Pharmacy, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland.
Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
J Cancer Educ. 2023 Feb;38(1):285-291. doi: 10.1007/s13187-021-02113-z. Epub 2021 Nov 17.
Despite the growing use of chemotherapy drugs in resource-constrained settings, training opportunities on safe handling practices are lacking. This study's objectives were to develop and evaluate an e-learning training module on the safe handling of chemotherapy drugs to strengthen knowledge and practices in low- and middle-income countries (LMICs). The module's curriculum was developed using the Six-Step Approach for Curriculum Development for Medical Education. Asynchronous, self-paced, e-learning lessons within the module were created and uploaded onto a free online platform, Pharm-Ed. The study ran online from January to April 2021. Participant recruitment was done using convenience sampling through various channels (social media, communities of practice). Training module effectiveness was evaluated using knowledge assessments (a pre-test and post-test study design) and participant satisfaction. We developed a comprehensive e-learning module on the safe handling of chemotherapy drugs comprising 11 asynchronous, self-paced, e-learning lessons. Eighty-two participants (68% pharmacists and 17% pharmacy students) from 17 countries completed at least one lesson, with a total of 259 lessons completed. Evaluation of the different lessons showed significant improvements in theoretical knowledge (p < 0.01) in all except one lesson and a high degree of participant satisfaction. As the use of anti-cancer drugs in LMICs will continue to increase, this e-learning module is an effective means to address the lack of training opportunities on the safe handling of chemotherapies for healthcare workers in these countries. The module could be integrated into a multi-modal approach aimed at reducing occupational exposure and increasing patient safety in cancer care centers.
尽管在资源有限的环境中越来越多地使用化疗药物，但安全处理实践方面的培训机会却很缺乏。本研究旨在开发和评估一个关于安全处理化疗药物的电子学习培训模块，以加强中低收入国家（LMICs）的知识和实践。该模块的课程是使用医学教育的六步课程开发方法开发的。模块内的异步、自定进度的电子学习课程被创建并上传到免费的在线平台 Pharm-Ed 上。该研究于 2021 年 1 月至 4 月在网上进行。通过各种渠道（社交媒体、实践社区）采用便利抽样法招募参与者。通过知识评估（预测试和后测试研究设计）和参与者满意度来评估培训模块的效果。我们开发了一个关于安全处理化疗药物的综合电子学习模块，包括 11 个异步、自定进度的电子学习课程。来自 17 个国家的 82 名参与者（68%是药剂师，17%是药学学生）完成了至少一个课程，共完成了 259 个课程。对不同课程的评估表明，除了一个课程外，所有课程的理论知识都有显著提高（p<0.01），而且参与者的满意度很高。随着抗癌药物在 LMICs 的使用不断增加，这种电子学习模块是解决这些国家医疗工作者在安全处理化疗药物方面培训机会不足的有效手段。该模块可以整合到一种多模式方法中，旨在减少癌症护理中心的职业暴露和提高患者安全性。
