Regional anaesthesia plays an important role in perioperative care, but gaps in proficiency persist among consultants and specialists. This study aimed to assess confidence levels in performing Plan A blocks among this cohort and to examine the barriers and facilitators influencing regional anaesthesia education. Utilising a mixed-methods design, we performed a quantitative survey to gauge self-reported confidence in performing Plan A blocks, coupled with qualitative interviews to explore the complexities of educational barriers and facilitators. UK consultant and specialist anaesthetists were included in the study. A total of 369 survey responses were analysed. Only 22% of survey respondents expressed confidence in performing all Plan A blocks. Specialists (odds ratio [OR] 0.391, 95% confidence interval [CI] 0.179–0.855, =0.016) and those in their roles for >10 yr (OR 0.551, 95% CI 0.327–0.927, = 0.024) reported lower confidence levels. A purposive sample was selected for interviews, and data saturation was reached at 31 interviews. Peer-led learning emerged as the most effective learning modality for consultants and specialists. Barriers to regional anaesthesia education included apprehensions regarding complications, self-perceived incompetence, lack of continuing professional development time, insufficient support from the multidisciplinary team, and a lack of inclusivity within the regional anaesthesia community. Organisational culture had a substantial impact, with the presence of local regional anaesthesia champions emerging as a key facilitator. This study highlights persistent perceived deficiencies in regional anaesthesia skills among consultants and specialists. We identified multiple barriers and facilitators, providing insights for targeted interventions aimed at improving regional anaesthesia education in this group.

中文翻译：

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英国顾问和专家的区域麻醉教育：混合方法分析

区域麻醉在围手术期护理中发挥着重要作用，但顾问和专家之间的熟练程度仍然存在差距。本研究旨在评估该人群执行 A 计划阻滞的信心水平，并检查影响区域麻醉教育的障碍和促进因素。利用混合方法设计，我们进行了定量调查，以衡量自我报告的执行 A 计划块的信心，并结合定性访谈来探索教育障碍和促进因素的复杂性。英国顾问和专业麻醉师也参与了这项研究。总共分析了 369 份调查回复。只有 22% 的受访者表示有信心执行所有 A 计划。专家（比值比 [OR] 0.391，95% 置信区间 [CI] 0.179–0.855，=0.016）和担任其职务超过 10 年的人员（OR 0.551，95% CI 0.327–0.927，= 0.024）报告的置信水平较低。有目的地选择样本进行访谈，31次访谈达到数据饱和。同伴主导的学习成为顾问和专家最有效的学习方式。区域麻醉教育的障碍包括对并发症的担忧、自我认为的无能、缺乏持续的专业发展时间、多学科团队的支持不足以及区域麻醉界缺乏包容性。组织文化产生了重大影响，当地区域麻醉冠军的存在成为了关键的推动者。这项研究强调了顾问和专家在区域麻醉技能方面持续存在的缺陷。我们确定了多种障碍和促进因素，为旨在改善该群体区域麻醉教育的针对性干预措施提供了见解。