How can pharmacists develop patient-pharmacist communication skills? A realist synthesis

PATIENT EDUCATION AND COUNSELING

卷:104

Review

Kerr, Aisling¹  Kelleher, Caroline²  Pawlikowska, Teresa³  Strawbridge, Judith¹ 

[1] RCSI Univ Med & Hlth Sci, Sch Pharm & Biomol Sci, Ardilaun House Block B,111 St Stephens Green, Dublin 2, Ireland

[2] RCSI Univ Med & Hlth Sci, Div Populat Hlth Sci, Dept Psychol, Dublin, Ireland

[3] RCSI Univ Med & Hlth Sci, Hlth Profess Educ Ctr HPEC, Dublin, Ireland

关键词: Communication;    Interpersonal communication;    Pharmacist;    Pharmacy education;    Pharmacy student;    Patient-pharmacist communication;    Realist methods;    Realist review;    Realist synthesis;   

DOI  :  10.1016/j.pec.2021.03.010

来源: Elsevier

【 摘 要 】

Objective: To understand how pharmacists develop patient-pharmacist communication skills. Methods: A realist synthesis approach was used to understand how educational interventions work to improve patient-pharmacist communication. Initial programme theories were developed through a scoping search and stakeholder focus groups (faculty, students, patients and public). A systematic search was then conducted for evidence to test initial theories. Included papers were assessed for relevance and rigour. Extracted data was synthesised to refine the initial programme theories and develop modified programme theories. Results: Forty-seven papers were included in the final synthesis. Role-play with simulated patients and peers, video recording and lectures were the most widely reported interventions. Repeated practice, feedback, reflection and confidence were among the mechanisms by which interventions work. Modified programme theories relating to interactions of role-play, experiential learning, video recording, self-assessment and workshops were developed. Conclusions: Outcomes of communication education interventions are influenced by the level of learner. Educational interventions that promote reflection are particularly useful. Practical implications: There are a wide range of theory-informed interventions, which should be used in a programmatic approach to communications education. A longitudinal programme of communication skills training, with intervention choice based on level of learning, is important. (C) 2021 The Author(s). Published by Elsevier B.V.

【 授权许可】

Free