Opioids' Prescriptions : Exploring Medical Residents' Representations At The University of Bordeaux

Background : Pain management is a priority in palliative care because it has a huge impact on quality of life. However, many medical residents have difficulties with the prescription of strong opioids though they are highly indicated in intense pain. Aim : The aim of our study was to explore the medical residentsu2019 representations expressed toward opioidsu2019 prescription and their links to professional practices in order to improve them. Methods : A descriptive qualitative monocentric method was chosen. Semi-structured interviews were conducted with oldest medical residents from the University of Bordeaux. These interviews were leading by interviewsu2019 frame. This frame was built from a brainstorm grid of representationsu2019 patterns about opioidsu2019 prescriptions ; theoretical knowledges, experiences and beliefs. The transcription of the interviews named as verbatim were analyzed. Results : 12 semi-directed interviews were conducted before data saturation was achieved. Pain measurements were subjective, prescribing modalities were poorly knew. Mentorship and palliative care teamu2019s help were factors that positively influenced the opioids u2018prescription. Fears and reluctance were broadly based on the addictive risk and side effects of opioids. Discussion : The residentu2019s difficulties about opioidsu2019 prescriptions were similar to those of the medical literature. The prescription context is influenced by historical opiophobia and confusing American news (opioid crisis) that confronts to misuse and drift. Pain management skills are acquired through relevant academic training and quality mentorship. Conclusion : Mentalities about opioidu2019s prescriptions evolves in a positive way with a more suitable and adapted prescription. Continuing dissemination of the palliative culture, companionship and developing innovative teaching methods could improve the representations of opioidsu2019 prescription in the general practice.