Gillani Syed Wasif, Abdul Mohi Iqbal Mohammad
Acta Pharm. 2017 Mar 1;67(1):71-83. doi: 10.1515/acph-2017-0008.
A six-month longitudinal intervention arm study with a pre-post cross-sectional questionnaire-based survey was performed. A 3-phase objective structured clinical examination (OSCE) design was utilized for evaluation of acceptance and attitude of pharmacy students towards clinical pharmacy services. The pre-OSCE survey showed increased disagreement with the role of clinical pharmacists, compared to a significant positive shift in attitude towards their services in the healthcare team after 6 months of the trial. Responses improved for awareness (the current healthcare system could be improved by involving pharmacists, p < 0.02) and positive attitude categories (doctors and nurses would be happy to welcome the services of competent clinical pharmacists as part of their team, p < 0.01) in addition to competency (pharmacists have sufficient clinical training to advise doctors and nurses, p < 0.01). The predictive model suggested a strong positive effect on patient interaction, medical information tasks, clinical decisions on drug-related problems (DRPs), and communication with healthcare professionals (R2 = 0.41, F = 1.51, p < 0.001).
开展了一项为期六个月的纵向干预组研究，并进行了基于前后横断面问卷调查的研究。采用三阶段客观结构化临床考试（OSCE）设计来评估药学专业学生对临床药学服务的接受度和态度。OSCE前的调查显示，与试验6个月后对临床药师在医疗团队中服务态度的显著积极转变相比，学生对临床药师角色的不同意见增加。除了能力（药剂师有足够的临床培训来为医生和护士提供建议，p<0.01）之外，认知（让药剂师参与可以改善当前的医疗系统，p<0.02）和积极态度类别（医生和护士会很高兴欢迎有能力的临床药师作为团队成员提供服务，p<0.01）方面的回答也有所改善。预测模型表明，这对患者互动、医疗信息任务、药物相关问题（DRP）的临床决策以及与医疗专业人员的沟通有很强的积极影响（R2 = 0.41，F = 1.51，p < 0.001）。
