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Erschienen in: International Journal of Clinical Pharmacy 6/2019

28.09.2019 | Research Article

Pharmacists’ experiences and perceptions about simulation use for learning and development of clinical skills in Kuwait

verfasst von: Maram Gamal Katoue, Jean Ker

Erschienen in: International Journal of Clinical Pharmacy | Ausgabe 6/2019

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Abstract

Background There has been a worldwide exponential rise in simulation use in health professions education. Most of the evidence about simulation-based education (SBE) comes from Western educational systems. Little is known about simulation use in the education and training of pharmacy students and pharmacists in the Middle Eastern countries. Objective To explore pharmacists’ experiences, perceptions and attitudes toward simulation use for learning clinical skills in Kuwait. Setting Different governmental hospitals across the State of Kuwait. Method This was an exploratory descriptive study of pharmacists’ perceptions about SBE. A mixed-method research design was employed whereby 110 hospital pharmacists participated in focus groups and completed self-administered surveys. The focus group interviews were audio-recorded, transcribed verbatim and analysed using framework analysis. Descriptive statistics were used to describe characteristics of study participants and survey findings. Main outcome measure Pharmacists’ experiences, perceptions and attitudes toward SBE. Results A total of 110 pharmacists participated in the focus groups, of whom 88 completed the survey (80% response rate). The focus groups revealed that pharmacists had different experiences in relation to simulation use which included learning, assessment, and less frequently reported in their training as practitioners. They identified many benefits of simulation such as enhancing knowledge retention and allowing learners practice and rehearse clinical skills in safe environments. Participants’ perceived barriers to simulation use in pharmacy students’ training included the need for qualified faculty and simulated patients, time constrains to incorporate simulation in faculty teaching and reluctance of learners/educators to use simulation. Most participants expressed positive attitudes toward simulation and welcomed its integration in pharmacy students’ learning. In response to survey, 26.1% of pharmacists reported having no prior experience in the use of simulation. The top reported barriers to using simulation for learning were time constrains (22.7%) and the need for qualified faculty (6.8%). Conclusion Pharmacists in Kuwait have diverse experiences regarding simulation use for learning. They expressed positive attitudes toward simulation use for learning clinical skills. Efforts are needed to standardize and expand simulation use in the education and training of pharmacy students, trainees and practitioners to equip them with the clinical skills essential for pharmacy practice.
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Literatur
2.
Zurück zum Zitat Institute of Medicine. To err is human: building a safer health system. Washington: National Academy Press; 2000. Institute of Medicine. To err is human: building a safer health system. Washington: National Academy Press; 2000.
3.
Zurück zum Zitat Okuda Y, Bryson EO, DeMaria S Jr, Jacobson L, Shen B, Levine AI, et al. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med. 2009;76:330–43.PubMedCrossRef Okuda Y, Bryson EO, DeMaria S Jr, Jacobson L, Shen B, Levine AI, et al. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med. 2009;76:330–43.PubMedCrossRef
