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  4. Implementing Lived Experience Workshops in Regional Areas of British Columbia to Enhance Clinicians’ Confidence in Spinal Cord Injury Care: An Evaluation

Implementing Lived Experience Workshops in Regional Areas of British Columbia to Enhance Clinicians’ Confidence in Spinal Cord Injury Care: An Evaluation

Healthcare, 2024 · DOI: 10.3390/healthcare12070731 · Published: March 27, 2024

Spinal Cord InjuryHealthcareEducation

Simple Explanation

This paper evaluates the impact of spinal cord injury health educational workshops delivered in regional communities, informed by persons with lived experience (PLEX). The goal was to improve clinicians’ knowledge and confidence in managing SCI health and to facilitate person-centered care. A community survey identified priority SCI health-related topics, such as bowel and bladder management and sexual health. Clinical perspectives were also collected, revealing that clinicians ranked these topics as lower priorities compared to the individuals with lived experience. Educational workshops, supported by lived experience perspectives, were effective in enhancing clinicians’ understanding of spinal cord injury and their priorities. Future plans include engaging more administrators and conducting workshops in other regions.

Study Duration
March 2022 to March 2023
Participants
44 persons with lived experience, 102 clinicians
Evidence Level
Not specified

Key Findings

  • 1
    PLEX community members identified aging with SCI, bowel function, and pain and inflammation as top priorities.
  • 2
    Clinical team members identified spasticity, upper extremity function, and autonomic dysreflexia as top priorities.
  • 3
    There was a difference in the priorities from the perspectives of clinicians and the PLEX, providing an opportunity to create a shared understanding.

Research Summary

This quality improvement project aimed to improve the quality of care provided to persons with lived experience (PLEX) from clinicians within regional areas of British Columbia by implementing PLEX-informed clinical education workshops. The workshops resulted in a broadened clinician knowledge, improved clinician confidence, and promoted the delivery of person-centred SCI care. Engaging administrators and continuing to fill gaps in knowledge identified by the clinicians are crucial next steps.

Practical Implications

Enhanced Clinical Education

Continued clinical education in hospital settings, incorporating those with lived experience, can positively impact clinical practice.

Person-Centered Care

Addressing discrepancies in SCI priority health-related topics by incorporating the perspectives of people with lived experience is essential for providing person-centered care.

Improved SCI Care

Replicating the demonstrated approach in regions lacking SCI facilities and clinician knowledge can educate and improve clinician confidence in working with PLEX.

Study Limitations

  • 1
    Priorities were generated by a small team, and responses were limited to the choices given.
  • 2
    Community and workshop surveys were limited to three cities in the BC Interior.
  • 3
    A comparison of clinician pre and post workshop data were not included due to discrepancies in pre and post numbers and lack of study identifiers.

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