Kassam Rosemin, Kwong Mona, Collins John B
Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, Canada.
Adv Med Educ Pract. 2012 Jun 18;3:61-71. doi: 10.2147/AMEP.S29922. Print 2012.
Accreditation bodies across North America have adopted revised standards that place increased emphasis on experiential education and preceptors to promote and demonstrate patient-centered, pharmaceutical care practices to students. Since such practices are still evolving, challenges exist in recruiting skilled preceptors who are prepared to provide such opportunities. An online educational module series titled "A Guide to Pharmaceutical Care" (The Guide) was developed and evaluated to facilitate this transition. The objectives of this paper are: (1) to describe the development of the modules; and (2) to present the evaluation results from its pilot testing.
The Guide was developed as an online, self-directed training program. It begins by providing an overview of patient care (PC) philosophy and practice, and then discusses the tools that facilitate PC. It also provides a range of tips to support students as they provide PC during their experiential learning. Pharmacists participating in the pilot study were recruited using purposive and snowball sampling techniques. A pre-post quantitative survey with additional open-ended questions was used to evaluate the modules.
THE MODULES INCORPORATED A VARIETY OF TEACHING STRATEGIES: self-reflection exercises, quizzes to review important concepts, quick tips, flash cards, and video clips to illustrate more in-depth learning. Thirty-two pharmacists completed the pre-post assessment and reported significant increases in their confidence because of this training. The most influenced outcome was "Application of techniques to facilitate learning opportunities that enable pharmacy students to practice pharmaceutical care competencies." They also indicated that the training clarified necessary changes in their teaching techniques as well as increased their own practice skills.
The study results indicated that a series of self-paced online modules with appropriate content improved the pharmacists' confidence to nurture students' experiential learning for PC practice as well as enhanced their PC knowledge and skills within their own practices.
北美各地的认证机构已采用修订后的标准,更加注重体验式教育和带教老师,以向学生推广并展示以患者为中心的药学服务实践。由于此类实践仍在不断发展,在招募有能力提供此类机会的熟练带教老师方面存在挑战。为此开发并评估了一个名为“药学服务指南”(以下简称《指南》)的在线教育模块系列,以促进这一转变。本文的目的是:(1)描述这些模块的开发过程;(2)展示其试点测试的评估结果。
《指南》被开发为一个在线自主培训项目。它首先概述患者护理(PC)理念和实践,然后讨论促进患者护理的工具。它还提供了一系列提示,以支持学生在体验式学习期间提供患者护理。参与试点研究的药剂师采用立意抽样和滚雪球抽样技术招募。使用带有额外开放式问题的前后定量调查来评估这些模块。
这些模块采用了多种教学策略:自我反思练习、复习重要概念的测验、快速提示、抽认卡以及用于说明更深入学习的视频片段。32名药剂师完成了前后评估,并报告称由于此次培训,他们的信心显著增强。受影响最大的结果是“应用技术促进学习机会,使药学专业学生能够实践药学服务能力”。他们还表示,培训明确了他们教学技术中必要的变化,并提高了他们自己的实践技能。
研究结果表明,一系列内容恰当、节奏自主的在线模块提高了药剂师培养学生进行患者护理实践体验式学习的信心,并增强了他们在自身实践中的患者护理知识和技能。