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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Evaluation of Physical Assessment Education for Practising Pharmacists: A Cross-Sectional Survey
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Evaluation of Physical Assessment Education for Practising Pharmacists: A Cross-Sectional Survey

机译：练习药剂师物理评估教育评估：横断面调查

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Background: Pharmacists are now seeking to incorporate physical assessment (PA) into their practices. This trend prompted the creation, by the British Columbia Branch of the Canadian Society of Hospital Pharmacists, of a 30-h course specifically designed for practising pharmacists.Objective: To evaluate pharmacists' knowledge, skills, and confidence in performing PA after completing the course.Methods: All course participants were invited to complete 2 anonymous online surveys, immediately and 6 months after course completion.Results: Of the 218 participants, 82 (38%) responded to the survey administered immediately after the course, and 77 (35%) completed this survey in full. About half of the respondents (39/79 [49%]) reported use of PA on a real patient before taking the course. Lack of formal training and lack of comfort were the most frequently selected barriers to performing PA. All respondents (79/79) agreed that the course had improved their knowledge of PA, 96% (76/79) agreed that it had improved their skills, and 90% (71/79) agreed that it had improved their ability to care for patients. In addition, 61% (48/79) and 67% (53/79), respectively, agreed that they felt confident performing PA and intervening with regard to a patients drug therapy on the basis of physical findings. Thirty-eight (17%) of the course participants completed the 6-month follow-up survey. In that survey, the most frequently selected barrier to performing PA was lack of time. Paired data, available for 23 respondents, showed a significant increase in use of PA on real patients over time (p = 0.013 by x~2 test). However, there was no significant improvement in confidence in performing PA or intervening on a patients drug therapy on the basis of physical findings (p > 0.05 by 2-sided t test). The primary limitation of this study was potential responder bias.Conclusions: A PA course designed for pharmacists improved participants' self-reported knowledge and skills, as well as self-perceived ability to care for patients. Six months after the course, two-thirds of respondents had used PA in practice. However, there was no improvement in confidence in performing such assessments or using the findings to intervene on a patient's drug therapy.
机译：背景：药剂师现在正在寻求将物理评估（PA）纳入其实践。这一趋势促使创作由英国哥伦比亚医院医院药剂师协会的建立，专门为练习药剂师提供了30-H课程。目的：评估药剂师的知识，技能和在完成课程后对执行PA的信心.Methods：所有课程参与者都被邀请完成2次匿名在线调查，并在课程完成后6个月完成。结果：218名参与者，82名（38％）回应课程后立即管理的调查，77名（35％） ）完整完成了这项调查。大约一半的受访者（39/79 [49％]）报告在参加课程之前在真正的患者上使用PA。缺乏正式培训和缺乏舒适性是表演PA的最常见的障碍。所有受访者（79/79）一致认为，该课程提高了他们对PA的了解，96％（76/79）一致认为它提高了他们的技能，90％（71/79）同意它已经提高了他们的关心能力对于患者。此外，分别为61％（48/79）和67％（53/79），同意他们在物理结果的基础上感到自信地表演PA和干预患者药物治疗。课程参与者的三十八（17％）完成了6个月的随访调查。在该调查中，最常见的表演PA的障碍是缺乏时间。配对数据可用于23名受访者，随着时间的推移，真实患者使用PA的使用显着增加（P = 0.013，X〜2测试）。然而，在物理发现的基础上对患者药物治疗进行PA或干预患者的信心没有显着改善（P> 0.05通过双面T试验）。本研究的主要限制是潜在的响应者偏见。结论：专为药剂师设计的PA课程改善了参与者的自我报告的知识和技能，以及自我意识到患者的能力。课程后六个月，三分之二的受访者在实践中使用了PA。然而，在执行此类评估或使用调查结果进行干预患者的药物治疗方面没有改善。

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