Use of simulated patients to assess the clinical and communication skills of community pharmacists
Use of simulated patients to assess the clinical and communication skills of community pharmacists
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DOI：
10.1007/s11096-010-9375-z
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发表时间：
2010-06-01
影响因子：
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通讯作者：
Wong, Eva
中科院分区：
文献类型：
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作者：
Weiss, Marjorie C.;Booth, Anneka;Wong, Eva
目的了解社区药房提供紧急避孕药的质量和适宜性。2007年在英格兰西南部的社区药房设置。方法两个模拟患者（“神秘购物者”）的情况下，每个参与药房，一个是EHC的供应将是适当的（情况1），一个是EHC和圣约翰草之间的药物相互作用，供应不适当（情况2）。药房咨询进行了评级标准，从两个重点群体：一个与药剂师学者和女大学生之一。向药剂师提供反馈，以告知他们的持续专业发展。主要结果测量评分量表，包括参与社区药剂师的临床和沟通技能，完成后立即每次神秘购物者访问。结果完成了40次药剂师访视：方案1为21次，方案2为19次。两次访问了18名药剂师。五名药剂师访问的情况2提供EHC对专业指导，虽然其他参考来源与此建议相冲突。药房的一部分，当地的PGD计划得分较高的整体方案1（P = 0.005）比那些不属于该计划。总体而言，药剂师的沟通技巧评价很高，尽管一些药剂师在解释场景2的互动时使用了行话。结论将沟通技能与临床技能相结合形成性考核是医疗咨询技能培训的重要组成部分，可纳入药房非处方药建议的常规考核和反馈。
Objective To investigate the quality and appropriateness of Emergency Hormonal Contraception (EHC) supply from community pharmacies. Setting Community pharmacies in the southwest of England during 2007. Method Two simulated patient ('mystery shopper') scenarios to each participating pharmacy, one where the supply of EHC would be appropriate (scenario 1) and one where there was a drug interaction between EHC and St John's Wort, and the supply inappropriate (scenario 2). Pharmacy consultations were rated using criteria developed from two focus groups: one with pharmacist academics and one with female university students. Feedback to pharmacists to inform their continuing professional development was provided. Main outcome measure Scores on rating scales encompassing the clinical and communication skills of the participating community pharmacists completed immediately after each mystery shopper visit. Results 40 pharmacist visits were completed: 21 for scenario 1 and 19 for scenario 2. Eighteen pharmacists were visited twice. Five pharmacists visited for scenario 2 supplied EHC against professional guidance, although other reference sources conflicted with this advice. Pharmacies which were part of the local PGD scheme scored higher overall in scenario 1 (P = 0.005) than those not part of the scheme. Overall the communication skills of pharmacists were rated highly although some pharmacists used jargon when explaining the interaction for scenario 2. Conclusion Formatively assessing communication skills in an integrative manner alongside clinical skills has been identified as an important part of the medical consultation skills training and can be incorporated into the routine assessment and feedback of pharmacy over-the-counter medicines advice.