Health care providers' experiences and perceptions participating in a chronic pain telementoring education program: A qualitative study
| Autor: | Leslie Carlin, Andrea D Furlan, Emily Seto, Jane Zhao, Fiona Webster, Naima Salemohamed, Jennifer Stinson |
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| Rok vydání: | 2021 |
| Předmět: |
Telemedicine
medicine.medical_specialty media_common.quotation_subject education continuing medical education Primary care 03 medical and health sciences primary care 0302 clinical medicine Continuing medical education Perception Health care Medicine 030212 general & internal medicine media_common lcsh:R5-920 interprofessional care business.industry lcsh:RM1-950 Chronic pain opioids Pain management medicine.disease 3. Good health Anesthesiology and Pain Medicine lcsh:Therapeutics. Pharmacology pain management Family medicine telemedicine business chronic pain lcsh:Medicine (General) 030217 neurology & neurosurgery Qualitative research Research Article |
| Zdroj: | Canadian Journal of Pain, Vol 4, Iss 1, Pp 111-121 (2020) Canadian Journal of Pain = Revue canadienne de la douleur article-version (VoR) Version of Record |
| ISSN: | 2474-0527 |
| Popis: | Background Chronic pain affects one in five Canadians. Frontline health care providers (HCPs) manage the majority of patients with chronic pain yet receive minimal training to do so. The Extension for Community Healthcare Outcomes (ECHO) model™ is an education intervention aimed at HCPs (not patients) to support and improve care in underserviced communities. ECHO Ontario Chronic Pain and Opioid Stewardship (ECHO PAIN) is an adaptation of the ECHO model where the program goals are to support and improve chronic pain and opioid management in the province of Ontario, Canada. Aims This study aimed to investigate the perceptions of HCPs participating in ECHO PAIN. Methods Thirteen HCPs attending ECHO PAIN participated in in-depth semistructured phone interviews. Resulting data were analyzed through a qualitative descriptive lens. Results Analysis uncovered four themes: (1) HCPs’ motivation for joining ECHO PAIN, (2) interprofessional collaboration through ECHO PAIN, (3) the use of opioids for pain management, and (4) barriers and facilitators to participation and satisfaction in ECHO PAIN. HCPs joined ECHO PAIN because of their struggles managing their complex patients with chronic pain. HCPs also recognized the importance of interprofessional collaboration in pain management and shared examples of integration of different professional approaches in their clinical teams. Opioids for pain management remained a controversial issue, and ECHO served as an opportunity to decrease this knowledge gap. Finally, HCPs described how time constraints, organizational support, and session structure acted as barriers to their participation and satisfaction in the ECHO PAIN program; technology mediated satisfaction. Conclusions This study was the first in Canada to explore the motivations of HCPs in attending a chronic pain telementoring program as well as to examine the interprofessional effects of participation. HCPs increased their knowledge about management of chronic pain and increased their interprofessional approach. |
| Databáze: | OpenAIRE |
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