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远程医疗药物管理项目与其他环境下的药学博士(PharmD)学生在应用于患者护理的技能方面的信心。

Confidence in skills applied to patient care among PharmD students in telehealth medication management programs versus other settings.

作者信息

Almodovar Armando Silva, Kevin Chang Huang-Chia, Matsunami May, Coleman Ashley, Nahata Milap C

机构信息

Institute of Therapeutic Innovations and Outcomes, College of Pharmacy, The Ohio State University, Columbus, OH, United States.

Passport Health Plan, Louisville, KY, United States.

出版信息

Curr Pharm Teach Learn. 2018 May;10(5):558-565. doi: 10.1016/j.cptl.2018.02.008. Epub 2018 Mar 6.

Abstract

INTRODUCTION

Exposure to medication therapy management (MTM) courses has demonstrated to increase student pharmacist's confidence in the application of patient care skills. The purpose of this study was to evaluate the effects of student pharmacists' work experience in a telehealth MTM program, versus hospital or community settings, on their confidence in skills applied in patient care.

METHODS

This was a cross-sectional multicenter survey. Confidence in patient care among student pharmacists was assessed between those who worked in a telehealth MTM program versus other settings. The data was evaluated using Chi-Square, Fisher exact, unpaired-t, Kruskal-Wallis, and Mann-Whitney U tests.

RESULTS

282 surveys were completed. First-year student pharmacists who worked in the telehealth MTM programs, versus other settings, were more confident in the provision of a comprehensive medication review (CMR) (p < .001), interviewing patients (p < .001), identifying medication errors (p < .001), and making therapeutic recommendations to patients (p = .04) and prescribers (p = .04). Second and third-year student pharmacists who worked in telehealth MTM programs, versus other settings, were more confident in the provision of a CMR (p ≤ .005). Fourth-year student pharmacists who worked in the telehealth MTM programs, versus other settings, were more confident in the provision of a CMR (p = .003), interviewing patients (p = .02), and identifying medication errors (p = .04).

CONCLUSION

Student pharmacists' participation in a telehealth MTM program may markedly increase their confidence in skills applied in patient care. MTM work experience should be offered to student pharmacists during their PharmD programs to enhance their confidence in the provision of patient care.

摘要

引言

接触药物治疗管理(MTM)课程已被证明能增强学生药剂师在应用患者护理技能方面的信心。本研究的目的是评估学生药剂师在远程医疗MTM项目中工作的经验,与在医院或社区环境中工作的经验相比,对他们在患者护理中应用技能的信心的影响。

方法

这是一项横断面多中心调查。评估了在远程医疗MTM项目中工作的学生药剂师与在其他环境中工作的学生药剂师在患者护理方面的信心。使用卡方检验、Fisher精确检验、非配对t检验、Kruskal-Wallis检验和Mann-Whitney U检验对数据进行评估。

结果

共完成282份调查问卷。与在其他环境中工作的学生药剂师相比,在远程医疗MTM项目中工作的一年级学生药剂师在提供全面药物审查(CMR)(p < 0.001)、询问患者(p < 0.001)、识别用药错误(p < 0.001)以及向患者(p = 0.04)和开处方者(p = 0.04)提出治疗建议方面更有信心。与在其他环境中工作的学生药剂师相比,在远程医疗MTM项目中工作的二年级和三年级学生药剂师在提供CMR方面更有信心(p ≤ 0.005)。与在其他环境中工作的学生药剂师相比,在远程医疗MTM项目中工作的四年级学生药剂师在提供CMR(p = 0.003)、询问患者(p = 0.02)和识别用药错误(p = 0.04)方面更有信心。

结论

学生药剂师参与远程医疗MTM项目可能会显著增强他们在患者护理中应用技能的信心。应在药学博士课程期间为学生药剂师提供MTM工作经验,以增强他们提供患者护理的信心。

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