Murphy Andrea L, Gardner David M
College of Pharmacy, Dalhousie University, 5968 College St., PO Box 15000, Halifax, NS, B3H 4R2, Canada.
Department of Psychiatry, Dalhousie University, QEII HSC, AJLB 7517, 5909 Veterans' Memorial Lane, Halifax, NS, B3H 2E2, Canada.
BMC Res Notes. 2018 Oct 26;11(1):765. doi: 10.1186/s13104-018-3869-5.
The Headstrong program, a pharmacy based men's mental health promotion program, was designed to enhance pharmacists' care of men with mental illness and addictions and was focused on six conditions. A simulated patient (SP) encounter on insomnia was used to evaluate pharmacist's performance as a part of the Headstrong program.
Six Headstrong pharmacists consented to participate in the SP encounter as part of the evaluation of the Headstrong program. Pharmacists' mean scores in most categories that were evaluated (e.g., pre-supply/assessment score, sleep score) were lower than expected. In assessing the SP during the encounter, pharmacists' mean score was 5.7 (SD 2.0) of a possible 13 points. No pharmacists asked about the SP's age, availability of other supports, allergies, and whether they had an existing relationship with a pharmacist. One pharmacist inquired about medical conditions, and two asked about pre-existing mental health conditions. Three pharmacists inquired about concurrent medications. The Headstrong program was discussed by half of the pharmacists and a resource recommended by the Headstrong program was suggested by one pharmacist. Several pharmacists used self-disclosure as a mechanism to support rapport building. Overall, the SP felt cared for and respected by the pharmacists and had confidence in their knowledge.
“勇往直前”项目是一项基于药房的男性心理健康促进项目，旨在加强药剂师对患有精神疾病和成瘾问题男性的护理，该项目聚焦于六种病症。作为“勇往直前”项目的一部分，使用了一次关于失眠的模拟患者（SP）问诊来评估药剂师的表现。
六名“勇往直前”项目的药剂师同意参与这次SP问诊，作为对“勇往直前”项目评估的一部分。在大多数被评估的类别中（例如，供应前/评估分数、睡眠分数），药剂师的平均得分低于预期。在问诊过程中评估SP时，药剂师的平均得分在满分13分中为5.7分（标准差2.0）。没有药剂师询问SP的年龄、是否有其他支持、过敏情况以及他们是否与药剂师有现存关系。一名药剂师询问了医疗状况，两名药剂师询问了既往心理健康状况。三名药剂师询问了同时服用的药物。一半的药剂师讨论了“勇往直前”项目，一名药剂师提到了“勇往直前”项目推荐的一种资源。几名药剂师通过自我表露来建立融洽关系。总体而言，SP感觉受到了药剂师的关心和尊重，并对他们的知识有信心。