4.
Zurück zum Zitat Ker J, Bradley P. Simulation in medical education. In: Swanwick T, editor. Understanding medical education evidence, theory and practice. Chichester: Wiley-Blackwell; 2010. Ker J, Bradley P. Simulation in medical education. In: Swanwick T, editor. Understanding medical education evidence, theory and practice. Chichester: Wiley-Blackwell; 2010.
5.
6.
Zurück zum Zitat Motola I, Devine LA, Chung HS, Sullivan JE, Issenberg SB. Simulation in healthcare education: a best evidence practical guide. AMEE Guide No. 82. Med Teach. 2013;35:e1511–30. Motola I, Devine LA, Chung HS, Sullivan JE, Issenberg SB. Simulation in healthcare education: a best evidence practical guide. AMEE Guide No. 82. Med Teach. 2013;35:e1511–30.
7.
Zurück zum Zitat Fanning RM, Gaba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007;2:115–25.PubMedCrossRef Fanning RM, Gaba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007;2:115–25.PubMedCrossRef
8.
Zurück zum Zitat Brigden D, Dangerfield P. The role of simulation in medical education. Clin Teach. 2008;5:167–70.CrossRef Brigden D, Dangerfield P. The role of simulation in medical education. Clin Teach. 2008;5:167–70.CrossRef
9.
Zurück zum Zitat Maran NJ, Glavin RJ. Low- to high-fidelity simulation—a continuum of medical education? Med Educ. 2003;37(Suppl 1):22–8.PubMedCrossRef Maran NJ, Glavin RJ. Low- to high-fidelity simulation—a continuum of medical education? Med Educ. 2003;37(Suppl 1):22–8.PubMedCrossRef
10.
11.
Zurück zum Zitat Gaba DM. Training and nontechnical skills: the politics of terminology. Simul Healthc. 2011;6:8–10.PubMedCrossRef Gaba DM. Training and nontechnical skills: the politics of terminology. Simul Healthc. 2011;6:8–10.PubMedCrossRef
12.
Zurück zum Zitat Issenberg SB. The scope of simulation-based healthcare education. Simul Healthc. 2006;1:203–8.PubMedCrossRef Issenberg SB. The scope of simulation-based healthcare education. Simul Healthc. 2006;1:203–8.PubMedCrossRef
13.
Zurück zum Zitat Weller JM, Nestel D, Marshall SD, Brooks PM, Conn JJ. Simulation in clinical teaching and learning. Med J Aust. 2012;196:594.PubMedCrossRef Weller JM, Nestel D, Marshall SD, Brooks PM, Conn JJ. Simulation in clinical teaching and learning. Med J Aust. 2012;196:594.PubMedCrossRef
14.
Zurück zum Zitat Beaubien JM, Baker DP. The use of simulation for training teamwork skills in health care: how low can you go? Qual Saf Health Care. 2004;13(Suppl 1):i51–6.PubMedPubMedCentralCrossRef Beaubien JM, Baker DP. The use of simulation for training teamwork skills in health care: how low can you go? Qual Saf Health Care. 2004;13(Suppl 1):i51–6.PubMedPubMedCentralCrossRef
15.
Zurück zum Zitat McGaghie WC, Draycott TJ, Dunn WF, Lopez CM, Stefanidis D. Evaluating the impact of simulation on translational patient outcomes. Simul Healthc. 2011;6(Suppl):S42–7.PubMedPubMedCentralCrossRef McGaghie WC, Draycott TJ, Dunn WF, Lopez CM, Stefanidis D. Evaluating the impact of simulation on translational patient outcomes. Simul Healthc. 2011;6(Suppl):S42–7.PubMedPubMedCentralCrossRef
16.
Zurück zum Zitat Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. Anesthesiol Clin. 2007;25:225–36.PubMedCrossRef Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. Anesthesiol Clin. 2007;25:225–36.PubMedCrossRef
17.
Zurück zum Zitat Good ML. Patient simulation for training basic and advanced clinical skills. Med Educ. 2003;37:14–21.PubMedCrossRef Good ML. Patient simulation for training basic and advanced clinical skills. Med Educ. 2003;37:14–21.PubMedCrossRef
18.
