J Am Pharm Assoc (2003). 2020 Nov-Dec;60(6):e140-e144. doi: 10.1016/j.japh.2020.04.015. Epub 2020 May 21.
The primary objective of this study was to evaluate the National Association of Chain Drugstores' point-of-care testing (POCT) training program's effect on the implementation of pharmacy POCT services in Arkansas and barriers that may have prevented or slowed implementation. The secondary objective was to evaluate the quality of the training program by asking participants to report their feelings of preparedness at the conclusion of the training and once they began implementing POCT services independently.
In July 2019, 57 pharmacists in Arkansas were invited by e-mail to participate in a survey project to evaluate the effectiveness of the POCT training program. The responses were captured using the REDCap survey platform. The survey was available for approximately 5 weeks. The data were interpreted using descriptive analysis.
A total of 25 pharmacists responded to the survey. Eight e-mail contacts were determined to be inactive or ineligible to participate for a usable response rate of 46.9%. Approximately 48% of the respondents stated that their pharmacy offered POCT services. The most common barrier to implementation identified by the respondents was determining how to obtain treatment for patients who tested positive. Most of the respondents also reported feeling at least "very prepared" at the conclusion of the training program. Once they began implementing POCT services on their own, 6 respondents reported a decrease in preparedness, 2 respondents reported an increase in preparedness, and the remainder felt equally prepared in both scenarios. More than half of the respondents (52.2%) requested additional resources outside of what is currently provided.
The implementation rates and effectiveness of the training program discussed in this study will potentially help improve the training and expand POCT services. As pharmacies add additional services outside of dispensing products, training programs and other resources will become increasingly important.
本研究的主要目的是评估全国连锁药店（NACDS）即时检验（POCT）培训计划对阿肯色州药房 POCT 服务实施的效果，以及可能阻碍或减缓实施的障碍。次要目的是通过询问参与者在培训结束时和独立实施 POCT 服务后对准备情况的感受，评估培训计划的质量。
2019 年 7 月，通过电子邮件邀请阿肯色州的 57 名药剂师参与一项评估 POCT 培训计划效果的调查项目。使用 REDCap 调查平台获取回应。该调查大约进行了 5 周。使用描述性分析对数据进行解释。
共有 25 名药剂师对调查做出回应。经确定，8 封电子邮件的联系人处于非活动状态或没有资格参与，因此有效回复率为 46.9%。约 48%的受访者表示其药房提供 POCT 服务。受访者识别的实施障碍主要是确定如何为检测呈阳性的患者提供治疗。大多数受访者还报告在培训计划结束时至少感到“非常有准备”。一旦他们开始独立实施 POCT 服务，6 名受访者报告准备程度下降，2 名受访者报告准备程度增加，其余受访者在这两种情况下都感到同样有准备。超过一半的受访者（52.2%）要求获得除当前提供之外的额外资源。
本研究中讨论的培训计划的实施率和效果可能有助于改进培训并扩大 POCT 服务。随着药房在配药产品之外增加其他服务，培训计划和其他资源将变得越来越重要。
