Influence of Future Prescribers' Personal and Clinical Experiences With Opioids on Plans to Treat Patients With Opioid Use Disorder
| Autor: | Sophia C. Mort, Sebastián R Díaz, Melissa Bowlby, Deborah Henderson, Charman Miller, Elizabeth A. Beverly |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Complementary and Manual Therapy
Adult Male medicine.medical_specialty 020205 medical informatics Cross-sectional study Attitude of Health Personnel media_common.quotation_subject Pain Context (language use) 02 engineering and technology 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Health care 0202 electrical engineering electronic engineering information engineering medicine Humans 030212 general & internal medicine Practice Patterns Physicians' media_common Response rate (survey) business.industry Addiction Opioid use disorder medicine.disease Osteopathic medicine in the United States Opioid-Related Disorders United States Analgesics Opioid Cross-Sectional Studies Complementary and alternative medicine Health Occupations Family medicine Female Curriculum business Inclusion (education) |
| Zdroj: | The Journal of the American Osteopathic Association. 119(12) |
| ISSN: | 1945-1997 |
| Popis: | Context Recreational use of opioids is a growing problem in the United States, particularly in the Midwest. Educators have called for inclusion of pain- and opioid-specific courses in health professional school curricula, yet more research is needed to address future prescribers’ beliefs, experiences, and postgraduate plans related to opioids. Objective To examine health professional students’ perceived severity of the opioid crisis and opioid-related beliefs, experiences, and postgraduate plans. Methods Using a descriptive, cross-sectional design, researchers evaluated health professional students from 3 academic programs (nurse practitioner [NP], physician assistant [PA], and doctor of osteopathic medicine [DO]) using a 25-item survey that assessed perceived opioid crisis severity and opioid-related beliefs, experiences, and postgraduate plans. Demographics of respondents were assessed using descriptive statistics and frequencies. Responses were compared between academic programs with 1-way analysis of variance or Kruskal-Wallis tests, and relationships between students’ experiences and postgraduate plans were assessed. Results A total of 491 students (mean [SD] age, 27.2 [5.4] years; 62.7% female; 68.2% DO students) participated in the survey (response rate, 40.4%). The opioid crisis was perceived to be severely impacting the health care system (mean [SD] score, 79.7 [16.8] out of 100), and most respondents (415 [84.5%]) reported that opioid use affected their communities. Clinical experience varied by program, with NP students (75 [81.5%]) reporting the most experience treating acute overdose. Most respondents (317 [64.6%]) agreed that their postgraduate practice would involve caring for patients addicted to opioids; however, only 232 students (47.3%) felt confident in their ability to treat patients with addiction. Experiences managing acute overdose and handling drug-seeking behavior were positively associated with a belief that postgraduate work would involve working with patients with addiction (U=38,275.5, Z=5.92, PU=25,346.0, Z=4.94, PU=36,806.5, Z=4.96, PU=23,765.5, Z=3.66, P Conclusion Although health professional students had similar beliefs and perceptions regarding the opioid crisis, there were notable differences between academic programs. Students with clinical opioid experiences were more likely to plan on working with patients addicted to opioids and be confident in treating these patients. Thus, the inclusion of experiential learning in the medical curricula may be beneficial for both students and their future patients. |
| Databáze: | OpenAIRE |
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