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[运用互动过程分析的罗特尔方法(RIAS)对药学专业学生临床培训后沟通能力的分析]

[Analysis by Using Roter Method of Interaction Process Analysis (RIAS) of the Ability of Pharmacy Students to Communicate after Clinical Training for Pharmacy].

作者信息

Takekuma Yoh, Mori Ayako, Kobayashi Masaki, Yamada Yuma, Sato Yuki, Narumi Katsuya, Furugen Ayako, Sugawara Mitsuru

机构信息

Laboratory of Pharmacokinetics, Faculty of Pharmaceutical Sciences, Hokkaido University.

The Education Research Center for Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Hokkaido University.

出版信息

Yakugaku Zasshi. 2018;138(12):1579-1586. doi: 10.1248/yakushi.18-00032.

DOI:10.1248/yakushi.18-00032
PMID:30504673
Abstract

Communication education is now necessary for pharmaceutical education since the role of pharmacists has expanded from "medicine-based" to "person-based". However, a standard for assessing the effectiveness of a communication education program has not been established. Hence, the aim of this study was to determine the effectiveness of clinical training in pharmacy for enhancing the ability of pharmacy students to communicate. Role playing with simulated patients was performed by pharmacy students before and after clinical practice for pharmacy, and the effects of learning were analyzed by Roter method of interaction process analysis (RIAS). Analysis by RIAS enabled quantification and objective evaluation of communication by pharmacy students. The results showed improvement of interactive communication, decrease of "Question asking" and "Others" including "Transition words", and increase of "Partnership behaviors" and "Counsel behaviors". The pharmacy students became skillful in communication without showing hesitation. The results therefore showed that clinical training contributes to improvement in the ability of pharmacy students to communicate.

摘要

随着药剂师的角色从“以药物为基础”扩展到“以患者为基础”,沟通教育如今已成为药学教育的必要组成部分。然而,尚未建立评估沟通教育项目有效性的标准。因此,本研究的目的是确定药学临床培训对提高药学专业学生沟通能力的有效性。药学专业学生在药学临床实习前后与模拟患者进行角色扮演,并通过互动过程分析的罗特方法(RIAS)分析学习效果。通过RIAS进行的分析能够对药学专业学生的沟通进行量化和客观评估。结果显示,互动沟通有所改善,“提问”以及包括“过渡词”在内的“其他”类别减少,“合作行为”和“咨询行为”增加。药学专业学生在沟通中变得熟练,不再表现出犹豫。因此,结果表明临床培训有助于提高药学专业学生的沟通能力。

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