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研究教育干预对初级药师循证医学知识、态度、认知及药学实践的影响

Impact of Research Educational Intervention on Knowledge, Attitudes, Perceptions, and Pharmacy Practices Towards Evidence-based Medicine Among Junior Pharmacists.

作者信息

Bahmaid Reem A, Karim Mohammad, Al-Ghamdi Najwa, Al-Tannir Mohamad

机构信息

Pharmacy, King Fahad Medical City, Riyadh, SAU.

Research Center, King Fahad Medical City, Riyadh, SAU.

出版信息

Cureus. 2018 Jun 18;10(6):e2820. doi: 10.7759/cureus.2820.

Abstract

Background Establishing evidence-based medicine (EBM) is important for pharmaceutical care services to be effective and for adding value to patient care. Increasing examples are illustrating that health professionals hold positive attitudes toward EBM. Nevertheless, their knowledge and skills are relatively insufficient. The objective of this study was to assess the impact of research educational intervention on knowledge, attitudes, perceptions, and pharmacy practices towards evidence-based medicine among junior pharmacists. Methods A one group pre-test/post-test quasi-experimental design was conducted on postgraduate junior pharmacy staff working or training at one of the three randomly selected tertiary care settings in Riyadh, Saudi Arabia. This study consisted of two phases. During the first phase, a structured questionnaire assessing the knowledge, perceptions, and attitudes of the participants regarding EBM, as well as basic biostatistics, epidemiology and the utilization of EBM, was administered. The second phase was scheduled to begin four weeks after the distribution of the educational materials, whereby the same questionnaire was redistributed among the same participants. Results Sixty-seven pharmacists participated in this study. The overall percentage mean score of correct responses of the study participants' knowledge was 37.0% in the pre-test compared to 44.4% in the post-test. The percentage mean score of correct responses for biostatistics and epidemiology and study design sections significantly increased after the study intervention (p < 0.001), (p = 0.02), respectively. Regarding the study participants' attitudes towards EBM, only one item, "Willingness to support the promotion of EBM implementation," was statistically significantly higher in the post-test (61, 93.8%) participants compared to participants (53, 80.3%) in the pre-test, while "Possessing sufficient skills to implement EBM principles" was the only statistically significant item for the study participants' perceptions towards EBM in the pre-test compared to the post-test, (82.1%, 92.4%), respectively. Moreover, our results showed that 74.6% of the respondents were practicing EBM before the study intervention versus 81.5% after the intervention. Conclusion The results of this study reveal that comprehensive educational intervention might improve the knowledge, attitudes, and perceptions of EBM among pharmacists and encourage them to incorporate this into their everyday clinical practice.

摘要

背景 建立循证医学(EBM)对于使药学服务有效并为患者护理增添价值至关重要。越来越多的例子表明,卫生专业人员对循证医学持积极态度。然而,他们的知识和技能相对不足。本研究的目的是评估研究性教育干预对初级药师在循证医学知识、态度、认知及药学实践方面的影响。方法 对在沙特阿拉伯利雅得随机选择的三个三级医疗中心之一工作或培训的研究生初级药学人员进行了单组前后测准实验设计。本研究包括两个阶段。在第一阶段,发放一份结构化问卷,评估参与者关于循证医学、基础生物统计学、流行病学及循证医学应用方面的知识、认知和态度。第二阶段安排在发放教育材料四周后开始,向相同的参与者重新发放相同的问卷。结果 67名药师参与了本研究。研究参与者知识正确回答的总体平均得分在预测试中为37.0%,而在测试后为44.4%。研究干预后,生物统计学、流行病学和研究设计部分正确回答的平均得分百分比显著提高(p < 0.001),(p = 0.02)。关于研究参与者对循证医学的态度,只有一项“支持促进循证医学实施的意愿”在测试后(61人,93.8%)的参与者中比预测试(53人,80.3%)的参与者在统计学上显著更高,而“具备实施循证医学原则的足够技能”是研究参与者在预测试中对循证医学认知方面与测试后相比唯一在统计学上有显著差异的项目,分别为(82.1%,92.4%)。此外,我们的结果显示,74.6%的受访者在研究干预前实践循证医学,干预后为81.5%。结论 本研究结果表明,全面的教育干预可能会提高药师对循证医学的知识、态度和认知,并鼓励他们将其纳入日常临床实践。

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