SinfoníaRx, Tucson, Arizona.
University of Arizona College of Pharmacy, Center for Health Outcomes and Pharmacoeconomic Research, Tucson, Arizona.
Am J Pharm Educ. 2019 Apr;83(3):6584. doi: 10.5688/ajpe6584.
To measure the impact of an interprofessional experience (IPE) in medication therapy management (MTM) on students' attitudes and skills regarding interprofessional collaboration (IPC). This interprofessional MTM experience spanned three weeks, with health science students (medicine, nursing, nutrition, and pharmacy) meeting once weekly. The IPE facilitated interprofessional student collaboration via small-group sessions to conduct MTM consultations for patients with complex chronic conditions. Student learning and attitudinal changes were evaluated by comparing pre- and post-IPE survey responses and a qualitative summary of the students' clinical recommendations. Efficacy of student groups was measured via patient satisfaction surveys and was reported by frequency of response. Twenty-seven students participated in the program and 22 completed both pre- and post-IPE surveys (81% response rate). The survey included open-ended and Likert-type items assessing students' attitudes and skills regarding the IPE as well as their reactions to the experience. Significant changes were observed for two attitudinal items regarding interprofessional teams: maintaining enthusiasm/interest and responsiveness to patients' emotional and financial needs. Patient-reported satisfaction and students' complex clinical recommendations provided further evidence of student learning. This novel IPE in MTM promoted interprofessional collaboration and education in this unique patient care area. Students' attitudes toward and skills in interprofessional collaboration improved, and the patients who received care reported positive experiences. Many health professions programs face challenges in meeting IPE requirements. The results of our study may provide the impetus for other institutions to develop similar programs to meet this urgent need.
评估药物治疗管理(MTM)中的跨专业经验(IPE)对学生关于跨专业合作(IPC)的态度和技能的影响。这种跨专业 MTM 体验持续了三周,健康科学专业的学生(医学、护理、营养和药学)每周会面一次。IPE 通过小组会议促进了跨专业学生的合作,为患有复杂慢性疾病的患者进行 MTM 咨询。通过比较 IPE 前后的调查回复和学生临床建议的定性总结,评估学生的学习和态度变化。通过患者满意度调查和回复频率来衡量学生小组的效果。27 名学生参加了该计划,其中 22 名学生完成了 IPE 前后的调查(81%的回复率)。该调查包括评估学生对 IPE 的态度和技能的开放性和李克特式项目,以及他们对该体验的反应。在关于跨专业团队的两个态度项目方面观察到了显著变化:保持热情/兴趣和对患者的情感和经济需求的响应能力。患者报告的满意度和学生的复杂临床建议进一步证明了学生的学习成果。这种新型的 MTM 中的 IPE 促进了在这个独特的患者护理领域的跨专业合作和教育。学生对跨专业合作的态度和技能得到了提高,接受护理的患者报告了积极的体验。许多健康专业课程在满足 IPE 要求方面面临挑战。我们研究的结果可能为其他机构提供动力,以开发类似的计划来满足这一紧迫需求。