医院咳喘药学服务门诊药师培训质量评价标准指标体系构建  

Development of the index system of the quality evaluation standard for pharmacist training in cough and wheeze pharmaceutical care outpatient department

作　　者：葛艳慧 陈晓莉[1] 赵晓玉[1] 陈哲 关克磊[1] 杜书章[1] GE Yanhui;CHEN Xiaoli;ZHAO Xiaoyu;CHEN Zhe;GUAN Kelei;DU Shuzhang(Dept.of Pharmacy,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院药学部,郑州450052

出　　处：《中国药房》2023年第21期2649-2653,共5页China Pharmacy

基　　金：河南省医学科技攻关计划(联合共建)项目(No.LHGJ20190271)。

摘　　要：目的 构建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,为CWPC药师培训师资的选择以及培训方案的改善提供依据。方法 以柯氏模型为基础,采用德尔菲法对国内10个省份的13家三级甲等医院的15名专家进行函询,建立CWPC药师培训质量评价标准指标体系。采用层次分析法确定各级指标权重,并根据各级指标权重量化CWPC药师培训质量评价标准指标体系。结果 专家权威系数为0.810,判断系数为0.727,熟悉系数为0.893。各级指标的肯德尔协调系数为0.308~0.687,χ^(2)检验P均小于0.05,说明专家函询结果的一致性高。经过2轮专家函询后,确定了以柯氏模型为基础的CWPC药师培训质量评价标准指标体系,包括4个一级指标(学员反应层、学习收获层、行为改善层、培训成果层)、12个二级指标(培训需求、教学方法、理论知识、实践技能、岗位能力、患者受益等)和44个三级指标(培训目标明确、CWPC核心制度、特殊装置的操作和评价、咳喘患者治疗相关专业知识、推进CWPC的建设、患者依从性提高等)。结论 构建的医院CWPC药师培训质量评价标准指标体系具有一定权威性和科学性,为医院CWPC药师培训质量评价提供了科学的理论依据。OBJECTIVE To establish the index system of quality evaluation standard for pharmacist training in cough and wheeze pharmaceutical care(CWPC)outpatient department,and to provide a basis for the selection of CWPC pharmacist training teachers and the improvement of training plans.METHODS Based on Kirkpatrick model,using the Delphi method,a total of 15 experts from 13 tertiary hospitals in 10 provinces in China were consulted to establish the standard index system of the quality evaluation for CWPC pharmacists training.Analytic hierarchy process(AHP)was adopted to determine the weights of each indicator and quantify the index system according to the weights of indicators at all levels.RESULTS The coefficient of expert authority was 0.810,the judgment coefficient was 0.727,and the familiarity coefficient was 0.893.The Kendall coordination coefficient of each index was 0.308-0.687.The P values ofχ^(2) test were all less than 0.05,which indicated that the degree of coordination of the experts was high.After two rounds of correspondence,Kirkpatrick model-based index system of quality evaluation standard for CWPC pharmacist training was determined.The index system included 4 first-level indexes(participants’reaction layer,learning gain layer,behavior improvement layer,training outcome layer),12 second-level indexes(such as training needs,teaching methods,theoretical knowledge,practical skills,job abilities,patient benefits,etc.)and 44 third-level indexes(such as clear training objectives,core system of CWPC,special device operation and evaluation,professional knowledge related to the treatment of cough and wheeze patients,promoting the construction of CWPC,improving patient compliance).CONCLUSIONS The constructed index system of quality evaluation standard for CWPC pharmacist training has a certain level of authority and scientificity,and provides a scientific theoretical basis for quality evaluation of CWPC pharmacist training.

关 键 词：咳喘药学服务门诊 药师 培训质量 评价标准 指标体系 柯氏模型 

分 类 号：R952[医药卫生—药学]