Deprescribing perceptions and practice reported by multidisciplinary hospital clinicians after, and by medical students before and after, viewing an e-learning module.
Background: There are many barriers to deprescribing in the routine care of older inpatients with polypharmacy. Implementation is limited by factors related to clinicians, patients, and the acute care setting. A short (11 min) e-learning module for multidisciplinary hospital clinicians was developed...
| Publicado en: | Research in Social & Administrative Pharmacy Vol. 17; no. 11; pp. 1997 - 2006 |
|---|---|
| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Nov2021
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=152604678&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152604678 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15517411 1F3K jtl: Research in Social & Administrative Pharmacy issn: 15517411 maglogo: N pubinfo: dt: Nov2021 vid: 17 iid: 11 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 152604678 152604678 NLM33773940 152604678 10.1016/j.sapharm.2021.03.002 NLM33773940 152604678 ppf: 1997 ppct: 9 formats: tig: atl: Deprescribing perceptions and practice reported by multidisciplinary hospital clinicians after, and by medical students before and after, viewing an e-learning module. aug: au: Ng, Brendan Duong, Mai Lo, Sarita Le Couteur, David Hilmer, Sarah affil: Faculty of Medicine and Health, Northern Clinical School, The University of Sydney, Sydney, New South Wales, Australia sug: subj: Students, Medical Computer-Assisted Instruction Polypharmacy Adult Human Hospitals Perception Comparative Studies Multicenter Studies Evaluation Research Validation Studies Short Portable Mental Status Questionnaire Impact of Events Scale Scales Questionnaires Adult: 19-44 years ab: Background: There are many barriers to deprescribing in the routine care of older inpatients with polypharmacy. Implementation is limited by factors related to clinicians, patients, and the acute care setting. A short (11 min) e-learning module for multidisciplinary hospital clinicians was developed to address two commonly reported barriers: awareness of polypharmacy and self-efficacy in deprescribing.Objectives: 1) Describe the level of awareness of polypharmacy and self-efficacy of deprescribing in multi-disciplinary hospital clinicians following completion of an online e-learning module; and 2) describe the immediate impact of an online educational module in awareness and self-efficacy of polypharmacy and deprescribing in senior medical students.Methods: A questionnaire was developed and administered to hospital clinicians following completion of the e-learning module. Senior medical students undertook the questionnaire pre- and post-module.Results: Overall, 99 hospital clinicians with diverse clinical roles, experience, and ages, and 30 medical students completed the questionnaire. Although most (≥80%) hospital clinicians reported a general awareness of polypharmacy and deprescribing, there was moderate to low current activity in medication review and deprescribing, a perceived lack of role in medication review by junior doctors, and minimal knowledge of deprescribing tools. Use of a previously validated self-efficacy questionnaire showed lowest self-efficacy in domains related to developing deprescribing plans and implementing them. Pre-post analysis of medical student responses found a small statistically significant improvement following viewing the module in awareness of polypharmacy, deprescribing and deprescribing tools, perception of their role in deprescribing, and self-efficacy in planning and implementation of deprescribing decisions.Conclusions: Hospital clinicians and senior medical students had limited self-efficacy in deprescribing and hospital clinicians reported they did not deprescribe frequently. Targets for educational and behavioral interventions were identified. A short e-learning module on polypharmacy and deprescribing may be a useful component of a multi-strategic intervention to implement deprescribing into routine inpatient care. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|