药剂师临床决策中的认知过程
J F Mertens1, T G H Kempen2, E S Koster2
1Department of Clinical Pharmacy and Toxicology, Leiden University Medical Centre, Leiden, the Netherlands.
Research in social & administrative pharmacy : RSAP
|November 9, 2023
概括
药剂师在药房实践中利用许多认知过程来进行临床决策. 这项研究确定了21个过程,突出了其决策的动态性质,并为教育模式提供了信息.
科学领域:
- 药房实践 在药房实践.
- 认知科学 认知科学
- 医疗保健教育 医疗保健教育
背景情况:
- 临床决策是制药护理的核心.
- 对于这个过程的有效教学方法还不太清楚.
研究的目的:
- 研究药剂师在临床决策中使用的认知过程.
- 探索药剂师如何感知和教导临床决策.
主要方法:
- 与社区,门诊和医院设置中的16名药剂师进行半结构化采访.
- 采访成绩单的诱导主题分析,以确定认知过程.
- 一个理论模型的适应,以结构识别的过程.
主要成果:
- 确定了21种不同的认知过程,分为临床决策模型的8个步骤.
- 药剂师发现表达他们的决策具有挑战性,这表明一个动态的过程.
- 关键步骤包括问题考虑,信息收集,临床推理,判断,共享决策,实施,结果评估和反思.
结论:
- 药剂师在临床决策中使用复杂,动态的认知过程.
- 该研究提供了一个理论模型,用于理解和教学药房的临床决策.
- 增强理解可以改善药房实践和教育.
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