應用Mini-CEX評估藥學實習生氣喘吸入劑用藥指導之學習成效

Use of Mini-CEX to Evaluate Pharmacy Interns' Learning Outcome of Asthma Inhaler Counseling

羅凱薰(Kai-Hsun Lo) ； 郭小懷(Hsiao-Huai Kuo) ； 胡雅姿(Ya-Tzu Hu) ； 李松澤(Sung-Tse Li)

《臺灣臨床藥學雜誌》 26卷2期 (2018/04) Pp. 122-131

https://doi.org/10.6168/FJCP.201804_26(2).0005

摘要

目的：現行對於藥學實習生臨床技能評估採取多元化的教學評量方式，研究希望運用迷你臨床演練評量(mini-clinical evaluation exercise, Mini-CEX)瞭解藥學實習生於氣喘吸入劑用藥指導之學習成效。方法：本研究收集2014 ~ 2015年某區域教學醫院藥學實習生共12位為研究對象，臺灣臨床藥學會所制定迷你臨床演練評量表來進行評估，由臨床教師來執行Mini-CEX，於執行前由臨床教師對藥學實習生進行評分說明，執行後進行雙向回饋。以描述性統計分析各評估項目情形，包括專業溝通技巧七大面向、滿意度及藥學實習生自我成效評值。結果：本研究由評量分析得知藥學實習生用藥指導Mini-CEX成績，12位藥學實習生評估項目中以檢閱藥歷、醫療面談及整體評估分數最高(8.1 ± 0.3分)，人道專業（醫病溝通互動能力）分數最低(7.7 ± 0.6分)，學員及教師整體滿意度分數分別為4.8 ± 0.4分及4.7 ± 0.5分，學習前後知識技能的成效評值有顯著提升(p ＜ 0.05)。結論：本研究結果顯示，藉由藥學實習生執行迷你臨床演練評量過程中，確實可評估學生在氣喘吸入劑用藥指導學習成效，臨床教師亦可適時調整教學方向，以期提升藥學實習生之臨床學習技能及知識。

關鍵字

迷你臨床演練評量 ； 氣喘吸入劑用藥指導 ； 學習成效

並列摘要

Objective: Methods for evaluation of pharmacy interns' clinical skills are diverse. The aim of this study is to use mini-clinical evaluation exercise (Mini-CEX) to evaluate pharmacy interns' learning outcome of asthma inhaler counseling. Methods: This study will be carried out based on 12 pharmacy interns from 2014 to 2015 in a regional teaching hospital. Taiwan Society of Health-System Pharmacists (TSHP) Taiwan pharmacy Mini-CEX will be used to evaluate the pharmacy interns' learning outcome of asthma inhaler counseling and aspects of the evaluation. Twoway feedback is carried out afterward. Descriptive statistical analysis is used as the following: professionalism and communication-skills score, degree of satisfaction, and self- assessment of the pharmacy interns. Results: The Mini-CEX scores of evaluation of clinical pharmacy interns' drug counseling. The 12 pharmacy interns have the highest scores in patient database review, medical interviewing skills, and overall clinical competence (8.1 ± 0.3) and the lowest score in humanistic qualities/professionalism (7.7 ± 0.6). Clinical teachers can focus on humanistic qualities/professionalism and provide suitable training at the annual Drug Advisory to improve patient communication and interaction capability of the pharmacy interns. It showes that the degree of satisfaction for pharmacy interns and clinical teacher with 4.8 ± 0.4 and 4.7 ± 0.5 points, respectively. It has significantly improved the effectiveness of knowledge and skills (p ＜ 0.05). Conclusions: The results of this study show that Mini-CEX is a useful tool for evaluating pharmacy interns' clinical competence. Clinical teachers can adjust their teaching timely to help improve the clinical pharmacy interns' learning skills and knowledge.

並列關鍵字

Mini-CEX ； Asthma Inhaler Counseling ； Learning Outcome