反馈策略在一系列以交流为重点的病人护理模拟中的影响

IF 1.3 Q4 PHARMACOLOGY & PHARMACY
Hindu Rao Pharm.D., Richard Beuttler Psy.D., M.S., Madeline Dintzner Ph.D., Reza Taheri Pharm.D., MBA, Albert T. Bach Pharm.D., Neeloufar Fakourfar Pharm.D.
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引用次数: 0

摘要

患者护理模拟(PCS)和客观结构化临床考试(OSCE)使药剂学学生能够练习沟通。本研究调查了反馈策略对药学专业学生在三次 PCS 中沟通技能的影响,并评估了学生自我评分与教师评分之间的一致性。药剂学学生参加了三节课(PCS1、OSCE 和 PCS3),重点是情感领域。PCS1 结束后,对学生的表现进行了个性化的数字和文字反馈。学生的交流情况由教师评分员根据 18 分的有效评分标准进行评分。学生用同样的评分标准对自己的交流情况进行自我评分。采用线性混合效应模型对教师和学生的评分进行比较,并使用类内相关系数来衡量一致性。在 PCS1 中,82 名学生的教师评分平均为(15.41 ± 2.14)分,自我评分平均为(16.06 ± 1.55)分(0.36,P < 0.001)。在 OSCE 中,81 名学生的教师评分平均为(15.93 ± 1.86)分,自我评分平均为(16.45 ± 1.35)分(0.1,P = 0.18)。在 PCS3 中,74 名学生的教师评分平均为 15.22 ± 2.15,自我评分平均为 16.25 ± 1.44(0.14,p = 0.08)。在 PCS1 中,教师评分和学生评分之间存在相关性。在三节课中,学生自评分之间没有发现明显差异(p = 0.08),但教师评分确实存在差异,OSCE 比 PCS3 分数更高(p < 0.01)。许多教员评分低于平均值 1 个标准差以上的学生对自己的评分高于教员评分。教师评分较低的学生经常给自己打高分,这表明他们的自我意识较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of a feedback strategy in a series of communication-focused patient care simulations

Introduction

Patient care simulations (PCS) and objective structured clinical examinations (OSCE) allow pharmacy students to practice communication. Feedback can help improve communication, but the impact over time is not well understood.

Objective

This study investigated the impact of a feedback strategy on pharmacy students' communication skills over three PCS. It also evaluated the alignment between students' self-scoring and faculty scoring.

Methods

Pharmacy students participated in three sessions (PCS1, OSCE, and PCS3) that were focused on the affective domain. Individualized numerical and narrative feedback was provided to students on their performance after PCS1. Students' communication was scored by faculty graders out of an 18-point validated rubric. Students self-scored their communication with the same rubric. Faculty and student scores were compared using a linear mixed effects model, and an intraclass correlation coefficient was used to measure agreement.

Results

In PCS1, 82 students scored an average of 15.41 ± 2.14 for faculty scores and 16.06 ± 1.55 for self-graded scores (0.36, p < 0.001). In the OSCE, 81 students had an average of 15.93 ± 1.86 for faculty scores and 16.45 ± 1.35 for self-graded scores (0.1, p = 0.18). In PCS3, 74 students scored an average of 15.22 ± 2.15 for faculty scores and 16.25 ± 1.44 for self-graded scores (0.14, p = 0.08). A correlation between faculty and student scores was seen for PCS1. Over the three sessions, no significant differences were found between student self-graded scores (p = 0.08), but faculty scores did differ, with the OSCE having higher scores than PCS3 (p < 0.01). Many students with faculty-graded scores greater than 1 standard deviation below the mean scored themselves higher than faculty did.

Conclusion

Feedback after PCS1 did not significantly improve scores. Students with low faculty-graded scores frequently scored themselves higher indicating low self-awareness.

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