学生和药剂师为虚拟体验式病人护理实习提出的策略

Rebecca Leung, Hayley Hefford, Ca Chew, Jamie Yuen
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摘要

背景:不列颠哥伦比亚大学(UBC)药剂师诊所(以下简称 "诊所")是一家以药剂师为主导的患者护理诊所,是以团队为基础的初级医疗实践体验教育的实践基地。鉴于 COVID-19 的空前形势,药学实践基地已将部分体验式教育活动过渡到虚拟形式。目前,有关开发有利于学生在虚拟环境中取得成功的最佳教学实践的文献十分有限。 目标从学生药剂师和实践教育者的角度出发,确定在大学诊所成功开发虚拟患者护理实习经验的因素。 方法: 采用定性研究方法:采用定性研究方法了解学生药剂师和实践教育者的观点。采用半结构化方法分别进行了焦点小组访谈,访谈中的问题旨在了解参与者对虚拟实习的看法。在征得参与者同意后,对焦点小组会议进行了录音和转录。对数据进行了专题分析。 结果三位药剂师实践教育者和三位学生药剂师参加了各自的焦点小组。对数据进行了主题分析。出现了六大主题:(1) 技术优化;(2) 患者护理相关活动;(3) 学生与实践教育者的关系;(4) 学生技能发展;(5) 学生支持;(6) 亲临现场与虚拟实习的偏好。为减少虚拟实习的局限性而提出的策略包括制定交流准则、安排丰富的学习机会和可靠的网络连接。结论本研究的参与者就支持成功开发和提供虚拟病人护理实习的因素提出了自己的见解。本研究的结果可应用于其他卫生学科及其在 COVID-19 大流行期间和之后开展虚拟实习的方法。
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Strategies Proposed by Students and Pharmacists for Virtual Experiential Patient Care Practicums
Background: The University of British Columbia (UBC) Pharmacists Clinic (the Clinic) is a pharmacist-led patient care clinic serving as a practice site for experiential education in a team-based primary care practice. Given the unprecedented circumstances surrounding COVID-19, pharmacy practice sites have transitioned some of their experiential education activities to a virtual format. Currently, there is limited literature on developing best teaching practices which are conducive to students’ success in a virtual environment. Objective: To determine the factors that enable successful development of a virtual patient care practicum experience at a university clinic from the perspectives of student pharmacists and practice educators. Methods: A qualitative research methodology was used to gain the perspectives of student pharmacists and practice educators. Separate focus group interviews were conducted using a semi-structured approach and consisted of questions aimed at gathering insight into participant perspectives on virtual practicums. The focus group sessions were audio recorded with participant consent and transcribed. A thematic analysis was conducted to analyze the data. Results: Three pharmacist practice educators and three student pharmacists participated in their respective focus groups. A thematic analysis was used to analyze the data. Six major themes emerged: (1) technology optimization, (2) patient care related activities, (3) student-practice educator relationship, (4) student skill development, (5) student support, and (6) in-person vs virtual practicum preferences. Proposed strategies to mitigate the limitations of virtual practicums included setting communication guidelines, arranging enriching learning opportunities, and having reliable internet connection.   Conclusion: The participants in this study provided insight on factors to support successful development and delivery of a virtual patient care practicum. The results from this study can be applied to other health disciplines and their approach to virtual practicums during and following the COVID-19 pandemic.
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