我国静脉用药调配中心人员培养模式的循证评价
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篇名: 我国静脉用药调配中心人员培养模式的循证评价
TITLE:
摘要: 目的:系统评价我国静脉用药调配中心(PIVAS)人员培养模式,为我国PIVAS人员的综合培养提供参考。方法:计算机检索PubMed、Embase、Cochrane Library、中国生物医学文献数据库、中国期刊全文数据库、中文科技期刊数据库和万方数据,检索时限为建库起至 2018年9月,纳入评价我国PIVAS人员培养模式的研究,对培养模式中的培养对象、培养目标、内容和评价指标等结果进行描述性分析。结果:共纳入5篇文献,其中前后对照研究2篇、经验分享2篇、综述1篇。3篇研究的培养主体为药学人员,1篇为临床药师,1篇为护士。培养目标包括综合素质培养和提升临床合理用药水平和专业服务能力。具体培养内容差别较大,主要包括专业理论知识、实践操作能力、岗前培训、职业心理素质、职业道德素质和法律法规、继续教育学习能力、职业生涯发展规划和带教能力等。评价培养成效的指标存在较大差异,主要体现在团队执行动力和创造力、不合理医嘱发现率、工作效率、服务质量、药物治疗水平和临床对PIVAS的满意率等。结论:我国PIVAS药师培养模式培养目标、培养对象、具体内容和评价指标存在一定差异,有必要运用循证方法学构建PIVAS药师培养模式,为临床静脉合理用药提供支撑。
ABSTRACT: OBJECTIVE: To systematically evaluate the mode of personnel training in pharmacy intravenous admixture services (PIVAS) in China, and to provide reference for the comprehensive training of pharmacist in PIVAS in China. METHODS: PubMed, Embase, Cochrane Library, CBM, CJFD, VIP and Wanfang database were searched from the establishment of database to Sept. 2018. Studies which evaluated the training mode of PIVAS in China were included, and the results were presented by descriptive analysis in respects of training objects, training objectives, contents and evaluation indicators. RESULTS: A total of 5 literatures were included. The research types were 2 before-after control studies, 2 experience sharing studies and 1 review. 3 subjects were pharmacists, 1 subject was clinical pharmacists, and 1 subject was nurses. The training objectives were comprehensive quality training, clinical rational drug use level, pharmacy personnel training path and professional service ability. The specific training content of the training mode varied greatly, including professional theoretical knowledge, practical operation ability, pre-job training, professional psychological quality, professional ethics and laws and regulations, continuing education learning ability, career development planning and teaching ability. There were great differences in the evaluation indicators of training effectiveness, which were mainly reflected in team execution motivation and creativity, discoveny rate of unreasonable doctor’s advice, work efficiency, service quality, drug treatment level and satisfaction of PIVAS, etc. CONCLUSIONS: There are certain differences in the training objectives, training targets, specific contents and evaluation indicators of the PIVAS pharmacist training model in China. It is necessary to use the evidence- based method to construct the training mode for PIVAS pharmacist to provide support for clinical intravenous drug use.
期刊: 2019年第30卷第5期
作者: 杨春松,张伶俐,林芸竹,韩璐,王叶立,高山,荆文荣
AUTHORS: YANG Chunsong,ZHANG Lingli,LIN Yunzhu,HAN Lu,WANG Yeli,GAO Shan,JIN Wenrong
关键字: 静脉用药调配中心;药师;培养模式;循证评价
KEYWORDS: PIVAS; Pharmacists; Training mode; Evidence- based evaluation
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