纳洛酮学生管理疑似阿片类药物过量的跨专业培训。

IF 1.1 4区 医学 Q3 NURSING Clinical Nurse Specialist Pub Date : 2023-01-01 DOI:10.1097/NUR.0000000000000720
Elizabeth Riley, Stephanie Trotter, Lindsey Dayer, Amber Teigen, Corey Nagel, Kimberly Stickley, Pamela LaBorde, Leah Richardson, Rochelle McFerguson, Nicole Ward, Michael Anders
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引用次数: 0

摘要

目的:探讨纳洛酮跨专业训练对学生知识、自信和跨专业协作能力的影响。总体目标是降低与阿片类药物过量有关的死亡率。设计/方法:针对跨专业学生的培训课程包括演讲、演示和实践练习,内容涉及纳洛酮对疑似阿片类药物过量的适当管理。一份调查问卷在训练前和训练后引出了知识、信心和跨专业协作能力得分的基线和变化。此外,在培训后3周,还测量了知识和信心的变化。专题分析探讨了学生认为有价值或需要改进的培训内容。结果:参与者(N = 100)为护理学生(N = 33)、医师助理(N = 37)和药学学生(N = 30)。训练前和训练后的比较显示知识(P < .001)、信心(P < .001)和协作分数(P < .001)的增加。在3周时,知识和信心仍高于训练前(P < .001)。与培训后相比,知识水平呈下降趋势(P = .09)。专题分析确定了4个主题:(a)不同纳洛酮类型的用药指示,(b)学习方式,(c)知识应用,以及(d)改进。结论:纳洛酮跨专业给药培训增加了知识、信心和跨专业团队合作。教育工作者可以为未来或当前的各种医疗保健专业人员调整这一培训,以改善对疑似阿片类药物过量的即时干预和结果。
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Interprofessional Naloxone Student Training to Manage Suspected Opioid Overdose.

Purpose: The study purpose was to examine the effect of interprofessional naloxone training on students' knowledge, confidence, and interprofessional collaboration competency. The overarching goal was to decrease mortality related to opioid overdoses.

Design/methods: A training session for interprofessional students consisted of a lecture presentation, demonstration, and hands-on practice regarding appropriate administration of naloxone for suspected opioid overdose. A questionnaire elicited baseline and change in knowledge, confidence, and interprofessional collaboration competency scores at pretraining and posttraining. In addition, changes in knowledge and confidence were also measured 3 weeks after the training. Thematic analysis explored training components that students perceived as valuable or needing improvement.

Results: Participants (N = 100) were nursing (n = 33), physician assistant (n = 37), and pharmacy (n = 30) students. Pretraining and posttraining comparison demonstrated increased knowledge (P < .001), confidence (P < .001), and collaboration scores (P < .001). At 3 weeks, knowledge and confidence remained higher than pretraining (P < .001). Knowledge was trending downward compared with posttraining (P = .09). Thematic analysis identified 4 themes: (a) indications for administration of different naloxone types, (b) learning modalities, (c) knowledge application, and (d) improvements.

Conclusions: An interprofessional naloxone administration training resulted in increased knowledge, confidence, and interprofessional teamwork. Educators can adapt this training for a variety of future or current healthcare professionals to improve immediate intervention and outcomes in suspected opioid overdoses.

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来源期刊
CiteScore
1.50
自引率
16.70%
发文量
83
审稿时长
>12 weeks
期刊介绍: The purpose of Clinical Nurse Specialist™: The International Journal for Advanced Nursing Practice is to disseminate outcomes of clinical nurse specialist practice, to foster continued development o fthe clinical nurse specialist role, and to highlight clinical nurse specialist contributions to advancing nursing practice and health policy globally. Objectives of the journal are: 1. Disseminate knowledge about clinical nurse specialist competencies and the education and regulation of practice; 2. Communicate outcomes of clinical nurse specialist practice on quality, safety, and cost of nursing and health services across the continuum of care; 3. Promote evidence-based practice and innovation in the transformation of nursing and health policy for the betterment of the public welfare; 4. Foster intra-professional and interdisciplinary dialogue addressing nursing and health services for specialty populations in diverse care settings adn cultures.
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