I will be talking with Dr. Pahls, by phone on the 19th, next week. I will have more of an idea of how to proceed with the analysis of the data.
I have been working on the revisions within my project paper. As I am sure the rest of you have as well. Several changes. I have added to the literature review. Looking at things that relate to the survey which I did; looking at barriers to adhering to guidelines. It was interesting (one thing new I guess). Clinical inertia ” is the failure of a healthcare provider to initiate or intensify treatment when indicated ” (Cowart, 2018). This can be seen in people with diabetes for example, a provider knows there is perhaps a guideline for changing a medication or what is recommended, yet chooses not to follow it. Because of a lack of knowledge or bias, or disagreement, do not follow guidelines. This happens with chronic pain management with opioids. Providers know that there is a CDC Guideline for chronic pain management with opioids; yet, they choose not to follow for reasons mentioned. I should rephrase, some are not familiar with the guideline, some do not care about the guideline. The review which I read discussed the need for further research into clinical inertia as it relates to lack of adherence to prescribing opioids for chronic pain, and why there was lack of use of the CDC guideline. It was very interesting and was the first time that I had seen this term used. The authors were concerned with “knowledge synthesis” that was related to a lack of adherence for safe prescription of opioid management of chronic pain. This, of course, their review does not include patients that have chronic pain related to cancer (Rash, et al., 2018). My survey does go into what might be barriers. Listed were 1) Lack of knowledge; 2)Not enough time with the patient; and 3) Lack of support from the organization.
I will give a low-down after I have a structured analysis of the data.
Cowart, K., (2018). Overcoming clinical inertia in diabetes management: Pharmacist opportunities. U.S. Pharmacist. Retrieved from https://www.uspharmacist.com
Rash, J.A., Buckley, N., Busse, J.W., Campbell, T.S., Corace, K., Cooper, L., Flusk, D., Iorio, A., Lavoie, K.L., and Skidmore, B., (2018). Healthcare provider knowledge, attitudes, beliefs, and practices surrounding the prescription of opioids for chronic non-cancer pain in North America: protocol for a mixed-method systematic review. Systematic Reviews, pp. 1-7. doi: 10.1186/s13643-018-0858-7