Improving pain management through interprofessional education: evaluation of a pilot project

Carr, Eloise; Brockbank, Katrina; Barrett, R.F.

doi:10.1046/j.1473-6861.2003.00038.x

Cited by 32 publications

(23 citation statements)

References 38 publications

(39 reference statements)

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“…One reason for this may be found in the education of the health professionals in whose care these patients lie. It is a multidimensional phenomenon that cuts across professional boundaries, pharmacists, nurses, psychologists, occupational therapists, doctors and physiotherapists all having an input into its management (Carr et al, 2003). This may be because effective pain management can be complex, requiring approaches that exceed the expertise of one profession.…”

Section: Introductionmentioning

confidence: 99%

A comparison of the knowledge of chronic pain and its management between final year physiotherapy and medical students

Ali

Thomson

2009

European Journal of Pain

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The scientific literature reveals a surprising lack of knowledge of chronic pain mechanisms and its management amongst health care professionals, including physicians and physiotherapists. There is little information directly related to a comparison between medical and physiotherapy students' knowledge of chronic pain. This study aimed to determine and compare the level of knowledge of chronic pain and its management between final year medical (n=126) and physiotherapy students (n=62). A chronic pain questionnaire which included two sections on knowledge and one section on management was used to gather quantitative and qualitative data. Final year physiotherapy students were found to have statistically greater knowledge of chronic pain than final year medical students (p=0.01 and p=0.002). In contrast, medical students were found to have statistically significantly greater understanding of the management of patients with chronic pain (p=0.001). Male students from both groups scored significantly higher in the management section (p=0.008) as did older students (p=0.01). There was a lack of understanding, in varying degrees, of central sensitization, opioid addition, fear-avoidance and a number of students from both cohorts appeared to bring a curative focus to the treatment of chronic pain. One way forward could be found in the interprofessional agenda. This will offer students from different disciplines opportunities to understand their different roles and enhance each others' learning base so that a biopsychosocial framework of care can be implemented. In this way, physiotherapists could learn more about the drug management of chronic pain and medical students could explore more collaborative patient-centred paradigms that address issues such as self-efficacy, self-management and patient empowerment. More focus needs to be paid to the education of the health professionals regarding their assumptions and understanding what 'vulnerable' means in a tissue in comparison to a person.

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Section: Introductionmentioning

confidence: 99%

A comparison of the knowledge of chronic pain and its management between final year physiotherapy and medical students

Ali

Thomson

2009

European Journal of Pain

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“…Importantly, these data indicated that participants felt the course had provided them with the skills and ability to act as leading figures within their respective organizations for interprofessional practice when working with the manifestation and consequences of violence, as well as to work effectively as collaborators with colleagues based in other disciplines, professions and agencies. Although no published research could be located reporting the effects of interprofessional education on staff working with the survivors of violence, a broader search of the literature did indicate that this study's findings related to the early gains in attitudes and knowledge reported by other authors based in the interprofessional education field (e.g., Carr et al, 2003;Kilminster et al, 2004).…”

Section: Discussionmentioning

confidence: 76%

Interprofessional education for practitioners working with the survivors of violence: Exploring early and longer-term outcomes on practice

Reeves

Sully

2007

Journal of Interprofessional Care

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Traditionally, practitioners working with the survivors of violence have been offered little in the way of formal education to help them understand why violence occurs and how they can collaborate to support survivors in an effective manner. To help address this need, a team led by one of the authors developed an innovative interprofessional course entitled, "Society, Violence and Practice". The course provided collaborative learning opportunities to practitioners working in various health, welfare and human services settings to equip them further to respond to survivors of violence in a cooperative and holistic manner. To generate an in-depth understanding of participants' views of the impact of the course an exploratory study was undertaken. Drawing upon an interpretivist framework, qualitative data in the form of focus group interviews, individual follow-up telephone interviews, emails and course documentation were collected. Data were analysed inductively to generate themes that could explore the nature of participants' perceptions relating to the differing impact of their interprofessional learning. Findings from this work indicated that the course had a number of early effects in relation to enhancing participants' confidence and knowledge of issues linked to working collaboratively with the survivors of violence. The follow-up data suggested that the course generated a number of longer-term gains on the participants' professional and interprofessional practice. The significance of these findings are discussed in relation to the interprofessional education and adult learning literature before conclusions are presented.

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“…Persistent pain leads to changes in the nervous system, creating a vicious cycle that prolongs and worsens pain and causes longer hospitalization, longer recovery period and increased medical costs (Davidhizar & Bartlett, 2000). Regardless of pain's origin, it is a multidimensional phenomenon beyond professional boundaries, for doctors, nurses, physiotherapists and other professions all have input into its management (Carr et al, 2003). It seems the management of such complex phenomenon, particularly in post registration continuing education, is a real concern which needs to be scrutinized.…”

Section: Introductionmentioning

confidence: 99%

Interprofessional education: A facilitator to enhance pain management?

Irajpour¹

2006

Journal of Interprofessional Care

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Pain as a multidimensional phenomenon needs to be managed or mitigated interprofessionally. This review aimed to assess the efficiency of interprofessional education on the pain documentation of professionals and on the pain intensity reported by patients. Based upon a systematic search, two randomized controlled trails and two quasi-experimental studies were retrieved. An enhancement in pain documentation following interprofessional education was revealed. Two studies demonstrated no significant changes in patient outcomes, while the other revealed significant improvements. The integration of the results was not feasible due to the various methods of measurement employed in the different studies. More rigorous investigations particularly with a holistic approach are recommended.

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Improving pain management through interprofessional education: evaluation of a pilot project

Cited by 32 publications

References 38 publications

A comparison of the knowledge of chronic pain and its management between final year physiotherapy and medical students

A comparison of the knowledge of chronic pain and its management between final year physiotherapy and medical students

Interprofessional education for practitioners working with the survivors of violence: Exploring early and longer-term outcomes on practice

Interprofessional education: A facilitator to enhance pain management?

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