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Objective
To develop and validate a preceptor/student self-report survey instrument to distinguish between different advanced pharmacy practice experience (APPE) models based on pharmaceutical care competencies.Methods
The survey instrument''s psychometric properties and differential impacts of 3 community-based APPE models were evaluated retrospectively.Results
Five dimensions characterized APPE learning: importance of 14 pharmaceutical care competencies; agreement with pharmaceutical care procedures in practice; gains in perceived pharmaceutical care abilities; and learning climate and preceptor support. Most of the survey instrument scales detected student/preceptor differences as well as differences in APPE model structures. A streamlined, 30-item short form was validated against the full 78-item survey instrument.Conclusions
This study confirms that APPE learning can be quantified to: (1) identify high-risk students, (2) train new or continuing preceptors, (3) promote skills-training for select pharmaceutical care competencies, (4) add clarity and structure to APPE learning objectives, and (5) provide students and preceptors with common frameworks for negotiating the APPE experience. 相似文献2.
罗海东 《现代食品与药品杂志》2011,(8)
目的探讨门诊药房药学服务模式,提高患者用药依从性,促进合理用药。方法通过提供用药指导、药物咨询、ADR收集与报告、合理用药宣传等方式进行药学服务。结果药师发挥了应有的作用,提高了患者的满意度,药物得到有效应用。结论药师积极开展药学服务,对确保药物疗效、降低不良反应发生率、减少不合理用药等方面起着重要的作用。 相似文献
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Pharmaceutical Care Plan Examinations to Identify Students at Risk for Poor Performance in Advanced Pharmacy Practice Experiences
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Objectives
To evaluate early predictors of advanced pharmacy practice experience (APPE) performance using either timed pharmaceutical care plan (TPCP) reports of 4 case histories or traditional lecture-based pharmacotherapy course examinations.Methods
Statistical process control (SPC) methods were used to identify a group of third-year pharmacy students “at risk” for poor APPE performance (defined as an APPE grade point average of < 3.0). Examination scores from an integrated lecture-based pharmacotherapy sequence were used for comparison.Results
TPCP scores but not lecture-based examination scores successfully identified 6 of 10 students who ultimately performed poorly in their APPEs.Conclusion
Adaptation of SPC methods to assess student performance during problem-based learning (PBL) case reports is a useful technique for identifying students “at risk” for poor APPE performance. 相似文献6.
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Margarita V. DiVall Brian Zikaras Debra Copeland Michael Gonyeau 《American journal of pharmaceutical education》2010,74(1)
Objectives
To implement and evaluate a school wide, Web-based clinical intervention system to document types and impact of pharmacy students'' clinical activities during advanced pharmacy practice experiences (APPEs).Methods
A clinical intervention form was developed by pharmacy practice faculty consensus and uploaded to a secure Web site. Prior to APPEs, all pharmacy students were trained on the purpose and use of the system as well as strategies to document interventions appropriately.Results
Over the 3-year period of data collection, 15,393 interventions were documented. Most common intervention types included dosage adjustments, education of patients and providers, and optimization of therapeutic regimens. The majority of the interventions were accepted by the medical team and resulted in positive clinical and economic outcomes.Conclusions
Our school-wide system allowed students and faculty members to document clinical activities. Reporting can serve a number of purposes, including incorporation into student portfolios and faculty merit and promotion dossiers, and demonstration of the positive impact on patient care. 相似文献8.
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目的 宣贯《用药交待规范》,运用多种举措优化药学服务,提升医院门诊药房患者满意度。方法 通过开展基于三维多级工作模式的用药交待服务,随机选取2019年11月—2020年12月共400例门诊药房取药患者,以现场问卷及电话回访等方式收集患者对药学服务的满意情况,并根据数据分析结果总结项目成效和改善价值。结果 用药交待新模式实施前后共取得患者有效反馈记录196份和197份,实施用药交待服务后,“药师专业水平”(78.06%至90.36%)、“用药交待形式”(77.55%至88.83%)、“服务礼仪”(78.57%至87.82%)等指标的患者满意度均有显著提升。结论 开展层次化、标准化、多元化的用药交待服务,有利于提升门诊药房患者满意度。 相似文献
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Charles H. McDuffie Melody C. Sheffield Mindi S. Miller Lori J. Duke Sandra P. Rogers 《American journal of pharmaceutical education》2010,74(4)
Objective
To implement and assess a Web-based patient care portfolio system for development of pharmaceutical care plans by students completing advanced pharmacy practice experiences (APPEs) throughout a statewide preceptor network.Design
Using a Web database, students in APPEs documented 6 patient cases within 5 disease state categories. Through discussion of the disease states and inclusion of patient information such as problems, desired outcomes, and interventions, a complete pharmaceutical care plan was developed for each patient.Assessment
Student interventions were compared by geographical regions to assess continuity of patient care activities by students. Additionally, students completed an evaluation of the portfolio course to provide feedback on the portfolio process. Students documented an average of 1.8 therapeutic interventions per patient case and documented interventions in all geographical regions. The majority of students indicated that the portfolio process improved their ability to develop a pharmaceutical care plan.Conclusion
The Web-based patient care portfolio process assisted with documentation of compliance with Accreditation Council of Pharmacy Education (ACPE) standards and College of Pharmacy Competency Statements. Students indicated the portfolio process was beneficial in developing skills needed for creating pharmaceutical care plans. 相似文献11.
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药学监护的发展与策略 总被引:36,自引:4,他引:36
鉴于药源性灾害的严重性日益被人们认识,药学信息日益丰富,药品工业的社会化大生产使药房调剂工作与内部制剂生产衰落,加上对医院通过药品销售获利的限制日趋严格,导致临床药学的兴起并使医院药学工作者责无旁贷地要肩负保障病人用药安全有效,确保药疗有益病人心身健康的社会责任。美国医院药师学会在1992年提出把这种责任──药学监护作为医院药房工作质量标准,要求医院药房进行以药学监护工作为中心的组织机构与业务实践改革。药学监护作为跨世纪药房工作的特征,值得我国药学工作者给予足够的重视。本文就药学监护的含义、起因、内容作了论述。并结合国情与作者经验介绍了我国推行药学监护的障碍与克服困难的策略提出了以搞好合理用药,完善临床药理/临床药学服务作为开始PMC初级阶段的建议。 相似文献
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药学监护及其在中医医院开展之我见 总被引:2,自引:1,他引:1
继临床药学之后出现的另一概念———药学监护明确了药师与患者的直接关系。本文介绍药学监护的概念、内容及发达国家药学监护工作的开展情况,并对中医医院的药学监护工作提出建议 相似文献
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