A qualitative analysis of interprofessional students? perceptions toward patients with opioid use disorder after a patient panel experience

A qualitative analysis of interprofessional students? perceptions toward patients with opioid use disorder after a patient panel experience
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DOI:
10.1080/08897077.2018.1546262
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发表时间:
2019-04-03
期刊:
影响因子:
3.5
通讯作者:
George, Paul
George, Paul
中科院分区:
医学3区
文献类型:
--
作者:
Dumenco, Luba;Monteiro, Kristina;George, Paul

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背景资料:来自卫生专业学校的学生参加了为期半天的跨专业教育研讨会,重点是物质使用障碍培训。其中一个组成部分是一个患者小组,其特征是有阿片类药物使用障碍史的个人,他们描述了成瘾对他们生活的影响以及他们使用各种治疗方案的康复之路。我们假设,在培训早期与阿片类药物使用障碍患者进行互动,将引发更多的人文视角,并减少未来医疗保健专业人员的偏见和污名。方法:在参与小组体验后,卫生专业学生(N?580)来自医学、护理、药学、物理治疗和社会工作的人被要求完成简短的5分钟快速反思。研究人员询问学生,小组是否改变了他们对物质使用障碍患者的看法,以反映他们的态度变化或缺乏态度变化,以及在跨专业团队中工作如何影响这些患者的管理和治疗。进行常规含量分析。结果:89%的学生参加了会议完成了快速反思(n?514)。总体而言,约70%(n =?369)的学生表示,他们对物质使用障碍的个人的看法已经改变,作为病人面板的结果,与药房的学生更有可能表明态度的变化。所有专业的主题包括向更人性化的视角转变,倾听真实的患者故事的价值,以及学习治疗和康复方案。学生的回答描述了跨专业的医疗保健团队如何提供更全面的护理,更广泛的治疗选择,可能会改善长期的结果。结论:病人小组的经验是影响跨专业的学生?对阿片类药物使用障碍患者的态度。学生们确定了跨专业的方法是管理和治疗这些患者的一个有价值的组成部分。
Background: Students from health professional schools participated in a half-day interprofessional education workshop centered on substance use disorder training. One component was a patient panel featuring individuals with a history of opioid use disorder who described the impact of addiction on their lives and their road to recovery using varied treatment options. We hypothesized that interacting with individuals with opioid use disorder early in training would elicit more humanistic perspectives and decrease bias and stigma in future health care professionals. Methods: After participating in the panel experience, health professional students (N?=?580) from medicine, nursing, pharmacy, physical therapy, and social work were asked to complete short, 5-minute, rapid reflections. Prompts asked students whether the panel changed their perception of individuals with substance use disorder, to reflect on their attitudinal changes or lack thereof, and how working in interprofessional teams could impact the management and treatment of these patients. Conventional content analysis was performed. Results: Eighty-nine percent of students who attended the session completed the rapid reflections (n?=?514). Overall, approximately 70% (n?=?369) of students indicated that their perceptions of individuals with substance use disorder had changed as a result of the patient panel, with students from pharmacy more likely to indicate a change in attitudes. Themes across all professions included a change toward a more humanistic perspective, value of hearing real patient stories, and learning about treatment and recovery options. Student responses described how interprofessional health care teams can provide more holistic care with a broader range of therapeutic options that may improve long-term outcomes. Conclusions: A patient panel experience is influential on interprofessional students? attitudes toward patients who suffer from opioid use disorder. Students identified an interprofessional approach as being a valuable component of management and treatment of these patients.