Liu Yu, Peng Yang, Zhu Bimin, Xia Zhihua, Yuan Yonghua, Zhang Fujun
Department of Pharmacy, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, People's Republic of China.
Department of Pharmacy, Dianjiang County People's Hospital, Chongqing, 408300, People's Republic of China.
J Pain Res. 2025 Jan 21;18:305-314. doi: 10.2147/JPR.S493936. eCollection 2025.
To develop a training program on cancer pain management for pharmacists and to evaluate the effectiveness of the training.
The program developed a well-structured curriculum and subsequent evaluation of training effectiveness, guided by the Kirkpatrick four-tier evaluation model, including reaction, learning, behavior, and results. The training approach incorporated mentoring, study groups, and problem-based learning to create an immersive and impactful learning experience.
Fifty-three pharmacists participated in the survey. The reaction evaluation results showed that the cumulative percentage of "satisfied" and "very satisfied" with each of the nine statements exceeded 85%. The findings from the learning level assessment revealed that the cumulative percentage of accurate responses to the 13 items on the Cancer Pain Management Questionnaire was 57.7% before training. This percentage rose to 64.2% following the training, showcasing a statistically significant improvement (p=0.014). The behavioral scoring results showed that 53 trainees scored an average of more than 15 points on all four behavioral benchmarks. The pass rate for the trainees was 86.8%. The percentages of trainees who scored proficient, good, and excellent were 18.9% (10/53), 50.9% (27/53), and 17.0% (9/53), respectively. The evaluation of the results showed that all the respondents were engaged in cancer pain management practices. Of these participants, 85.7% (42/49) were members of a multidisciplinary cancer pain management team, and 53.1% (26/49) performed a cancer pain consultation or attended an outpatient clinic.
Study results suggested that the training program was effective in all dimensions defined by the Kirkpatrick model. This collective achievement indicates a substantial enhancement in the comprehension and proficiency of pharmacists regarding cancer pain management.
为药剂师制定癌症疼痛管理培训计划并评估培训效果。
该计划制定了结构完善的课程，并根据柯克帕特里克四级评估模型对培训效果进行后续评估，包括反应、学习、行为和结果。培训方法包括指导、学习小组和基于问题的学习，以创造沉浸式且有影响力的学习体验。
53名药剂师参与了调查。反应评估结果显示，对九条陈述中每条的“满意”和“非常满意”累计百分比均超过85%。学习水平评估结果表明，癌症疼痛管理问卷上13项内容的准确回答累计百分比在培训前为57.7%。培训后该百分比升至64.2%，显示出统计学上的显著改善（p = 0.014）。行为评分结果显示，53名学员在所有四个行为基准上的平均得分均超过15分。学员的通过率为86.8%。得分熟练、良好和优秀的学员百分比分别为18.9%（10/53）、50.9%（27/53）和17.0%（9/53）。结果评估显示，所有受访者都参与了癌症疼痛管理实践。在这些参与者中，85.7%（42/49）是多学科癌症疼痛管理团队的成员，53.1%（26/49）进行了癌症疼痛咨询或参加了门诊。
研究结果表明，该培训计划在柯克帕特里克模型定义的所有维度上均有效。这一总体成果表明药剂师在癌症疼痛管理方面的理解和能力有了显著提高。
