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基于分层学习实践模式的咳喘药师能力培训评价指标体系研究
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| 篇名： | 基于分层学习实践模式的咳喘药师能力培训评价指标体系研究 |
| TITLE： | Study on the evaluation index system for cough and wheeze pharmacist competency training based on the layered learning practice model |
| 摘要： | 目的 构建在分层学习实践模式（LLPM）下的医院咳喘药学服务门诊（CWPC）药师培训质量评价标准指标体系，并应用于临床实践。方法本教学团队根据本院实际情况，建立LLPM培训咳喘药师。采用定性访谈法形成相关评价指标，文献研究法编制专家问卷，专家函询法对国内呼吸科专业相关领域10名专家进行两轮咨询以构建咳喘药师教学质量评价指标体系。计算专家的积极系数、权威系数、肯德尔和谐系数和意见集中程度，并采用层次分析法确定指标体系的各指标权重。教学团队于2023年6月－2024年6月期间共纳入21名药师进行教学培训，教学团队根据评价指标体系中的药师受益和患者受益指标对试验组（LLPM）和对照组（传统教学模式）学员进行考核评分和比较。结果本研究探索建立了LLPM下的咳喘药师培训体系，并运用德尔菲法初步建立了评价指标体系。两轮德尔菲法问卷的回收率为100％，权威系数＞0.8，肯德尔和谐系数在0.235～0.459之间，P值均小于0.05。最终确定了4个一级指标（学员反馈、学习收获、行为改进、培训成绩）、12个二级指标和33个三级指标。在实践应用评价中试验组药师获益明显，且患者接受皮质类固醇治疗的慢性阻塞性肺病或哮喘服务患者的每月比例（80.5％）、咳喘团队服务门诊患者平均每月增加人数（较去年同期）14.8人次、满意度指标（4.9）均显著高于对照组（P＜0.05）。结论LLPM应用于咳喘药师的能力培训存在诸多益处，具有指导意义，并且构建的该模式下的培训质量评价指标体系是科学可靠的。 |
| ABSTRACT： | OBJECTIVE To develop the quality evaluation standard indicator system for hospital cough and wheeze pharmaceutical care clinic （CWPC） pharmacist training within the layered learning practice model （LLPM）， and apply it in clinical practice. METHODS Our teaching team established an LLPM model to train cough and wheeze pharmacists， according to the actual conditions of our college. Using qualitative interview methods， expert questionnaires were compiled with literature research； the expert correspondence methods were employed to conduct two rounds of consultation with 10 domestic respiratory medicine experts， thus constructing an evaluation index system for the teaching quality of cough and wheeze pharmacists. The experts’ positive coefficient， authority coefficient， Kendall’s harmony coefficient， and the degree of concentration of opinions were calculated. The analytic hierarchy process （AHP） was used to determine the weight of each indicator within the index system. From June 2023 to June 2024， the teaching team enrolled 21 pharmacists in the training program. The teaching team assessed and scored the trial group （LLPM） and control group （traditional teaching model） based on the benefit indicators for pharmacists and patients in the evaluation index system， and compared the results. RESULTS This study explored the establishment of a training system for cough and wheeze pharmacists under the LLPM model， and initially established an evaluation index system using the Delphi method. In two rounds of Delphi method questionnaires， the recovery rate was 100%， with an authority coefficient exceeding 0.8， Kendall’s harmony coefficient ranging from 0.235 to 0.459， and all P-values being less than 0.05. Four primary （comprising trainee feedback， learning gains， behavioral improvements， and training performance）， 12 secondary and 33 tertiary indicators were finalized. In the empirical evaluation， the results of the two groups showed a significant benefit to the pharmacists in the trial group. Specifically， the percentage of patients receiving corticosteroids for COPD or wheeze service patients per month （80.5%）， an average increase in the number of cough and wheeze team service outpatient visits per month （compared to the same period of the previous year） of 14.8 visits per month， and the patient satisfaction score （4.9） were all significantly higher than those in the control group （P＜0.05）. CONCLUSIONS The application of the LLPM in competency training for pharmacists specializing in cough and wheeze care yields multiple benefits and holds significant guiding value. The constructed training quality evaluation index system under this model is scientific and reliable. |
| 期刊： | 2025年第36卷第11期 |
| 作者： | 李远；杨贤；严思敏；李俐 |
| AUTHORS： | LI Yuan，YANG Xian，YAN Simin，LI Li |
| 关键字： | 咳喘药师；临床药学；分层学习实践模式；评价指标体系 |
| KEYWORDS： | cough and wheeze pharmacist； clinical |
| 阅读数： | 26 次 |
| 本月下载数： | 0 次 |
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