衡量药学专业从本科生到成熟从业人员的道德发展:一项十年纵向研究。

IF 1.5 Q3 PHARMACOLOGY & PHARMACY International Journal of Pharmacy Practice Pub Date : 2023-12-19 DOI:10.1093/ijpp/riad059
Cathal T Gallagher, Waseeat O D Kareem-Alliu
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引用次数: 0

摘要

本研究的目的是测量和评估英国大学药学本科生在专业实践初期的道德推理能力。本研究采用纵向设计,利用雷斯特定义问题测试(Rest's Defining Issues Test)第 2 版,对一批未来药剂师进行评估,这批药剂师于 2008-09 学年开始攻读四年制药剂学硕士学位课程,完成了注册前培训,并在职业生涯初期取得了进步。最终数据集于 2019 年收集。随后进行了描述性和推论性统计分析。这批学生在攻读本科学位的 4 年中经历了显著的道德成长,他们接受了旨在让学生参与道德推理 "加一 "水平的道德教育。此外,还有证据表明,从大学毕业到获得药剂师资格期间,以工作为基础的道德发展得到了加强。受试者在本科学习期间的道德发展有了明显的提高,随后在注册前的一年中又有了一个可观的发展,尽管在统计上并不显著。从新获得执业药师资格到获得执业药师资格之间的道德发展倒退需要进一步调查:对受试者进行的结构化访谈已经开始,访谈的重点是他们在实践中的经历变化以及这些变化如何影响他们的道德机构。
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Measuring moral development in the pharmacy profession from undergraduate to established practitioner: a decadal longitudinal study.

The aim of this study is to measure and evaluate the moral reasoning of undergraduate pharmacy students as they progress through a British university, and onward through the early years of their professional practice. This study utilizes version 2 of Rest's Defining Issues Test in a longitudinal design, evaluating a single cohort of future pharmacists, which started a 4-year Master of Pharmacy degree program in 2008-09, completed their preregistration training, and progressed through their early careers. The final dataset was collected in 2019. Both descriptive and inferential statistical analysis was subsequently carried out. The cohort experienced significant moral growth during the 4 years of their undergraduate degree, where they were exposed to an ethical education designed to engage students at the "plus one" level of moral reasoning. There is also evidence for work-based augmentation of moral development between graduation from university and qualification as pharmacists. The subjects underwent a marked increase in moral development as they progressed through their undergraduate studies, followed by another sizeable, though not statistically significant developmental progression during the preregistration year. The retrograde step in moral development observed between newly qualified level and established practitioner level requires further investigation: structured interviews with participants, which focus on changes to their experiences in practice and how these affected their moral agency are already underway.

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来源期刊
CiteScore
2.90
自引率
5.60%
发文量
146
期刊介绍: The International Journal of Pharmacy Practice (IJPP) is a Medline-indexed, peer reviewed, international journal. It is one of the leading journals publishing health services research in the context of pharmacy, pharmaceutical care, medicines and medicines management. Regular sections in the journal include, editorials, literature reviews, original research, personal opinion and short communications. Topics covered include: medicines utilisation, medicine management, medicines distribution, supply and administration, pharmaceutical services, professional and patient/lay perspectives, public health (including, e.g. health promotion, needs assessment, health protection) evidence based practice, pharmacy education. Methods include both evaluative and exploratory work including, randomised controlled trials, surveys, epidemiological approaches, case studies, observational studies, and qualitative methods such as interviews and focus groups. Application of methods drawn from other disciplines e.g. psychology, health economics, morbidity are especially welcome as are developments of new methodologies.
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