Ngo Frances Lois U, Cadag Camille Francesca T, Ordoñez Jan Redmond V
Department of Pharmacy, College of Pharmacy, University of the Philippines Manila.
Acta Med Philipp. 2024 Nov 29;58(21):30-39. doi: 10.47895/amp.vi0.8335. eCollection 2024.
Pharmacists are in a unique position to provide important medication information, prevent errors, and help improve patient outcomes. Patient medication counseling (PMC) is integral in medication therapy management of pharmacists. Students perceive PMC as an important step in ensuring the most appropriate pharmacotherapy for the patients and as an essential component of drug management. The objective of the study is to describe the students' perceptions on a university-led patient medication counseling program implemented in a patient medication counseling course.
The study employs a qualitative study design with a total population sampling of forty-two (42) Clin Pharm 176 BS Pharmacy students in a College of Pharmacy. A self-evaluation adapted from the United States Pharmacopeia medication counseling behavior guidelines (USP-MCBG) scale was performed which has with four components: needs assessment, precautions and warnings, management of the treatment, and communication. A synthesis session was conducted utilizing a semi-structured questionnaire. The data was analyzed using measures of central tendency and thematic analysis.
Forty-two (42) students answered the USP-MCBG scale and participated in the synthesis session. Participants rated highest in communication (88.81 ± 8.78) and lowest in treatment management (79.49 ± 12.90) which suggests that the students were better equipped in displaying effective nonverbal behaviors and using appropriate language but were least confident in developing and managing treatment plans. There were five main domains on how the students evaluated the course and the PMC program which include pre-counseling session requirements, challenges in patient interaction, interprofessional collaboration, professional outlook, and program recommendations.
A university-led PMC program is effective in providing training for student pharmacists to identify and provide recommendations on medication therapy problems, and to practice interprofessional collaboration. It is recommended to continue the student training in the PMC program and to integrate this in the student internship program to evaluate the skills development of students during their clinical rotations.
药剂师处于提供重要用药信息、预防差错及帮助改善患者治疗效果的独特地位。患者用药咨询(PMC)是药剂师药物治疗管理的重要组成部分。学生们将PMC视为确保为患者提供最合适药物治疗的重要环节以及药物管理的关键要素。本研究的目的是描述学生对在患者用药咨询课程中实施的由大学主导的患者用药咨询项目的看法。
本研究采用定性研究设计,对药学院42名临床药学专业176名药学学士学生进行整群抽样。采用了一份根据美国药典用药咨询行为指南(USP - MC BG)量表改编的自我评估问卷,该量表有四个部分:需求评估、预防措施与警告、治疗管理以及沟通。使用半结构化问卷进行综合讨论。采用集中趋势测量法和主题分析法对数据进行分析。
42名学生回答了USP - MC BG量表并参与了综合讨论。参与者在沟通方面得分最高(88.81±8.78),在治疗管理方面得分最低(79.49±12.90),这表明学生在展示有效的非语言行为和使用恰当语言方面表现较好,但在制定和管理治疗计划方面最缺乏信心。学生对该课程和PMC项目的评价主要有五个领域,包括咨询前会议要求、患者互动中的挑战、跨专业协作、职业前景以及项目建议。
由大学主导的PMC项目能有效地为学生药剂师提供培训,使其识别药物治疗问题并提供建议,以及进行跨专业协作。建议继续在PMC项目中对学生进行培训,并将其纳入学生实习项目,以评估学生在临床轮转期间的技能发展情况。