Till sidans topp

Sidansvarig: Webbredaktion
Sidan uppdaterades: 2012-09-11 15:12

Tipsa en vän
Utskriftsversion

Developing professional c… - Göteborgs universitet Till startsida
Webbkarta
Till innehåll Läs mer om hur kakor används på gu.se

Developing professional confidence in the art of prescribing-a randomized controlled study on structured collegial discussions during internship.

Artikel i vetenskaplig tidskrift
Författare Johan Lönnbro
Karin Nylén
Susanna Maria Wallerstedt
Publicerad i European journal of clinical pharmacology
Volym 75
Nummer/häfte 5
Sidor 687-696
ISSN 1432-1041
Publiceringsår 2019
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för farmakologi
Sidor 687-696
Språk en
Länkar dx.doi.org/10.1007/s00228-018-02619...
www.ncbi.nlm.nih.gov/entrez/query.f...
Ämnesord Adult, Clinical Competence, standards, Drug Prescriptions, standards, Education, Medical, Continuing, methods, Female, Hospitals, University, Humans, Internship and Residency, methods, Male, Random Allocation, Surveys and Questionnaires
Ämneskategorier Klinisk medicin

Sammanfattning

To evaluate whether an educational intervention based on collegial discussions on patient cases could increase interns' professional confidence in prescribing.In a randomized controlled study at Sahlgrenska University Hospital, Gothenburg, Sweden, 69 interns (median age: 29 years, 54% female) were allocated to an intervention or control group. The intervention consisted of two 3-h seminars based on collegial discussions of patient cases focused on performing medication reviews. This included reconciling the drug treatment and ascertaining that it is reasonable given the patient's current health status, as well as tips on practical handling of the medical records system and integrated decision support. Self-assessed confidence in performing medication reviews was evaluated with questionnaires distributed at baseline and at 6-month follow-up.Fifty-seven (83%) interns completed the questionnaires. Although the opposite was found at baseline, intervention interns, in comparison with controls, at follow-up, were more confident in performing medication reviews (4.3 ± 0.9 vs. 3.6 ± 1.3, P = 0.034; 1 = completely disagree to 5 = completely agree). At follow-up, the intervention participants had increased their confidence in prescribing to a greater extent compared with the control participants, including performing medication reviews as well as taking responsibility for the medication list at discharge: + 1.5/+ 1 vs ± 0 on the 5-point agreement scale (all P ≤ 0.01). Among other positive outcomes, the intervention increased the interns' awareness of adverse effects as a potential cause of symptoms and their confidence in withdrawing a medication.Structured collegial discussions on pharmacotherapy, even of a relatively short duration, can increase junior physicians' professional confidence in prescribing medicines.

Sidansvarig: Webbredaktion|Sidan uppdaterades: 2012-09-11
Dela:

På Göteborgs universitet använder vi kakor (cookies) för att webbplatsen ska fungera på ett bra sätt för dig. Genom att surfa vidare godkänner du att vi använder kakor.  Vad är kakor?