Mygind Anna, El-Souri Mira, Rossing Charlotte, Thomsen Linda Aagaard
Pharmakon, Danish College for Pharmacy Practice, Hillerød, Denmark.
Int J Pharm Pract. 2018 Apr;26(2):165-173. doi: 10.1111/ijpp.12361. Epub 2017 Mar 27.
To develop and test an educational programme on quality and safety in medication handling for staff in residential facilities for the disabled.
The continuing pharmacy education instructional design model was used to develop the programme with 22 learning objectives on disease and medicines, quality and safety, communication and coordination. The programme was a flexible, modular seven + two days' course addressing quality and safety in medication handling, disease and medicines, and medication supervision and reconciliation. The programme was tested in five Danish municipalities. Municipalities were selected based on their application for participation; each independently selected a facility for residents with mental and intellectual disabilities, and a facility for residents with severe mental illnesses. Perceived effects were measured based on a questionnaire completed by participants before and after the programme. Effects on motivation and confidence as well as perceived effects on knowledge, skills and competences related to medication handling, patient empowerment, communication, role clarification and safety culture were analysed conducting bivariate, stratified analyses and test for independence.
Of the 114 participants completing the programme, 75 participants returned both questionnaires (response rate = 66%). Motivation and confidence regarding quality and safety in medication handling significantly improved, as did perceived knowledge, skills and competences on 20 learning objectives on role clarification, safety culture, medication handling, patient empowerment and communication.
The programme improved staffs' motivation and confidence and their perceived ability to handle residents' medication safely through improved role clarification, safety culture, medication handling and patient empowerment and communication skills.
为残疾人士寄宿机构的工作人员开发并测试一个关于药物管理质量与安全的教育项目。
采用持续药学教育教学设计模型来开发该项目，该项目有22个关于疾病与药物、质量与安全、沟通与协调的学习目标。该项目是一个灵活的模块化课程，为期七加两天，涉及药物管理质量与安全、疾病与药物以及药物监管与核对。该项目在丹麦的五个市政当局进行了测试。市政当局根据其参与申请被选中；每个市政当局独立选择一个为精神和智力残疾居民服务的机构，以及一个为重度精神疾病患者服务的机构。根据参与者在项目前后填写的问卷来衡量感知到的效果。通过进行双变量、分层分析和独立性检验，分析了该项目对动机和信心的影响，以及对与药物管理、患者赋权、沟通、角色明确和安全文化相关的知识、技能和能力的感知效果。
在完成该项目的114名参与者中，75名参与者返还了两份问卷（回复率 = 66%）。在药物管理质量与安全方面的动机和信心显著提高，在关于角色明确、安全文化、药物管理、患者赋权和沟通的20个学习目标方面的感知知识、技能和能力也显著提高。
该项目通过改善角色明确、安全文化、药物管理以及患者赋权和沟通技能，提高了工作人员的动机和信心以及他们安全处理居民药物的感知能力。
