Scott David M, Kelsch Michael P, Zhang Anqing, Friesner Daniel L
BPharm, MPH, PhD. Department of Pharmacy Practice, School of Pharmacy, College of Health Professions, North Dakota State University. Fargo, ND (United States).
PharmD, BCPS. Department of Pharmacy Practice, School of Pharmacy, College of Health Professions, North Dakota State University. Fargo, ND (United States).
Pharm Pract (Granada). 2021 Jan-Mar;19(1):2179. doi: 10.18549/PharmPract.2021.1.2179. Epub 2021 Feb 9.
To quantify the use of the interprofessional team member (ITM) domain of entrustable professional activities (EPAs) by North Dakota pharmacists across practice sites, roles in practice, and by preceptor status.
Survey methods were used to characterize the self-reported frequency with which pharmacists undertake core EPAs and supporting tasks in the ITM domain. The survey was administered to registered pharmacists practicing in North Dakota (n=990) during the fall of 2018, of which 457 (46.1%) responded. After eliminating responses with incomplete or missing information, 119 responses were available for analysis.
For the overall EPA ITM domain, "Collaborate as a member of an interprofessional team population" pharmacists reported performing these activities an average (mean) of 3.3 times per month (SD=2.3). Within this domain, the highest reported example activity was "Use setting appropriate communication skills when interacting with others" (mean=4.1, SD 1.8), followed by "Communicate a patient's medication-related problem(s) to another health professional" (mean=3.3, SD 2.0), and "Contribute medication-related expertise to the team's work" (mean=3.1, SD=2.2). ITM domain and supporting example activities were performed at a greater rate in hospitals, community health centers and long-term-care facilities. For most items, preceptors reported a greater use of activities, than did non-preceptors.
North Dakota pharmacists currently complete tasks outlined in the ITM domain of the EPAs, although their contributions are varied by task, role, and preceptor status.
量化北达科他州药剂师在不同执业地点、执业角色以及带教老师身份下,对可委托专业活动(EPA)中跨专业团队成员(ITM)领域的使用情况。
采用调查方法来描述药剂师开展ITM领域核心EPA及支持性任务的自我报告频率。2018年秋季,对在北达科他州执业的注册药剂师(n = 990)进行了调查,其中457人(46.1%)做出了回应。在剔除信息不完整或缺失的回复后,有119份回复可供分析。
对于整个EPA的ITM领域,“作为跨专业团队成员进行协作”,药剂师报告称这些活动平均每月进行3.3次(标准差 = 2.3)。在该领域内,报告频率最高的具体活动是“与他人互动时使用适合场景的沟通技巧”(均值 = 4.1,标准差1.8),其次是“将患者的用药相关问题告知另一位医疗专业人员”(均值 = 3.3,标准差2.0),以及“为团队工作贡献用药相关专业知识”(均值 = 3.1,标准差 = 2.2)。ITM领域及支持性具体活动在医院、社区卫生中心和长期护理机构中的执行频率更高。对于大多数项目,带教老师报告的活动使用频率高于非带教老师。
北达科他州的药剂师目前完成了EPA的ITM领域中概述的任务,尽管他们的贡献因任务、角色和带教老师身份而异。