关键词: Pharmacy Education Programs Substance Use Syringe-Exchange

Mesh : Humans United States Social Stigma Drug Overdose Substance-Related Disorders Educational Status Education, Pharmacy / methods

来  源:   DOI:10.1016/j.japh.2023.10.035

Abstract:
BACKGROUND: Drug overdose deaths are a growing epidemic in the United States owing in part to inadequate support from health care systems. In response, the Veterans Health Administration (VHA) plans to implement syringe service programs (SSPs) across VHA medical centers. This SSP education project aims to positively affect health care staff perceptions regarding SSPs and reduce the stigma surrounding substance use.
OBJECTIVE: The purpose of this research was to allow Advanced Pharmacy Practice Experience (APPE) students to implement and assess an educational program regarding SSP enactment at this institution. Furthermore, the objectives of the educational program were to address the stigma associated with substance use and provide knowledge to staff about SSPs.
METHODS: Eleven complete and one abbreviated (no questionnaire) presentations were delivered by APPE students throughout the main facility and outpatient clinics, with presentations being delivered to physicians, nurses, and a range of other professions.
METHODS: APPE students developed educational content and pre- and postsurveys that were used to assess for changes in knowledge and perception surrounding substance use and SSPs.
METHODS: The primary outcome was to assess individual pre- and postprogram survey responses using mean, SD, and mean change to measure the impact that the presentation had on individualized stigma.
RESULTS: A total of 104 completed surveys were analyzed in Microsoft Excel and subcategorized by profession; 10 of the 15 questions asked in the questionnaire yielded statistical significance when comparing pre- and postpresentation results (P < 0.05).
CONCLUSIONS: A presentation method developed and delivered by APPE students resulted in a statistically significant change in perception and knowledge, proving to be an effective method for educating health care staff on SSPs.
摘要:
背景:药物过量死亡在美国是一种日益严重的流行病,部分原因是医疗保健系统的支持不足。作为回应,退伍军人健康管理局(VHA)计划在VHA医疗中心实施注射器服务计划(SSP).此SSP教育项目旨在积极影响医护人员对SSP的看法,并减少对物质使用的污名。
目的:这项研究的目的是让高级药学实践经验(APPE)学生在该机构实施和评估有关SSP制定的教育计划。此外,教育计划的目标是解决与药物使用相关的污名化问题,并向员工提供有关SSP的知识.
方法:APPE学生在主要设施和门诊诊所提供了11份完整报告和一份简短(无问卷)报告,将演示文稿交付给医生,护士,和一系列其他职业。
方法:APPE学生开发了教育内容以及前后调查,用于评估围绕物质使用和SSP的知识和感知变化。
方法:主要结果是使用平均值评估个人计划前和计划后的调查响应,标准偏差,和平均变化来衡量演示文稿对个性化污名的影响。
结果:104份完成的调查在MicrosoftExcel中进行了分析,并按专业进行了分类。在比较演示前和演示后结果时,问卷中提出的15个问题中有10个具有统计学意义(p<0.05)。
结论:由APPE学生开发和提供的演示方法导致了感知和知识的显着变化,证明是对医护人员进行SSP教育的有效方法。
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