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课堂之外:一项评估学生药剂师对高仿真人体模型化疗输液反应模拟的信心和认知的观察性研究。

Beyond the Classroom: An Observational Study to Assess Student Pharmacists' Confidence and Perception of a High-Fidelity Manikin Chemotherapy Infusion Reaction Simulation.

作者信息

Jessee Jeremiah K, Miller Akera, Ebied Alex M

机构信息

Department of Clinical Sciences, Fred Wilson School of Pharmacy, High Point University, High Point, NC, USA.

出版信息

J Pharm Technol. 2022 Jun;38(3):135-141. doi: 10.1177/87551225211073570. Epub 2022 Jan 26.

Abstract

To assess the impact of a high-fidelity manikin chemotherapy infusion simulation on student pharmacists' confidence in applying clinical knowledge and perception of oncology pharmacy practice. One cohort of third professional year student pharmacists completed a high-fidelity manikin simulation during the last week of their didactic training. The 10-minute manikin experience simulated an acute paclitaxel infusion reaction, requiring students to apply their knowledge on how to provide patient care during a chemotherapy-induced infusion reaction. A pre- and post-survey was administered to determine whether there was a change in students' confidence and perception. Thirty-three student pharmacists (62%) completed the pre- and post-surveys and manikin simulation. A statistically significant improvement was seen in median confidence scores when comparing pre- and post-questions of all 10 survey items ( < 0.001). Students' perception of oncology pharmacy and the manikin simulation had mean of 4.4 on a 0- to 5-point Likert scale. The high-fidelity manikin experience improved student pharmacists' post-survey confidence of applying clinical skills. In addition, students' perception of oncology pharmacy improved and the use of a manikin simulation to support didactic learning was seen as an additional avenue for delivering didactic curriculum. This study explored the feasibility of introducing a manikin simulation into the oncology pharmacy curriculum and the benefit of providing hands-on application of clinical skills to support didactic concept-based learning.

摘要

评估高仿真人体模型化疗输注模拟对学生药剂师应用临床知识的信心以及肿瘤药学实践认知的影响。一组三年级专业学生药剂师在其理论培训的最后一周完成了一次高仿真人体模型模拟。这次10分钟的人体模型体验模拟了急性紫杉醇输注反应,要求学生运用他们关于如何在化疗引起的输注反应期间提供患者护理的知识。进行了一次前后调查,以确定学生的信心和认知是否有变化。33名学生药剂师(62%)完成了前后调查和人体模型模拟。在比较所有10个调查项目的前后问题时,中位数信心得分有统计学上的显著提高(<0.001)。学生对肿瘤药学和人体模型模拟的认知在0至5分的李克特量表上平均得分为4.4。高仿真人体模型体验提高了学生药剂师在调查后应用临床技能的信心。此外,学生对肿瘤药学的认知有所改善,并且将人体模型模拟用于支持理论学习被视为传授理论课程的另一条途径。本研究探讨了将人体模型模拟引入肿瘤药学课程的可行性,以及提供临床技能的实践应用以支持基于理论概念学习的益处。

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