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在药剂师实验室课程中实施阿片类药物过量和纳洛酮分发培训。

Implementation of an Opioid Overdose and Naloxone Distribution Training in a Pharmacist Laboratory Course.

机构信息

Sinai Hospital, LifeBridge Health, Baltimore, Maryland.

Notre Dame of Maryland University, School of Pharmacy, Baltimore, Maryland.

出版信息

Am J Pharm Educ. 2020 Feb;84(2):7179. doi: 10.5688/ajpe7179.

Abstract

To describe the instructional design, implementation, and evaluation of an opioid overdose response program (ORP) and opioid overdose education and naloxone distribution (OEND) training program to third-year pharmacy (P3) students. Using the 5-E learning cycle during a three-hour laboratory session, the authors developed an OEND training program. The training began with an engagement exercise encompassing validated pre-Opioid Overdose Knowledge Scale (OOKS) and pre-Opioid Overdose Attitudes Scale (OOAS) assessments. Directly after, students moved to the exploration phase of the program, which consisted of two stations with placebo naloxone products. There, instructors explained key content related to OEND. Students applied what was learned during the elaboration by completing two cases: using group-based point-by-point counseling as well as a scenario with a simulation patient manikin. The class ended with an evaluation exercise that involved completing post-OOKS and post-OOAS. Fifty-six students participated in the ORP certification and OEND training. Significant increases in total scores were seen on the pre- and post-assessment. Additionally, significant increases in student confidence in providing overdose response counseling and dispensing naloxone were observed. Students rated all the learning activities as very effective. Use of the 5-E learning cycle as an educational design method to structure active-learning activities was effective in increasing students' knowledge and improving their attitudes toward and confidence in providing overdose response.

摘要

描述了一项阿片类药物过量反应计划 (ORP) 和阿片类药物过量教育和纳洛酮分发 (OEND) 培训计划的教学设计、实施和评估,该计划针对的是三年级药学专业 (P3) 学生。作者在三个小时的实验室课程中使用 5-E 学习周期,开发了一个 OEND 培训计划。培训从一项包含经过验证的“阿片类药物过量前知识量表 (OOKS)”和“阿片类药物过量前态度量表 (OOAS)”评估的参与练习开始。直接在此之后,学生进入该计划的探索阶段,该阶段由两个带有安慰剂纳洛酮产品的站点组成。在那里,讲师解释了与 OEND 相关的关键内容。学生通过完成两个案例来应用在阐述过程中学到的知识:使用基于小组的逐点咨询以及使用模拟病人人体模型的场景。课程结束时,学生要完成 OOKS 和 OOAS 的课后评估。 56 名学生参加了 ORP 认证和 OEND 培训。预评估和后评估的总分均有显著提高。此外,学生在提供过量反应咨询和分发纳洛酮方面的信心也显著增强。学生对所有学习活动的评价均为非常有效。使用 5-E 学习周期作为教育设计方法来构建主动学习活动,有效地提高了学生的知识水平,并改善了他们对提供过量反应的态度和信心。

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