Baker Carrie, Ghassemi Emily, Bowers Riley
Cape Fear Valley Medical Center, Campbell University College of Pharmacy & Health Sciences.
Campbell University College of Pharmacy & Health Sciences, SRAHEC Family Medical Center.
Innov Pharm. 2021 Jun 10;12(3). doi: 10.24926/iip.v12i3.4043. eCollection 2021.
The 2019 Hospital National Patient Safety Goal 03.05.01 indicates education regarding anticoagulant therapy should be provided to patients and families. Previous studies assessing pharmacist and pharmacy student involvement in oral anticoagulation (OAC) education services have focused on patient-related outcomes, with limited emphasis on the additional benefit to the student. The purpose of this study was to assess the benefit of pharmacy student involvement in anticoagulation education services both clinically and through their perceptions of participating in the service. This study assessed students' knowledge and perceptions of providing OAC education before and after a 1-month learning experience, where students provided counseling 2-3 days per week. The primary endpoint was comparing each student's pre- and post-rotation OAC education knowledge assessments. Secondary endpoints included percentage change in knowledge between the prospective cohort and a historical comparator group, perceived benefit of student participation in the service, percentage of patients able to recall counseling, and number of interventions made related to OAC therapy. A total of 35 pharmacy students were included in this prospective study with 277 patients receiving counseling from June 2020 through March 2021. A total of 32 pharmacy students had assessment data available for retrospective comparison. The mean pharmacy student score within the prospective cohort improved significantly (21.5%) between the pre-assessment and post-assessment. Change in pre- and post-rotation knowledge assessment was also significantly higher in the prospective cohort compared to the retrospective group. Additionally, students gained confidence in their counseling abilities and OAC knowledge through participation. Pharmacy student participation within anticoagulation education services significantly improved student knowledge and confidence in their counseling abilities. It also allowed for over 70% of patients to successfully recall pertinent information about their anticoagulants over a week later and improved patient care through dosing interventions.
2019年医院全国患者安全目标03.05.01指出，应向患者及其家属提供抗凝治疗方面的教育。以往评估药剂师和药学专业学生参与口服抗凝（OAC）教育服务的研究主要关注与患者相关的结果，对学生的额外益处关注较少。本研究的目的是评估药学专业学生参与抗凝教育服务在临床方面的益处以及他们对参与该服务的认知。本研究评估了学生在为期1个月的学习经历前后提供OAC教育的知识和认知，在此期间学生每周提供2 - 3天的咨询服务。主要终点是比较每位学生轮转前后的OAC教育知识评估。次要终点包括前瞻性队列与历史对照组合之间知识的百分比变化、学生参与该服务的感知益处、能够回忆起咨询内容的患者百分比以及与OAC治疗相关的干预措施数量。这项前瞻性研究共纳入了35名药学专业学生，从2020年6月至2021年3月共有277名患者接受了咨询。共有32名药学专业学生有可供回顾性比较的评估数据。前瞻性队列中，药学专业学生的平均得分在预评估和后评估之间显著提高（21.5%）。与回顾性组相比，前瞻性队列中轮转前后知识评估的变化也显著更高。此外，学生通过参与获得了咨询能力和OAC知识方面的信心。药学专业学生参与抗凝教育服务显著提高了学生的知识水平和咨询能力方面的信心。这也使得超过70%的患者在一周多后能够成功回忆起有关其抗凝剂的相关信息，并通过剂量干预改善了患者护理。
