Workforce development: is there a paradigm shift?

Thom, Betsy; Duke, Karen L.; Herring, Rachel

doi:10.1080/09687637.2017.1385725

Cited by 6 publications

(2 citation statements)

References 10 publications

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“…Acknowledgement of Pain 18,21 Importance of PCP finding evidence for pain rather than having doubt. Barriers to Pain Management 22 Any barrier mentioned including inadequate access to care services, poor care coordination, conflicting management approaches from multiple providers, and disability claims process Facilitators to Pain Management 22 Any facilitator mentioned including social support, positive affirmations, goal setting Patient-Provider Communication 18 Discussions regarding coping strategies, new prescriptions and pain management care Patient-Provider Relationship 19,21 Trust and rapport building between provider and patient with chronic pain Provider Perspective on Pain Care 5,6,9,18,19 Provider views on pain management care Provider Perspective on VA-ECHO program 11 Provider views on VA-ECHO program Alternative Care 23,24 Non-medication strategies for pain management Examples: exercise, cognitive coping, religious activities, and activity restriction, CAM Opioid Prescription 21 Use of analgesics medications for pain management Other Medications 9 Medications other than opioids that may have been used to manage chronic pain Other Types of Care Any other types of pain care, procedures, testing mentioned to treat pain Questions Are there things that are still not clear. Any questions that they may still have.…”

Section: Domain Definitionmentioning

confidence: 99%

Workforce Development to Improve Access to Pain Care for Veterans: A Qualitative Analysis of VA-ECHO Participant Experiences

Subramaniam

Stryczek

Ball

et al. 2022

Health Services Research and Managerial Epidemiology

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Background/Objective The prevalence of chronic pain and its links to the opioid epidemic have given way to widespread aims to improve pain management care and reduce opioid use, especially in rural areas. Pain Management Specialty Care Access Network-Extension for Community Health Outcomes (VA-ECHO) promotes increased pain care access to rural Veterans through knowledge sharing from specialists to primary care providers (PCPs). We explored PCP participants’ experiences in VA-ECHO and pain management care. Methods This qualitative study is based on a descriptive secondary analysis of semi-structured interviews (n = 10) and 3 focus groups with PCPs participating in VA-ECHO from 2017–2019. A rapid matrix analysis approach was used to analyze participants’ responses. Results VA-ECHO was an effective workforce development strategy for meeting PCPs’ training needs by providing pain management knowledge and skills training (eg alternative care approaches and communicating treatment options). Having protected time to participate in VA-ECHO was a challenge for many PCPs, mitigated by leadership and administrative support. Participants who volunteer to participate had more positive experiences than those required to attend. Conclusions VA-ECHO could be used for meeting the workforce development needs of PCPs. Respondents were satisfied with the program citing improvement in their practice and increased confidence in providing pain management care to Veterans despite some challenges to participation. These findings offer insight into using VA-ECHO to meet the VHA’s workforce development to improve Veterans’ access to pain management care. The ECHO model presents opportunities for workforce development in large complex healthcare systems and garnering ongoing support for this training model is necessary for promoting workforce development for PCPs.

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Section: Domain Definitionmentioning

confidence: 99%

Workforce Development to Improve Access to Pain Care for Veterans: A Qualitative Analysis of VA-ECHO Participant Experiences

Subramaniam

Stryczek

Ball

et al. 2022

Health Services Research and Managerial Epidemiology

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“…1). It constitutes a new emerging group of addiction professionals with their own professional identity and self-definition (4).…”

Section: Introductionmentioning

confidence: 99%

National Addiction-specific Institutional Infrastructure - fundamental prerequisite for successful implementation of specialized academic degree study programmes: a case study in historical perspective

Miovský¹,

Vondrová²,

Peters³

et al. 2019

Cent Eur J Public Health

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Human resources are crucial for addiction treatment and prevention services, as well as for science and research. The aim of this historical case study is to explain and demonstrate the role of specialized university academic degree study programmes in addictions in the context of a national institutional infrastructure. This specific group of very highly specialized academic programmes represents the highest level of professional development and is producing a totally new generation of addiction specialists with a very distinctive professional identity. Methods: The study protocol is based on a case study research design and the case is defined as the historical development of addiction specialized institutions closely related to self-help, prevention, and treatment activities on the historical territory of the Czech Republic. We identified relevant historical sources related to establishing and/or running activities or institutions according to the categories specified in our concept of the national institutional infrastructure. All the materials and sources that were collected were sorted according to a timeline and categories of institutions and we systematically determined the first recorded activity/institution in each particular category. For this simple sorting system we used open and selected coding according to Grounded Theory. Results: The public health model developed by Thomas Babor recognizes six different structural mechanisms to support university-based programmes in addiction studies: specialized journals, research centres, professional societies, specialized libraries and documentation centres, training and education programmes and institutions, and funding agencies. We attempted to redefine the concept of addiction studies within the broader context of the addiction field and added three additional mechanisms of support: public interest groups, self-help groups, and service providers. Using a historical case study in the Czech Republic, we demonstrate the potential for a broader context and interaction between these support mechanisms and academic institutions hosting academic programmes in addiction studies. Conclusion: The process of establishing integrated addiction studies programmes at Charles University in the Czech Republic had its origins in, and support from, various national institutions and professional organizations. This allowed the university to develop academic programmes at the bachelor's, master's, and Ph.D. levels. The availability of career opportunities for advanced-level addiction professionals in the Czech Republic was also a critically important factor in developing sustainable academic programmes in addiction studies. Our experience is that the creation of successful and sustainable academic programmes for addiction professionals is difficult to achieve without broad infrastructure support, national advocacy efforts, and legislative change at the national level.

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The green and the grey: the differing professional development needs of early and mid/late career substance use workers

Roche

Skinner

McEntee

2021

Drugs: Education, Prevention and Policy

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Workforce development: is there a paradigm shift?

Cited by 6 publications

References 10 publications

Workforce Development to Improve Access to Pain Care for Veterans: A Qualitative Analysis of VA-ECHO Participant Experiences

Workforce Development to Improve Access to Pain Care for Veterans: A Qualitative Analysis of VA-ECHO Participant Experiences

National Addiction-specific Institutional Infrastructure - fundamental prerequisite for successful implementation of specialized academic degree study programmes: a case study in historical perspective

The green and the grey: the differing professional development needs of early and mid/late career substance use workers

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