Borja-Hart Nancy L, Spivey Christina A, George Christa M
University of Tennessee Health Science Center College of Pharmacy, Department of Clinical Pharmacy and Translational Science, 301 S. Perimeter Park Dr., Suite 220, Nashville, TN 37211, United States.
University of Tennessee Health Science Center College of Pharmacy, Department of Clinical Pharmacy and Translational Science, 881 Madison Ave., Memphis, TN 38163, United States.
Curr Pharm Teach Learn. 2019 Jul;11(7):710-718. doi: 10.1016/j.cptl.2019.03.009. Epub 2019 Mar 23.
Knowledge related to the use of virtual patients (VP) in pharmacy education is limited in relation to student satisfaction with this learning technique. This project aimed to assess students' confidence and impressions in using their communication skills with a VP and to evaluate their skills using this technology.
This explanatory mixed-methods study was conducted with first-year doctor of pharmacy students. Fourteen survey items that addressed confidence in student abilities and VP impressions were analyzed. Mann-Whitney U tests were conducted to compare pre- and post- scores. Student reflections were reviewed to obtain primary themes and concerns. Descriptive statistics were used for student grades.
Out of 205 students, 203 completed the pre-survey and 163 completed the post-survey. Responses regarding pre-post confidence indicated statistically significant improvement (p < 0.001) for 8 of 10 survey items as follows: understand history taking, conduct an organized interview, elicit subjective information, ask follow-up questions, ask questions related to severity, document subjective data, document objective data, and organize an interview. Regarding their impressions toward VPs, student responses were improved and statistically significant (p < 0.001) for 1 of 4 survey items (tools are easy to use). Forty-two students stressed the need to improve their written communication skills in the self-reflection. The average grade for subjective data was 31.48% and for objective data was 93.66%.
This VP program improved student confidence in their verbal and written communication skills despite low subjective data scores.
与药学教育中虚拟患者(VP)使用相关的知识,在学生对这种学习技术的满意度方面较为有限。本项目旨在评估学生在与虚拟患者运用沟通技巧时的信心和印象,并评估他们使用该技术的技能。
本解释性混合方法研究针对药学专业一年级学生开展。分析了14项关于学生能力信心和对虚拟患者印象的调查项目。进行曼-惠特尼U检验以比较前后得分。审查学生的反思以获取主要主题和关注点。使用描述性统计分析学生成绩。
在205名学生中,203名完成了预调查,163名完成了后调查。关于前后信心的回答表明,10项调查项目中的8项在统计学上有显著改善(p < 0.001),具体如下:理解病史采集、进行有条理的访谈、引出主观信息、提出后续问题、询问与严重程度相关的问题、记录主观数据、记录客观数据以及组织访谈。关于他们对虚拟患者的印象,4项调查项目中的1项(工具易于使用)学生的回答有改善且具有统计学意义(p < 0.001)。42名学生在自我反思中强调需要提高书面沟通技巧。主观数据的平均成绩为31.48%,客观数据的平均成绩为93.66%。
尽管主观数据得分较低,但该虚拟患者项目提高了学生在口头和书面沟通技巧方面的信心。