探索学生药剂师在学习检测电子健康记录中的药物相关问题时所面临的挑战:教学设计的含义
Russ H Palmer1, Daniel Chastain1, Christopher M Bland1
1University of Georgia College of Pharmacy, Athens, GA, USA.
American journal of pharmaceutical education
|February 12, 2025
概括
药学学生在电子健康记录 (EHR) 中难以识别与药物相关的问题 (MRPs),因为过程,解释和模两可的挑战. 需要改进教学设计,以提高临床推理技能.
科学领域:
- 药房 教育 教育 药房 教育
- 临床药房 临床药房
- 医疗信息学 医疗信息学
背景情况:
- 检测与药物相关的问题 (MRPs) 是药学学生的关键技能.
- 电子健康记录 (EHR) 在临床实践和教育中越来越多地使用.
- 在EHR中模拟的患者工作提出了独特的学习挑战.
研究的目的:
- 探索药学学生在学习在电子健康记录 (EHR) 中检测药物相关问题时遇到的困难.
- 为改善药房教育中的指导设计提供关于基于EHR的临床推理的见解.
主要方法:
- 定性研究设计利用120名第三年制药学生的开放式调查.
- 学生反应的感应主题分析,描述模拟EHR患者病例中的挑战.
- 确定学生困难的反复出现的主题和宏观类别.
主要成果:
- 确定了三个宏观类型的挑战:工作过程,解释线索和感知模糊性.
- 具体主题包括忙,忽视信息,数据相关性问题,信息过载,定义MRP和冲突的EHR数据.
- 十个具体主题详细介绍了学生面临的综合挑战.
结论:
- 学生在电子健康记录中检测MRPs时面临重大障碍,这些障碍来自流程管理,提示解释和模糊性.
- 建议包括加强脚手架,针对案例的实践,以及明确的策略来管理模两可.
- 在这些领域的改进可以增强学生的临床推理和问题检测能力,以便为实践做好准备.
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