual platform, manualized, and offered to healthcare staff and trainees from a large healthcare system. The workshop was offered 6 times over the course of 10 months with a total of 177 participants from across the United States enrolled in the training. Interactive experiential learning strategies including games designed to test knowledge, small-group case discussions, video demonstrations of skills, patient panels, and 3 simulations of a patient with chronic pain who developed opioid use disorder in the context of long-term opioid therapy were utilized in efforts to build skills and confidence managing SUDs in primary care and general mental health settings.

Results: Of those who completed the post-workshop survey, most found both content and training structure useful, particularly content related to medication management, stigma, and collaborative care. In addition, overall confidence scores in assessing, diagnosing, and treating SUD increased. Skill building exercises, such as interprofessional team simulations, were highlighted as most beneficial. The workshop received national attention leading to a partnership with the healthcare system's simulation center for wider dissemination.

Conclusion: Expanding access to SUD treatment requires training healthcare staff to effectively change attitudes, increase knowledge, and improve key skills. This 2-day interprofessional workshop was well-received by participants who reported high acceptability and satisfaction scores and demonstrated improved confidence in the management of SUDs. This type of manualized, collaborative, skill-based learning experience can foster staff preparedness and willingness to conceptualize SUD as a chronic condition amenable to treatment in different healthcare settings.

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