Improving Emergency Providers' Attitudes Toward Sickle Cell Patients in Pain
Improving Emergency Providers' Attitudes Toward Sickle Cell Patients in Pain
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DOI：
10.1016/j.jpainsymman.2015.11.004
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发表时间：
2016-03-01
影响因子：
4.7
通讯作者：
Dugas, Andrea Freyer
中科院分区：
文献类型：
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作者：
Singh, Aditi Puri;Haywood, Carlton, Jr.;Dugas, Andrea Freyer
背景供应商的偏见和消极态度是公认的障碍，以最佳的疼痛管理镰状细胞病，特别是在急诊科（艾德）。该前瞻性队列研究使用一种有效的调查工具来测量干预前后提供者对镰状疼痛危象患者的态度。艾德提供者观看了一个8分钟的在线视频，该视频说明了镰状细胞疼痛管理的挑战，患者和提供者的观点，以及需要警惕的误解和刻板印象。96名艾德提供者入组。消极态度评分下降，与基线相比平均差异为-11.5，积极态度改善，平均差异为+10。对红旗行为的认可也同样减少（平均差异为-12.8）。结果有统计学意义，并持续干预后三个月的重复测试。结论/经验教训。简短的基于视频的教育干预可以改善急诊提供者对镰状疼痛危机患者的态度，可能会早期减少疼痛危机，改善健康结果和患者满意度评分。(C)2016年美国临终关怀和姑息医学学会。爱思唯尔公司出版All rights reserved.
Background. Provider biases and negative attitudes are recognized barriers to optimal pain management in sickle cell disease, particularly in the emergency department (ED).Measures. This prospective cohort measures preintervention and postintervention providers' attitudes toward patients with sickle pain crises using a validated survey instrument.Intervention. ED providers viewed an eight-minute online video that illustrated challenges in sickle cell pain management, perspectives of patients and providers, as well as misconceptions and stereotypes of which to be wary.Outcomes. Ninety-six ED providers were enrolled. Negative attitude scoring decreased, with a mean difference -11.5 from baseline, and positive attitudes improved, with a mean difference +10. Endorsement of red-flag behaviors similarly decreased (mean difference -12.8). Results were statistically significant and sustained on repeat testing three months after intervention.Conclusions/Lessons Learned. Brief video-based educational interventions can improve emergency providers' attitudes toward patients with sickle pain crises, potentially curtailing pain crises early, improving health outcomes and patient satisfaction scores. (C) 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.