Evaluation of pharmaceutical lifesaving skills training oriented pharmaceutical intervention
Tóm tắt
Many pharmacists are participating in team-based medical care in emergency hospitals. Therefore, there is a desperate need to improve the education system. In the present study, we provided a “pharmaceutical lifesaving skills training” to the students in their fifth and sixth year of the pharmaceutical school and evaluated the program’s impact on the students’ learning and confidence in their ability to perform pharmaceutical interventions for emergency patients. We conducted a pharmaceutical lifesaving skills training program with 12 participants who were in their fifth and six year of pharmaceutical school. We prepared a fictional scenario in which a patient with cardiac arrest has been rushed into a hospital. We measured the participants’ level of knowledge of pharmaceutical lifesaving procedures and participants’ confidence to perform pharmaceutical interventions before and after the training session. Using the data obtained from type II quantification method, we examined what elements in the content of the pharmaceutical lifesaving skill training attended by pharmacy students will affect the students’ confidence to perform pharmaceutical interventions. In addition, using the correspondence structural analysis, we examined which sections of the content of the pharmaceutical lifesaving skill training should be improved in the future. When we evaluated the level of knowledge acquired in pharmaceutical lifesaving skills training, the post-training overall correct answer rate was significantly higher than the pre-training overall correct answer rate. And also, level of participants' confidence to perform pharmaceutical interventions similarly increased after pharmaceutical lifesaving skill training. The influence degree graph indicates that the items likely to have a major impact on the participants’ confidence to perform pharmaceutical interventions was “Selecting medicine”. According to the correspondence structural analysis graph based on the questionnaire survey, one item identified as an improvement required was “Selecting medicine”. Our high-performance patient simulator-based lifesaving skills training program not only increased the participants’ understanding of the training content but also increased their confidence in their ability to perform pharmaceutical interventions. Therefore, the pharmaceutical lifesaving skills training program we developed will contribute to the education of emergency care pharmacists who can perform pharmaceutical interventions for emergency patients.
Tài liệu tham khảo
Oene I, Miyazaki K, Yonamine T, Nakamura S, Hayashi F, Saito M. Questionnaire on Palliative Care Education in Pharmacy Schools in Japan. J Jpn Soc Hosp Pharm. 2006;32:34–45.
Tokunaga J, Takamura N, Ogata K, Yoshida H, Totoribe K, Nagata M, et al. Medical emergency education using emergency care simulators in the school of pharmaceutical sciences. Yakugaku Zasshi. 2008;128:1045–55.
Takamura N, Tokunaga J, Ogata K, Yoshida H, Setoguchi N. Life-support training to improve the clinical competence of pharmacy students. Yakugaku Zasshi. 2010;130:583–5.
Tokunaga J, Takamura N, Ogata K, Setoguchi N, Sato K. Implementation of bedside training and advanced objective structured clinical examination (OSCE) trial to learn and confirm about pharmacy clinical skills. Yakugaku Zasshi. 2013;133:243–8.
Imai T, Chuma M, Kurauchi K, Kikuchi N, Yoshida Y, Tanjoh K. Evaluation of Providing Drug Information and 24 hr Stationing Pharmaceutical Services in Critical Care Center. J Jpn Soc Hosp Pharm. 2009;12:412–9.
Aki K, Higuchi N, Nakagawa H, Nakamura T, Tasaki O, Makita T, et al. Pharmaceutical intervention on the therapeutic drug monitoring of Vancomycin in the intensive care and critical care. J Jpn Soc Emerg Med. 2013;16:565–9.
Goto C, Ogasahara Y, Nagasaki N. Changes in the pharmaceutical care by increase of the pharmacists in the intensive care and critical care unit of regional core hospital. J Jpn Soc Emerg Med. 2014;17:530–4.
Zamami Y, Sagara H, Imai T, Hara N, Takemoto A, Koyama T, et al. Life support practice for pharmacy student focused on practice of pharmaceutical therapy. J Japanese Soc Clinical Information on Parenteral Drugs. 2015;4:11–21.
Furuta Y, Yamashita R, Tanaka A, Sagara H, Suemaru K, Tanaka M, et al. Evaluation of an Experience-based Type of Practical Training in a Clinical Therapeutic Trial Center. J Jpn Soc Hosp Pharm. 2015;51:301–4.
Lo BM, Devine AS, Evans DP, Byars DV, Lamm OY, Lee RJ, et al. Comparison of traditional versus high-fidelity simulation in the retention of ACLS knowledge. Resuscitation. 2011;82:1440–3.