特立尼达和多巴哥初级医生开具处方的信心
Confidence in Prescription Writing among Junior Physicians in Trinidad and Tobago.
作者信息
Ignacio D, Sealy P, Clement Y
机构信息
School of Pharmacy, Faculty of Medical Sciences, The University of the West Indies, St Augustine, Trinidad and Tobago.
Pharmacology Unit, Faculty of Medical Sciences, The University of the West Indies, St Augustine, Trinidad and Tobago.
出版信息
West Indian Med J. 2015 Sep;64(4):407-12. doi: 10.7727/wimj.2014.087. Epub 2015 May 4.
BACKGROUND
A fundamental skill in the practice of medicine is the ability to safely and rationally prescribe drugs. This research aims to estimate the percentage of newly registered medical officers who reported confidence in writing prescriptions.
METHODS
A questionnaire was distributed to 200 medical officers employed at public health tertiary institutions throughout Trinidad and Tobago. These comprised medical interns (provisionally registered) and house officers (fully registered). Participants indicated their confidence or reluctance to prescribe with or without supervision. Estimates and comparisons between the two groups were obtained using Fisher's exact and Chi-squared tests.
RESULTS
The response rate was 73.5%. More medical interns (68%; n = 41) than house officers (56%; n = 42) stated that they were 'Confident' or 'Very Confident' (p = 0.126) to prescribe. Approximately eighty-four per cent (83.6%; n = 51) of medical interns and 89.2% (n = 66) of house officers felt confident to prescribe antibiotics (p = 0.465). A greater percentage of medical interns (84.2%; n = 50) than house officers (66.7%; n = 49) agreed that undergraduate training equipped them to write prescriptions safely and rationally (c² = 6.17, df = 1; p = 0.012).
CONCLUSIONS
While most recent medical graduates felt confident about their prescription writing, there is a need to objectively measure this ability.
背景
安全合理地开具药物处方是医学实践中的一项基本技能。本研究旨在估算报告对书写处方有信心的新注册医务人员的比例。
方法
向特立尼达和多巴哥各地公共卫生三级医疗机构聘用的200名医务人员发放了问卷。这些人员包括医学实习生（临时注册）和住院医师（完全注册）。参与者表明了他们在有或没有监督的情况下开具处方时的信心或顾虑。使用Fisher精确检验和卡方检验对两组进行估算和比较。
结果
回复率为73.5%。表示“有信心”或“非常有信心”开具处方的医学实习生（68%；n = 41）多于住院医师（56%；n = 42）（p = 0.126）。约84%（83.6%；n = 51）的医学实习生和89.2%（n = 66）的住院医师对开具抗生素有信心（p = 0.465）。同意本科培训使他们能够安全合理地书写处方的医学实习生比例（84.2%；n = 50）高于住院医师（66.7%；n = 49）（c² = 6.17，自由度 = 1；p = 0.012）。
结论
虽然大多数近期医学毕业生对自己的处方书写能力有信心，但仍需要客观地衡量这种能力。
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