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Interprofessional Education in Pain Management
Karen Hewson College of Nursing
University of SaskatchewanOctober 26, 2012
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To provide students with the opportunity to collaborate with students and professionals from a variety of disciplines while acquiring knowledge and experience in the area of pain management
To have positive impact on the health care of individuals experiencing pain
Overall Goals
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Interprofessional Education (IPE)
“occasions when two or more professionals learn with, from and about one another to facilitate collaboration in practice”
(CAIPE, 1997)
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Why IPE?
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Drivers of IPE
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Drivers Aging populations Chronic illness Complex health issues Primary health care initiatives Recruitment and retention of health care professionals PATIENT SAFETY
(Commission on the Future of Health Care in Canada, 2002)
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Canadian Context"If health care providers are expected to work together
and share expertise in a team environment, it makes sense that their education and training should prepare them for this type of working arrangement.“
Roy Romanow, Commissioner,Commission on the Future of Health Care in Canada November 28, 2002
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Benefits of Teamwork
Interdisciplinary teams tend to develop more creative solutions to complex problems because of their members’ diverse academic backgrounds and experience
(Carr, Brockbank & Barret, 2003)
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Why IPE in Pain Management? “Pain is a multidimensional phenomena
beyond professional boundaries, for doctors, nurses, physiotherapists and other professionals all have input into its management”
Despite advances in pain management, many patients continue to suffer from unrelieved pain
(Carr et al., 2003)
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Why IPE in Pain Management? Inadequate knowledge among health
professionals has been cited as one of the most significant factors in poor pain management
Inadequate preparation in undergraduate programs has been reported by medicine, nursing, and physiotherapy
Inadequate preparation in health science programs across Canada and the UK has been reported
(Carr et al., 2003; Watt-Watson , et al.,2009; Xue et al., 2007)
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Survey of 96 health professionals Inpatient oncology service (Xue et al., 2007)
Educational preparation, attitudes & knowledge
towards pain management
Educational preparation, attitudes & knowledge
towards pain management
26 Med/Oncology
RNs
26 Med/Oncology
RNs
18 pharmacists
18 pharmacists
28 physicians
28 physicians
Ying et al. (2007)
24 Gynecology/ Oncology RNs
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Excellent Good Fair Poor
RNs Medical Oncology 4% 16% 60% 20%
RNs Gynecology/Oncology 9% 30% 43% 17%
Pharmacists 6% 18% 53% 23%
Physicians 0% 31% 38% 31%
Ratings of Adequacy of Education &Training in Cancer Pain ( Xue et al.,2007)
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Knowledge of Pain Management(Xue et al, 2007)
Profession %
RNs Medical Oncology 60%
RNs Gynecology /Oncology 50%
Pharmacists 65%
Physicians 55%
Overall 55%
NOTE: different disciplines = different knowledge
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Findings: Attitudes toward Pain Management All generally reported positive attitudes toward pain
management :
a) beliefs regarding patient reporting of pain b) analgesic addiction
Physicians more likely than nurses or pharmacists to believe that patients over-reported their pain
(Xue et al., 2007)
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Improving pain management through interprofessional education: Evaluation of a pilot project (Carr et al., 2003)
Description of Projecta) Interprofessional steering groupb) Senior expert lecturerc) Four half day IP pain management sessionsd) Physicians, nurses, PT/OT
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Findings (Carr et al., 2003)
Valued chronic pain sessions more than acute sessions Valued learning with and from other professions Increased documentation of pain assessments Increased interprofessional discussion on ward, in
patient rounds Decreased referrals to pain team Increased requests for PT, alternative strategies
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Useful Links on IPE
http://www.cihc.ca/ http://saskhealthsciencesnetwork.ca/
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ReferencesCarr, E., Brockbank, K., & Barrett (2003). Improving pain management through interprofessional education: evaluation of a pilot project. Learning in Health and Social Care, 2, 1, 6 -17.Center for the Advancement of Interprofessional education (2002). Retrieved from http://www.caipe.org.uk/resources/Commission on the Future of Health Care in Canada: The Romanow Commission. Retrieved
http://www.hc-sc.gc.ca/hcs-sss/hhr-rhs/strateg/romanow-eng.phpPatient First Review (2009)Retrieved on-line/www.health.gov.sk.ca/patient-first-reviewWatt-Watson, J., McGillion, M., Hunter, J. et al. (2009). A survey of pre-licensure pain curricula in health science faculties in Canadian universities. Pain Research & Management
.