Herring Morgan S, Beckett Emily A, Stanton-Robinson Chayla A, Witry Matthew J
University of Iowa College of Pharmacy, Department of Pharmacy Practice and Science, Division of Applied Clinical Sciences, 115 South Grand Avenue, Iowa City, IA 52242, United States.
Xavier University of Louisiana College of Pharmacy, Division of Clinical and Administrative Sciences, 1 Drexel Drive, New Orleans, LA 70125, United States.
Curr Pharm Teach Learn. 2018 Jul;10(7):918-924. doi: 10.1016/j.cptl.2018.04.015. Epub 2018 Apr 26.
Didactic approaches for instructing students about diabetes nutrition and self-management have been described previously in the pharmacy education literature. There is a need for diabetes nutrition active learning approaches that can be incorporated into the advanced pharmacy practice experience (APPE) setting so students can apply previous didactic learning in a real world setting. The goal was to add to students' knowledge of diabetes nutrition thereby increasing their comfort in discussing nutrition with patients.
The nutrition tour activity was implemented in the APPE setting and involved pharmacy students on ambulatory and inpatient rotations. The nutrition tour included several active learning exercises such as evaluation of nutrition labels and development of a day-long carbohydrate-consistent meal plan to encourage student engagement and application of information. Student pre- and post-activity survey data was collected two weeks before and two weeks after the tour to assess retention of knowledge of diabetes nutrition and comfort in diabetes nutrition education. Changes in knowledge and comfort were assessed using t-tests.
Fifty-five pharmacy students participated in the nutrition tour with 45 completing the pre-activity survey and 40 completing the post-activity survey. Comparison of student pre- and post-activity survey scores identified statistically significant increases in both total nutrition knowledge (p < 0.001) and student comfort in counseling on diabetes nutrition (p < 0.001).
A diabetes nutrition tour guided by a pharmacy preceptor for APPE students was associated with increased diabetes nutrition knowledge and comfort in educating on diabetes nutrition.
药学教育文献中先前已描述了指导学生学习糖尿病营养与自我管理的教学方法。需要有糖尿病营养主动学习方法，可纳入高级药学实践经验（APPE）环境中，以便学生能够在现实环境中应用先前所学的理论知识。目标是增加学生对糖尿病营养的了解，从而提高他们与患者讨论营养问题时的自信。
营养参观活动在APPE环境中开展，参与的药学专业学生进行门诊和住院轮转。营养参观包括几个主动学习练习，如营养标签评估和制定为期一天的碳水化合物一致的饮食计划，以鼓励学生参与并应用所学信息。在参观前两周和参观后两周收集学生活动前后的调查数据，以评估糖尿病营养知识的保留情况以及学生在糖尿病营养教育方面的自信程度。使用t检验评估知识和自信程度的变化。
55名药学专业学生参加了营养参观，45名完成了活动前调查，40名完成了活动后调查。比较学生活动前后的调查得分发现，总体营养知识（p<0.001）和学生在糖尿病营养咨询方面的自信程度（p<0.001）均有统计学上的显著提高。
由带教药师指导的针对APPE学生的糖尿病营养参观活动，与糖尿病营养知识的增加以及在糖尿病营养教育方面的自信程度提高相关。
