Improving Emergency Providers' Attitudes Toward Sickle Cell Patients in Pain.
Publication/Presentation Date
3-1-2016
Abstract
BACKGROUND: Provider biases and negative attitudes are recognized barriers to optimal pain management in sickle cell disease, particularly in the emergency department (ED).
MEASURES: This prospective cohort measures preintervention and postintervention providers' attitudes toward patients with sickle pain crises using a validated survey instrument.
INTERVENTION: ED providers viewed an eight-minute online video that illustrated challenges in sickle cell pain management, perspectives of patients and providers, as well as misconceptions and stereotypes of which to be wary.
OUTCOMES: Ninety-six ED providers were enrolled. Negative attitude scoring decreased, with a mean difference -11.5 from baseline, and positive attitudes improved, with a mean difference +10. Endorsement of red-flag behaviors similarly decreased (mean difference -12.8). Results were statistically significant and sustained on repeat testing three months after intervention.
CONCLUSIONS/LESSONS LEARNED: Brief video-based educational interventions can improve emergency providers' attitudes toward patients with sickle pain crises, potentially curtailing pain crises early, improving health outcomes and patient satisfaction scores.
Volume
51
Issue
3
First Page
628
Last Page
632
ISSN
1873-6513
Published In/Presented At
Puri Singh, A., Haywood, C., Jr, Beach, M. C., Guidera, M., Lanzkron, S., Valenzuela-Araujo, D., Rothman, R. E., & Dugas, A. F. (2016). Improving Emergency Providers' Attitudes Toward Sickle Cell Patients in Pain. Journal of pain and symptom management, 51(3), 628–32.e3. https://doi.org/10.1016/j.jpainsymman.2015.11.004
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
26596878
Department(s)
Administration and Leadership
Document Type
Article