药学专业学生遭遇 APPE 相关痛苦事件的频率、影响和应对措施

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES

Currents in Pharmacy Teaching and Learning Pub Date : 2025-02-16 DOI:10.1016/j.cptl.2024.102233

Kate Newman , Valerie Ruehter

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引用次数: 0

摘要

工作创伤在医学和护理学中得到了广泛的研究，揭示了其在学生和从业人员中的频繁发生。尽管药剂师和学生药剂师在类似的临床环境中工作，但这种现象尚未在药学中描述。摘要本研究旨在探讨药学专业学生在高级药学实践体验（APPEs）中对痛苦事件的频率、影响及反应。方法在2021-2022学年，对两所公立药学院的233名四年级学生进行两次匿名调查。该调查收集了人口统计信息、痛苦事件的频率、感知到的个人影响以及导师/现场反应。采用描述性统计方法对定量调查结果进行分析。结果共纳入132份问卷，回复率为28.3%。在参与者中，64.4%的人报告在他们的APPE轮转期间至少经历过一次痛苦事件。报告最多的事件类型是与患者护理相关的事件（43%）和学生-提供者/导师冲突（33.8%）。所有轮换类型都发生了令人痛心的事件。在经历痛苦事件的受访者中，44.8%的人表示它有持久的影响。只有35.3%的人与现场人员进行了汇报讨论。学生们提出了开放式意见，建议学院和学校加强操作程序，并建议网站和导师为学生提供更好的主动支持，并改善他们在经历痛苦事件后的反应。结论学生在APPEs期间经历了令人痛苦的事件，并且经常报告这些情况没有得到讨论，强调了干预和支持的必要性。有必要进行进一步研究，以了解这些经验的长期影响以及预防和应对的最佳办法。

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Frequency, impact and response to pharmacy students experiencing distressing APPE-related events

Introduction

Work-related trauma has been extensively studied in medicine and nursing, revealing its frequent occurrence among both students and practicing professionals. This phenomenon has not been described in pharmacy despite pharmacists and student pharmacists working in similar clinical environments. This study aims to investigate the frequency, impact, and response to distressing events during Advanced Pharmacy Practice Experiences (APPEs) among pharmacy students.

Methods

An anonymous survey was distributed twice to 233 fourth-year pharmacy students at the end of each semester at two public schools of pharmacy during the 2021–2022 academic year. The survey collected demographic information, frequency of distressing events, perceived personal impact, and preceptor/site response. Descriptive statistics were used to analyze the quantitative survey results.

Results

A total of 132 responses were included in the analysis (response rate: 28.3 %). Among participants, 64.4 % reported experiencing at least one distressing event during their APPE rotations. The most reported event types were patient-care-related events (43 %) and student-provider/preceptor conflicts (33.8 %). Distressing events occurred in all rotation types. Of respondents experiencing a distressing event, 44.8 % indicated it had lasting impact. A debriefing discussion with someone at the site only occurred for 35.3 %. Open-ended comments from students revealed suggestions for colleges and schools to enhance operational procedures as well as recommendations for sites and preceptors to provide better proactive support to students and improve their response following a distressing event experience.

Conclusion

Students are experiencing distressing events during APPEs and frequently report that these situations are not being discussed, emphasizing the need for interventions and support. Additional research to understand long-term impact of these experiences and best approaches for prevention and response is warranted.

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来源期刊

Currents in Pharmacy Teaching and Learning EDUCATION, SCIENTIFIC DISCIPLINES-

CiteScore

2.10

自引率

16.70%

发文量

192