Dokument: Advancing Patient-Oriented Clinical Pharmacy Education in Germany: Evaluation and Application of Objective Structured Clinical Examination-Based Training on Counseling for Pharmacy Students

Titel:	Advancing Patient-Oriented Clinical Pharmacy Education in Germany: Evaluation and Application of Objective Structured Clinical Examination-Based Training on Counseling for Pharmacy Students
URL für Lesezeichen:	https://docserv.uni-duesseldorf.de/servlets/DocumentServlet?id=59282
URN (NBN):	urn:nbn:de:hbz:061-20220517-114413-8
Kollektion:	Dissertationen
Sprache:	Englisch
Dokumententyp:	Wissenschaftliche Abschlussarbeiten » Dissertation
Medientyp:	Text
Autor:	Farahani, Imaneh [Autor]
Dateien:	[Dateien anzeigen] Adobe PDF [Details] 3,29 MB in einer Datei [ZIP-Datei erzeugen] Dateien vom 11.05.2022 / geändert 11.05.2022
Beitragende:	Prof. Dr. Läer, Stephanie [Gutachter] Prof. Dr. Grandoch, Maria [Gutachter]
Dewey Dezimal-Klassifikation:	600 Technik, Medizin, angewandte Wissenschaften » 610 Medizin und Gesundheit
Beschreibung:	The past decades have seen a paradigm shift in pharmacy practice from its original focus on medical product distribution towards patient-centered pharmaceutical care, with patient counseling playing a key role. While the movement to a more patient-oriented pharmacy university curriculum has been achieved to varying degrees throughout the world, it is relatively lacking in Germany compared to the United States of America and some European countries, such as the Netherlands. Patient-oriented competencies in pharmacy education could be promoted using a competency-based method, such as objective structured clinical examinations (OSCEs) applied as a tool for teaching counseling. This work evaluated the value of OSCEs as a teaching tool through 3 studies: 2 focusing on counseling for a chronic disease, specifically diabetes mellitus, and 1 concerning self-medication counseling. The impact of OSCE-based training on students’ counseling and communication skills, as well as students’ self-confidence or self-perceived proficiency was evaluated before and after the training for each study. The students’ satisfaction with the respective seminar was also assessed for each study. In the first study, OSCE-based training integrated into a blended learning setting was evaluated in a pre-post design with a single group and showed promising results. This led to the hypothesis that an OSCE-based training approach improves pharmacy students’ counseling skills, which was investigated in the subsequent 2 studies. Therefore, in the second study, this hypothesis was investigated using a control group and transferring to self-medication counseling. In this randomized controlled study using a pre-post design, the intervention group completed OSCE-based self-medication training, while the control group collected counseling-relevant information from summaries of product characteristics of non-prescription drugs. The majority of students were generally satisfied with the seminar. While the OSCE-trained group demonstrated significantly greater increases in counseling skills and self-confidence or self-perceived proficiency than the control group, both groups had similar increases in communication skills. In the third study, the training approach was modified and it was evaluated whether OSCE-based training leads to a significantly greater increase in pharmacy students’ counseling skills concerning diabetes mellitus compared to a control group. In this randomized controlled study using a pre-post design, the intervention group received diabetes-focused OSCE-based training, while the control group solved diabetes-focused patient cases by preparing subjective, objective, assessment, and plan notes and discussing them. The OSCE-trained group demonstrated significantly greater increases in counseling and communication skills and self-confidence or self-perceived proficiency than the control group. In general, both groups were satisfied with the seminar. OSCE-based training in both self-medication and prescription drug counseling (with the focus on diabetes mellitus), is a valuable tool for teaching pharmacy students counseling skills. The OSCE-based training examined in this dissertation contributes to closing the gap in patient-oriented education in the university's pharmacy curriculum.
Lizenz:	Urheberrechtsschutz
Fachbereich / Einrichtung:	Mathematisch- Naturwissenschaftliche Fakultät » WE Pharmazie » Klinische Pharmazie und Pharmakotherapie
Dokument erstellt am:	17.05.2022
Dateien geändert am:	17.05.2022
Promotionsantrag am:	05.08.2021
Datum der Promotion:	15.12.2021