Zurück zum Zitat Weller JM. Simulation in undergraduate medical education: bridging the gap between theory and practice. Med Educ. 2004;38:32–8.PubMedCrossRef Weller JM. Simulation in undergraduate medical education: bridging the gap between theory and practice. Med Educ. 2004;38:32–8.PubMedCrossRef
19.
Zurück zum Zitat Seybert AL. Patient simulation in pharmacy education. Am J Pharm Educ. 2011;75:1–2. Seybert AL. Patient simulation in pharmacy education. Am J Pharm Educ. 2011;75:1–2.
20.
Zurück zum Zitat Kane-Gill SL, Smithburger PL. Transitioning knowledge gained from simulation to pharmacy practice. Am J Pharm Educ. 2011;75:1–7.CrossRef Kane-Gill SL, Smithburger PL. Transitioning knowledge gained from simulation to pharmacy practice. Am J Pharm Educ. 2011;75:1–7.CrossRef
21.
Zurück zum Zitat Atayee RS, Awdishu L, Namba J. Using simulation to improve first-year pharmacy students’ ability to identify medication errors involving the top 100 prescription medications. Am J Pharm Educ. 2016;80:86.PubMedPubMedCentralCrossRef Atayee RS, Awdishu L, Namba J. Using simulation to improve first-year pharmacy students’ ability to identify medication errors involving the top 100 prescription medications. Am J Pharm Educ. 2016;80:86.PubMedPubMedCentralCrossRef
22.
Zurück zum Zitat Lasater K. High-fidelity simulation and the development of clinical judgment: students’ experiences. J Nurs Educ. 2007;46:269–76.PubMedCrossRef Lasater K. High-fidelity simulation and the development of clinical judgment: students’ experiences. J Nurs Educ. 2007;46:269–76.PubMedCrossRef
23.
Zurück zum Zitat Parekh A, Thorpe T. How should we teach undergraduates in simulation scenarios? Clin Teach. 2012;9:280–4.PubMedCrossRef Parekh A, Thorpe T. How should we teach undergraduates in simulation scenarios? Clin Teach. 2012;9:280–4.PubMedCrossRef
24.
Zurück zum Zitat Dow A. Simulation-based learning: a case study, part 1. Br J Midwifery. 2012;20:508–14.CrossRef Dow A. Simulation-based learning: a case study, part 1. Br J Midwifery. 2012;20:508–14.CrossRef
26.
Zurück zum Zitat Smith F. Health services research methods in pharmacy: qualitative interviews. Int J Pharm Pract. 1998;6:97–108.CrossRef Smith F. Health services research methods in pharmacy: qualitative interviews. Int J Pharm Pract. 1998;6:97–108.CrossRef
27.
Zurück zum Zitat Kuper A, Reeves S, Levinson W. An introduction to reading and appraising qualitative research. BMJ. 2008;337:a288.PubMedCrossRef Kuper A, Reeves S, Levinson W. An introduction to reading and appraising qualitative research. BMJ. 2008;337:a288.PubMedCrossRef
28.
30.
Zurück zum Zitat Hadi MA, Alldred DP, Closs SJ, Briggs M. Mixed-methods research in pharmacy practice: basics and beyond (part 1). Int J Pharm Pract. 2013;21:341–5.PubMedCrossRef Hadi MA, Alldred DP, Closs SJ, Briggs M. Mixed-methods research in pharmacy practice: basics and beyond (part 1). Int J Pharm Pract. 2013;21:341–5.PubMedCrossRef
31.
Zurück zum Zitat Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A, Burgess RG, editors. Analyzing qualitative data. New York: Routledge; 1994. Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A, Burgess RG, editors. Analyzing qualitative data. New York: Routledge; 1994.
32.
Zurück zum Zitat Katoue MG, Ker J. Implementing the medicines reconciliation tool in practice: challenges and opportunities for pharmacists in Kuwait. Health Policy. 2018;122:404–11PubMedCrossRef Katoue MG, Ker J. Implementing the medicines reconciliation tool in practice: challenges and opportunities for pharmacists in Kuwait. Health Policy. 2018;122:404–11PubMedCrossRef
33.
34.
Zurück zum Zitat Rickles NM, Tieu P, Myers L, Galal S, Chung V. The impact of a standardized patient program on student learning of communication skills. Am J Pharm Educ. 2009;73:4.PubMedCrossRef Rickles NM, Tieu P, Myers L, Galal S, Chung V. The impact of a standardized patient program on student learning of communication skills. Am J Pharm Educ. 2009;73:4.PubMedCrossRef
