零售药剂师糖尿病多学科体验式（DIAMANTE）项目评估：一项混合方法研究。
Evaluation of the Diabetes, Multidisciplinary, Experiential (DIAMANTE) Program for Retail Pharmacists: A Mixed-Method Study.
作者信息
Siaw Melanie Yee Lee, Ang Seng Wei, Lee Joyce Yu-Chia
机构信息
Ms. Siaw: PhD candidate in the Department of Pharmacy, Faculty of Science, National University of Singapore, Singapore, Republic of Singapore. Mr. Ang: Undergraduate Pharmacy Student, Department of Pharmacy, Faculty of Science, National University of Singapore, Singapore, Republic of Singapore. Dr. Lee: Associate Professor and Clinical Pharmacist in Ambulatory Care and Domain Leader, Pharmacy Practice, Department of Pharmacy, Faculty of Science, National University of Singapore, Singapore, Republic of Singapore.
出版信息
J Contin Educ Health Prof. 2017 Spring;37(2):116-122. doi: 10.1097/CEH.0000000000000157.
INTRODUCTION
The Diabetes, Multidisciplinary, Experiential (DIAMANTE) program was established to enhance collaboration between retail pharmacists and the diabetes care team in the health institutions through interprofessional education. This article describes the program and reports on an evaluation of its impact on attitudes, knowledge, and confidence of the participants in managing diabetic patients.
METHODS
This study utilized a mixed-method design with focus group (FG), exit assessment, and survey. Ten participants were approached to complete the 2-week DIAMANTE program with hands-on training from a multidisciplinary diabetes team. In addition to an exit assessment and a pre-post online survey to assess attitudes of participants toward diabetes care, diabetes knowledge, and confidence in managing diabetic patients, FG was used to obtain the qualitative feedback of pharmacists. Feedback of the preceptors related to the program and pharmacist performance was also sought through an online survey. Survey data and FGs were analyzed using Wilcoxon signed-rank test and thematic analysis, respectively.
RESULTS
All participants completed the program successfully. The FGs revealed four themes: program design, participants' view on preceptors, participants' perceptions of program benefits, and program's outlook. Participants perceived the program content as comprehensive and relevant. With experiential learning, the pharmacists reported improved counseling skills and increased understanding of the roles of different healthcare members. Their knowledge and confidence in managing diabetic patients was improved (P = .008). All participants passed the exit assessment. In general, the preceptors were satisfied with the program design, assessment content, and participant performance.
DISCUSSION
The overall view of DIAMANTE appeared positive. The program also improved knowledge and confidence of the participants in managing diabetic patients.
引言
糖尿病多学科实践（DIAMANTE）项目旨在通过跨专业教育加强零售药剂师与医疗机构中糖尿病护理团队之间的合作。本文介绍了该项目，并报告了对其对参与者管理糖尿病患者的态度、知识和信心的影响的评估。
方法
本研究采用了混合方法设计，包括焦点小组（FG）、结业评估和调查。邀请了10名参与者完成为期2周的DIAMANTE项目，并接受多学科糖尿病团队的实践培训。除了结业评估和前后在线调查以评估参与者对糖尿病护理的态度、糖尿病知识以及管理糖尿病患者的信心外，还通过焦点小组获取药剂师的定性反馈。还通过在线调查征求了带教老师对该项目和药剂师表现的反馈。分别使用Wilcoxon符号秩检验和主题分析对调查数据和焦点小组进行分析。
结果
所有参与者均成功完成了该项目。焦点小组揭示了四个主题：项目设计、参与者对带教老师的看法、参与者对项目益处的认知以及项目展望。参与者认为项目内容全面且相关。通过实践学习，药剂师报告称咨询技能有所提高，对不同医疗保健人员角色的理解有所增加。他们管理糖尿病患者的知识和信心得到了提高（P = 0.008）。所有参与者均通过了结业评估。总体而言，带教老师对项目设计、评估内容和参与者表现感到满意。
讨论
DIAMANTE的总体评价似乎是积极的。该项目还提高了参与者管理糖尿病患者的知识和信心。
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