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在远程急性护理高级药学实践经验期间对新冠肺炎患者进行机构间模拟。

Interinstitutional simulation of patients with COVID-19 during a remote acute-care advanced pharmacy practice experience.

作者信息

Perry Michael W, Kobulinsky Lawrence R, Seybert Amy L, Kreider Madeline S, Williams Victoria, Smithburger Pamela L

机构信息

Duquesne University School of Pharmacy Pittsburgh Pennsylvania USA.

University of Pittsburgh School of Pharmacy Pittsburgh Pennsylvania USA.

出版信息

J Am Coll Clin Pharm. 2022 Apr;5(4):442-449. doi: 10.1002/jac5.1596. Epub 2022 Jan 24.

Abstract

INTRODUCTION

Faculty and staff from Duquesne University and the University of Pittsburgh Schools of Pharmacy created a simulation activity focused on the care of critically ill patients with coronavirus disease 2019 (COVID-19). Students on remote, short-term-care advanced pharmacy practice experiences (APPE) rotations from both universities worked in comingled teams and completed two educational electronic health record reviews, complex simulation sessions, and debriefs. Individually, students completed two educational electronic health record reviews and verbal patient presentations before and after the simulation sessions.

OBJECTIVES

Evaluate the effects of a simulation activity during a remote short-term-care APPE on student confidence and knowledge surrounding the care of a critically ill patient with COVID-19.

METHODS

Student knowledge surrounding COVID-19 short-term-care treatment principles was assessed through pre-/postcase-based multiple-choice examinations and an intermittent clinical examination (ICE). Student confidence and perceptions were gathered through anonymous pre-/postsurveys. The written examination and patient presentation recordings were compared from baseline to the final assessment using the Wilcoxon signed-rank test.

RESULTS

In total, 92 students participated in the activity. There was a statistically significant improvement from baseline to the final assessment (preassessment median [interquartile range (IQR)]: 55.3% [50%-60.5%]; postassessment median [IQR]: 68.4 [60.5%-73.7%];  < .001) on the written examination. ICE total scores improved from baseline (preassessment median [range]: 33 [28-36] vs postassessment median [range]: 36.5 [29.5-43.52];  = .004) as well as the objective ( < .001), plan ( < .001), and monitoring ( < .001) subdomain scores. Student confidence reported on surveys improved from baseline in all domains.

CONCLUSION

Remote simulation sessions improve student knowledge and confidence and provide an opportunity for students to experience caring for patients with COVID-19 in a safe environment. Collaboration between schools of pharmacy can be successfully employed to leverage resources and expertise to expand opportunities for students.

摘要

引言

杜肯大学和匹兹堡大学药学院的教职员工开展了一项模拟活动,重点关注2019冠状病毒病(COVID-19)危重症患者的护理。来自这两所大学的参加远程短期护理高级药学实践经验(APPE)轮转的学生混合组队,完成了两次教育性电子健康记录审查、复杂的模拟环节和汇报总结。学生个人在模拟环节前后分别完成了两次教育性电子健康记录审查和口头病例汇报。

目的

评估远程短期护理APPE期间的模拟活动对学生在COVID-19危重症患者护理方面的信心和知识的影响。

方法

通过病例前/后的多项选择题考试和间歇性临床考试(ICE)评估学生关于COVID-19短期护理治疗原则的知识。通过匿名的调查前/后问卷收集学生的信心和看法。使用Wilcoxon符号秩检验比较从基线到最终评估的笔试成绩和患者病例汇报记录。

结果

共有92名学生参与了该活动。从基线到最终评估,笔试成绩有统计学显著提高(评估前中位数[四分位间距(IQR)]:55.3%[50%-60.5%];评估后中位数[IQR]:68.4[60.5%-73.7%];<0.001)。ICE总分从基线有所提高(评估前中位数[范围]:33[28-36] vs评估后中位数[范围]:36.5[29.5-43.52];=0.004),以及目标(<0.001)、计划(<0.001)和监测(<0.001)子领域分数。调查中报告的学生信心在所有领域均从基线有所提高。

结论

远程模拟环节提高了学生的知识和信心,并为学生提供了在安全环境中体验护理COVID-19患者的机会。药学院之间的合作可以成功用于利用资源和专业知识,为学生拓展机会。

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