35.
Zurück zum Zitat Nestel D, Calandra A, Elliott RA. Using volunteer simulated patients in development of pre-registration pharmacists: learning from the experience. Pharm Educ. 2007;7:35–42.CrossRef Nestel D, Calandra A, Elliott RA. Using volunteer simulated patients in development of pre-registration pharmacists: learning from the experience. Pharm Educ. 2007;7:35–42.CrossRef
36.
Zurück zum Zitat Monaghan MS, Jones RM, Schneider EF, Richardson RF, Grady AR, McCormack JR, et al. Using standardized patients to teach physical assessment skills to pharmacists. Am J Pharm Educ. 1997;61:266–71. Monaghan MS, Jones RM, Schneider EF, Richardson RF, Grady AR, McCormack JR, et al. Using standardized patients to teach physical assessment skills to pharmacists. Am J Pharm Educ. 1997;61:266–71.
37.
Zurück zum Zitat Hogg G, Ker J, Stewart F. Over the counter clinical skills for pharmacists. Clin Teach. 2011;8:109–13.PubMedCrossRef Hogg G, Ker J, Stewart F. Over the counter clinical skills for pharmacists. Clin Teach. 2011;8:109–13.PubMedCrossRef
38.
Zurück zum Zitat Knowles M. The adult learner: a neglected species. Houston: Gulf Publishing; 1984. Knowles M. The adult learner: a neglected species. Houston: Gulf Publishing; 1984.
39.
Zurück zum Zitat Shapiro MJ, Morey JC, Small SD, Langford V, Kaylor CJ, Jagminas L, et al. Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? Qual Saf Health Care. 2004;13:417–21.PubMedPubMedCentralCrossRef Shapiro MJ, Morey JC, Small SD, Langford V, Kaylor CJ, Jagminas L, et al. Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? Qual Saf Health Care. 2004;13:417–21.PubMedPubMedCentralCrossRef
40.
Zurück zum Zitat Seropian M, Dillman D, Lasater K, Gavilanes J. Mannequin-based simulation to reinforce pharmacology concepts. Simul Healthc. 2007;2:218–23.PubMedCrossRef Seropian M, Dillman D, Lasater K, Gavilanes J. Mannequin-based simulation to reinforce pharmacology concepts. Simul Healthc. 2007;2:218–23.PubMedCrossRef
41.
Zurück zum Zitat Palaganas JC, Epps C, Raemer DB. A history of simulation-enhanced interprofessional education. J Interprof Care. 2014;28:110–5.PubMedCrossRef Palaganas JC, Epps C, Raemer DB. A history of simulation-enhanced interprofessional education. J Interprof Care. 2014;28:110–5.PubMedCrossRef
42.
Zurück zum Zitat Nestel D, Cecchini M, Calandrini M, Chang L, Dutta R, Tierney T, et al. Real patient involvement in role development: evaluating patient focused resources for clinical procedural skills. Med Teach. 2008;30:534–6.PubMedCrossRef Nestel D, Cecchini M, Calandrini M, Chang L, Dutta R, Tierney T, et al. Real patient involvement in role development: evaluating patient focused resources for clinical procedural skills. Med Teach. 2008;30:534–6.PubMedCrossRef
43.
44.
Zurück zum Zitat Rowan M, Huston P. Qualitative research articles: information for authors and peer reviewers. CMAJ. 1997;157:1442–6.PubMedPubMedCentral Rowan M, Huston P. Qualitative research articles: information for authors and peer reviewers. CMAJ. 1997;157:1442–6.PubMedPubMedCentral
Metadaten
Titel
Pharmacists’ experiences and perceptions about simulation use for learning and development of clinical skills in Kuwait
verfasst von
Maram Gamal Katoue
Jean Ker
Publikationsdatum
28.09.2019
Verlag
Springer International Publishing
Erschienen in
International Journal of Clinical Pharmacy / Ausgabe 6/2019
Print ISSN: 2210-7703
Elektronische ISSN: 2210-7711
DOI
https://doi.org/10.1007/s11096-019-00904-5

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