Gheewala Pankti A, Peterson Gregory M, Zaidi Syed Tabish R, Bereznicki Luke, Jose Matthew D, Castelino Ronald L
Division of Pharmacy, School of Medicine, Faculty of Health, University of Tasmania, Private Bag 26, Hobart, 7001, Australia.
School of Medicine, Faculty of Health, University of Tasmania, Hobart, TAS, 7000, Australia.
Int J Clin Pharm. 2016 Oct;38(5):1080-6. doi: 10.1007/s11096-016-0330-5. Epub 2016 Jun 21.
Background Community pharmacists' role in screening of several chronic diseases has been widely explored. The global health burden of chronic kidney disease is high; however, the progression and adverse outcomes can be prevented or delayed by detecting and treating the disease in its initial stages 1-3. Therefore, a web-based training program was developed to enhance pharmacists' knowledge and skills required to perform a chronic kidney disease screening service in a community setting. Objective The aim of this study was to evaluate the impact of a web-based training program on community pharmacists' knowledge and skills associated with chronic kidney disease screening. As secondary aim, pharmacists' satisfaction with the training program was assessed. Setting Community pharmacy practice. Method A web-based training program was developed by four pharmacists and a nephrologist. Quantitative data was collected by employing a self-administered, web-based questionnaire, which comprised a set of five multiple-choice knowledge questions and one clinical vignette to assess skills. A nine-item Likert scale was used to determine pharmacists' satisfaction with the training program. Main outcome measure Pharmacists' knowledge and skills scores at pre and post-training, reliability of the Likert scale, and the proportion of responses to the individual nine items of the satisfaction survey. Results Fifty pharmacists participated in the pre-questionnaire and 38 pharmacists completed the web-based training and post-questionnaire. Significant differences were observed in the knowledge scores (p < 0.001) and skills scores (p < 0.001) at pre- and post-training. Cronbach's alpha for the nine-item satisfaction scale was 0.73 and the majority pharmacists (92.1-100 %) were satisfied with the various aspects of the training program. Conclusion The web-based training program positively enhanced pharmacists' knowledge and skills associated with chronic kidney disease screening. These findings support further development and widespread implementation of the training program to facilitate health promotion and early identification of chronic kidney disease in a community setting.
背景 社区药剂师在多种慢性疾病筛查中的作用已得到广泛探讨。慢性肾脏病的全球健康负担很高；然而，通过在疾病的1 - 3期进行检测和治疗，可以预防或延缓其进展及不良后果。因此，开发了一个基于网络的培训项目，以提高药剂师在社区环境中开展慢性肾脏病筛查服务所需的知识和技能。
目的 本研究的目的是评估基于网络的培训项目对社区药剂师与慢性肾脏病筛查相关的知识和技能的影响。作为次要目的，评估药剂师对培训项目的满意度。
设置 社区药房实践。
方法 由四名药剂师和一名肾病学家开发了一个基于网络的培训项目。通过使用一份自我管理的网络问卷收集定量数据，该问卷包括一组五个多项选择题知识问题和一个临床案例以评估技能。采用九项李克特量表来确定药剂师对培训项目的满意度。
主要结局指标 培训前后药剂师的知识和技能得分、李克特量表的信度以及满意度调查九个单独项目的回答比例。
结果 50名药剂师参与了预调查问卷，38名药剂师完成了基于网络的培训和后调查问卷。培训前后的知识得分（p < 0.001）和技能得分（p < 0.001）存在显著差异。九项满意度量表的克朗巴哈系数为0.73，大多数药剂师（92.1 - 100%）对培训项目的各个方面感到满意。
结论 基于网络的培训项目积极提高了药剂师与慢性肾脏病筛查相关的知识和技能。这些发现支持进一步开发和广泛实施该培训项目，以促进社区环境中的健康促进和慢性肾脏病的早期识别。
