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与临床药师和药师提供药学服务的意愿相关的因素:计划行为理论的应用。

Factors associated with intention of clinical pharmacists and candidates to provide pharmaceutical care: application of theory planned behaviour.

机构信息

Department of Clinical Pharmacy, Anadolu University, Faculty of Pharmacy, 26210, Eskisehir, Türkiye.

Department of Clinical Pharmacy, Inönü University, Faculty of Pharmacy, Malatya, Türkiye.

出版信息

BMC Med Educ. 2023 Sep 20;23(1):682. doi: 10.1186/s12909-023-04658-7.

Abstract

BACKGROUND

Postgraduate education programs in clinical pharmacy have become widespread in Türkiye. This study aimed to identify factors associated with the intention of Turkish clinical pharmacists and candidates (who were graduates and students of postgraduate clinical pharmacy programs) to provide pharmaceutical care.

METHODS

This prospective observational study was conducted between June 2021 and May 2022. After searching relevant studies, an expert panel discussion, translation, cultural adaptation, and a pilot study developed a 52-item Turkish scale based on the Theory of Planned Behavior (TBP). Cronbach alpha for each construct was calculated after an explanatory factor and test-retest reliability analysis. An online survey link was sent to all graduates or candidates of postgraduate clinical pharmacy programs in Türkiye. After univariate regression analysis, the multiple linear regression model was performed.

RESULTS

One hundred fifty-six participants completed the survey (response rate: 59.1%). The Cronbach's alpha for attitude (9 items), subjective norm (6 items), perceived behavioural control (5 items), self-efficacy (6 items), intention (11 items) and past behaviour (15 items) were 0.945, 0.720, 0.751, 0.864, 0.934 and 0.955 respectively. The multiple linear regression analysis found a higher score of the subjective norm (p = 0.016), a higher score of self-efficacy (p < 0.001), younger age (p < 0.001) and having PhD (p = 0.038) were associated with increased intention score.

CONCLUSIONS

It was shown that higher self efficacy and positive beliefs of their peers and other healthcare professionals were associated with their higher intention score for providing pharmaceutical care. Younger age and having a PhD were other factors associated with their intention to provide pharmaceutical care.

摘要

背景

研究生临床药学教育项目在土耳其已经广泛开展。本研究旨在确定与土耳其临床药师和候选者(研究生临床药学课程的毕业生和学生)提供药物治疗意愿相关的因素。

方法

这是一项前瞻性观察研究,于 2021 年 6 月至 2022 年 5 月期间进行。在搜索相关研究后,通过专家小组讨论、翻译、文化适应性调整和试点研究,根据计划行为理论(TBP)制定了一个包含 52 个项目的土耳其语量表。在进行解释性因子分析和测试-重测信度分析后,计算了每个结构的克朗巴赫α值。向土耳其所有研究生临床药学课程的毕业生或候选者发送了在线调查链接。在进行单变量回归分析后,进行了多元线性回归模型分析。

结果

共有 156 名参与者完成了调查(应答率:59.1%)。态度(9 个项目)、主观规范(6 个项目)、知觉行为控制(5 个项目)、自我效能(6 个项目)、意图(11 个项目)和过去行为(15 个项目)的克朗巴赫α值分别为 0.945、0.720、0.751、0.864、0.934 和 0.955。多元线性回归分析发现,主观规范得分较高(p=0.016)、自我效能得分较高(p<0.001)、年龄较小(p<0.001)和拥有博士学位(p=0.038)与较高的意图得分相关。

结论

研究表明,较高的自我效能和对同行及其他医疗保健专业人员的积极信念与他们提供药物治疗的较高意愿得分相关。较年轻的年龄和拥有博士学位是与提供药物治疗意愿相关的其他因素。

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