欧洲疼痛教育的现状和改进机会:欧洲疼痛联合会EFIC多方法研究

IF 3.5 2区 医学 Q1 ANESTHESIOLOGY
Nathan Skidmore, Zsófia Nagy, Felicia J. Cox, Frank J. P. M. Huygen, Edmund Keogh, Andreas Kopf, Bart Morlion, Harriët Wittink, Mary O'Keeffe, Brona M. Fullen
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引用次数: 0

摘要

背景疼痛是欧洲最普遍的健康问题之一,但对医疗保健专业人员的疼痛教育质量仍不清楚。本研究评估了欧洲护士、医生、心理学家和物理治疗师的本科和研究生疼痛教育状况,确定了加强培训和改善医疗保健结果的关键策略。方法采用多种方法进行研究,包括范围审查,教育者在线调查,EFIC分会和专业教育机构的定性访谈。结果对11项研究的范围审查显示证据不足,欧洲课程中用于疼痛训练的时间存在显著差异,内容、教学和评估方法不一致。对教育工作者的调查(n = 511)显示,疼痛教育的覆盖范围存在很大差异,与医学和物理治疗中更为结构化的课程相比,心理学课程的代表性尤其不足。访谈强调,课程限制、资源缺乏和专业人员有限是主要障碍。他们还强调了通过国际和跨学科合作将所有学科的疼痛教育整合起来以加强培训工作的重要性。结论:欧洲本科生和研究生卫生专业人员在疼痛教育的深度、一致性和交付方面存在显著差距。缺乏标准化的、基于证据的课程强调了在所有学科中进行一致的疼痛教育的必要性。实施有针对性的教育标准,增加跨学科培训,并支持合格的教育工作者,对于解决这一分散的局面至关重要。标准化疼痛教育有可能通过装备医疗保健专业人员更有效的疼痛管理技能,极大地改善患者的结果。这项多方法研究为欧洲本科和研究生水平的医疗保健专业人员提供了最新和全面的疼痛教育现状概述。对于整个欧洲的本科和研究生医疗保健专业人员来说,在疼痛教育的深度、一致性和交付方面仍然存在巨大的差距。这强调了在本科阶段加强疼痛教育的必要性,EFIC现有的医学和物理治疗资源提供了潜在的模式,同时更广泛地努力实施全面的研究生培训。通过为医疗保健专业人员提供更有效的疼痛管理技能,有针对性的疼痛教育的标准化有可能极大地改善患者的治疗结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Status and Opportunities for Improvement in Pain Education in Europe: A European Pain Federation EFIC Multiple-Methods Study

Status and Opportunities for Improvement in Pain Education in Europe: A European Pain Federation EFIC Multiple-Methods Study

Background

Pain is one of the most prevalent health issues in Europe, yet the quality of pain education for healthcare professionals remains unclear. This study assessed the status of undergraduate and postgraduate pain education for nurses, physicians, psychologists, and physiotherapists across Europe, identifying key strategies to enhance training and improve healthcare outcomes.

Methods

A study using multiple methods was conducted, comprising a scoping review, an online survey of educators, and qualitative interviews with EFIC chapters and professional educational bodies.

Results

The scoping review of 11 studies revealed a paucity of evidence, with significant heterogeneity in the hours dedicated to pain training and inconsistencies in both content, teaching, and assessment methods across European curricula. The survey of educators (n = 511) showed wide variability in pain education coverage, with psychology curricula particularly underrepresented compared to the more structured programmes in medicine and physiotherapy. The interviews highlighted curriculum constraints, lack of resources, and limited specialised staff as key barriers. They also underscored the importance of integrating pain education across all disciplines through international and interdisciplinary collaboration to enhance training efforts.

Conclusions

Significant gaps persist in the depth, consistency, and delivery of pain education for undergraduate and postgraduate health professionals across Europe. The absence of standardised, evidence-based curricula underscores the need for consistent pain education across all disciplines. Implementing targeted educational standards, increasing interdisciplinary training, and supporting qualified educators are essential to address this fragmented landscape. Standardising pain education has the potential to greatly improve patient outcomes by equipping healthcare professionals with more effective pain management skills.

Significance Statement

This multiple method study provides an updated and comprehensive overview of the current state of pain education for healthcare professionals in Europe at undergraduate and postgraduate levels. Substantial gaps remain in the depth, consistency, and delivery of pain education for both undergraduate and postgraduate healthcare professionals across Europe. This underscores the need to enhance pain education at the undergraduate level, with EFIC's existing medicine and physiotherapy resources offering potential models, alongside wider efforts to implement comprehensive postgraduate training. Standardising the delivery of targeted pain education has the potential to greatly improve patient outcomes by equipping healthcare professionals with more effective pain management skills.

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来源期刊
European Journal of Pain
European Journal of Pain 医学-临床神经学
CiteScore
7.50
自引率
5.60%
发文量
163
审稿时长
4-8 weeks
期刊介绍: European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.
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