Jenkins Zachary, Laswell Emily, Stute Nicole
Cedarville University School of Pharmacy, 251 N. Main St., Cedarville, OH, United States.
Curr Pharm Teach Learn. 2019 Sep;11(9):936-942. doi: 10.1016/j.cptl.2019.06.016. Epub 2019 Aug 1.
The goal of this prospective, observational cohort study was to determine if simulated interdisciplinary teaching rounds improved student perceptions of confidence and attitudes towards working as part of a team. The secondary objective of this study was to investigate changes in student knowledge of the management of sepsis.
Students participated in a traditional sepsis lecture followed by a simulated interdisciplinary rounding experience. Confidence and collaborative attitudes were assessed using a 5-point Likert scale (1=strongly disagree, 5=strongly agree). Changes in knowledge were measured using multiple choice questions. Students completed these tools at three points in time: pre-lecture, post-lecture, and post-simulation.
Student confidence and attitudes related to interdisciplinary rounds improved following the simulation (2 of 4 items, p=0.003; 2 of 5 items, p<0.05). Also, most students agreed or strongly-agreed that the simulation reinforced knowledge gained from lecture (94.7%), that lecture followed by a simulation was the most effective way to learn about sepsis (94.7%), and that the simulation helped reinforce critical-thinking skills (94.7%). Knowledge improved between the didactic lecture and the simulation, but these differences were not found to be statistically significant.
A simulated interdisciplinary rounding experience may increase student confidence during teaching rounds and improve attitudes towards working alongside other healthcare professionals. Incorporating rounding simulations into pharmacy curricula may be beneficial towards student success on rounds.
这项前瞻性观察性队列研究的目的是确定模拟跨学科教学查房是否能改善学生对作为团队一员工作的信心和态度。本研究的次要目的是调查学生在脓毒症管理知识方面的变化。
学生参加了一场关于脓毒症的传统讲座,随后是模拟跨学科查房体验。使用5点李克特量表(1 = 强烈不同意,5 = 强烈同意)评估信心和协作态度。使用多项选择题测量知识的变化。学生在三个时间点完成这些工具:讲座前、讲座后和模拟后。
模拟后,学生与跨学科查房相关的信心和态度有所改善(4项中的2项,p = 0.003;5项中的2项,p < 0.05)。此外,大多数学生同意或强烈同意模拟强化了从讲座中学到的知识(94.7%),讲座后进行模拟是学习脓毒症的最有效方式(94.7%),以及模拟有助于强化批判性思维技能(94.7%)。在理论讲座和模拟之间知识有所提高,但这些差异未发现具有统计学意义。
模拟跨学科查房体验可能会增加教学查房期间学生的信心,并改善对与其他医疗专业人员一起工作的态度。将查房模拟纳入药学课程可能有助于学生在查房中取得成功。