Walpola Ramesh L, Fois Romano A, McLachlan Andrew J, Chen Timothy F
Faculty of Pharmacy, The University of Sydney, Camperdown, New South Wales, Australia.
Centre for Education and Research on Ageing, Concord Repatriation General Hospital, Concord, New South Wales, Australia.
BMJ Simul Technol Enhanc Learn. 2016 Jun 22;2(3):87-89. doi: 10.1136/bmjstel-2016-000111. eCollection 2016.
Despite peer-led teaching demonstrating benefits in patient safety education, few studies have evaluated these programmes from the perspective of peer leaders.
To evaluate the impact of peer leader participation in a patient safety education workshop in improving their patient safety attitudes.
34 final year pharmacy student peer leaders.
An interactive peer-led patient safety workshop was delivered to 249 first year pharmacy students. Peer leaders' attitudes were assessed 2 months prior to and immediately after peer leader training; and immediately after and 1 month following the workshop. Using a validated patient safety attitudinal survey, repeated measures analysis of variance and pairwise comparisons were used to evaluate changes in four key attitudes over time: being quality improvement focused; internalising errors; questioning more senior healthcare professionals' behaviours; and attitudes towards the open disclosure of errors.
Compared to baseline, peer leaders' attitudes towards open disclosure significantly improved immediately following the workshop (p=0.010) and were sustained after 1 month (p=0.028). Attitudes towards being quality improvement focused also improved significantly 1 month after the workshop (p=0.003).
Participation in a peer-led patient safety education programme benefits both students and peer leaders, enabling further mastery of concepts and enhancing generational change in patient safety practices.
尽管同伴主导的教学在患者安全教育中显示出益处,但很少有研究从同伴领导者的角度评估这些项目。
评估同伴领导者参与患者安全教育工作坊对改善其患者安全态度的影响。
34名药学专业最后一年的学生同伴领导者。
为249名药学专业一年级学生举办了一次由同伴主导的互动式患者安全工作坊。在同伴领导者培训前2个月和培训结束后立即评估他们的态度;在工作坊结束后立即和结束后1个月进行评估。使用经过验证的患者安全态度调查问卷,采用重复测量方差分析和两两比较来评估四个关键态度随时间的变化:注重质量改进;将错误内在化;质疑更资深医疗保健专业人员的行为;以及对公开披露错误的态度。
与基线相比,同伴领导者对公开披露错误的态度在工作坊结束后立即显著改善(p = 0.010),并在1个月后持续改善(p = 0.028)。对注重质量改进的态度在工作坊结束后1个月也显著改善(p = 0.003)。
参与同伴主导的患者安全教育项目对学生和同伴领导者都有益,能使他们进一步掌握概念,并促进患者安全实践中的代际变化。