Evaluation of the effect of video tutorial training on improving pharmacy students’ knowledge and skills about medication reconciliation
Main Article Content
Students, Pharmacy, Education, Pharmacy, Videotape Recording, Teaching, Medication Reconciliation, Educational Measurement, Controlled Before-After Studies, Jordan
Objectives: This study aimed to describe the effect of using an innovative teaching strategy using a video tutorial on enhancing students’ knowledge about medication reconciliation, and skills in identifying medication discrepancies.
Methods: This is a one group pre-post interventional study that was conducted at the School of Pharmacy at Applied Science Private University. Sixty pharmacy students were invited to attend an educational sessions that involve watching a 6-minutes video tutorial. The first two levels of the Kirkpatrick’s Model were used to evaluate the effectiveness of this training tool. Level 1 (Reaction) was assessed using a satisfaction questionnaire, while level 2 (Learning) was assessed using two criteria: 1) student acquired knowledge about medication reconciliation using a questionnaire and a knowledge score out of 13 was calculated for each student, and 2) student acquired skills in identifying medication discrepancies using a virtual case scenario. If the student was able to identify any of the four impeded discrepancies he/she rewarded 1 point for each identified discrepancy, but if they identified any incorrect discrepancy they scored a negative point.
Results: Among the 60 students who registered to participate in the study, 49 attended the educational training (response rate 81.6%). The majority of them (n=44, 89.8%) were satisfied with the training process. Before the video tutorial, students showed an overall low knowledge score [4.08/13.0, SD 1.81], and low ability to identify discrepancies [0.72 identified discrepancies out of 4.0, SD 1.1]. Following the video tutorial, the overall knowledge score was improved (p<0.001), and students were able to identify more discrepancies after watching the video (p<0.001).
Conclusion: In conclusion, video education has shown itself to be an effective method to educate pharmacy students.. This visualized method can be applied to other areas within pharmacy education. We encourage the integration of videos within the learning process to enhance students’ learning experience and to support the traditional learning provided by the teaching staff.
2. Joint Commission. Patient Safety Goal 8—Medication Reconciliation. Available at: http://www.jointcommission.org/NR/rdonlyres/241 (accessed Feb 24, 2019).
3. ISMP. ISMP Canada Medication Reconciliation Project. Available at: https://www.ismp-canada.org/medrec/ (accessed Feb 25, 2019).
4. WHO. High 5s: Standard operating procedures. Available at: https://www.who.int/patientsafety/topics/high-5s/en/ (accessed May 24, 2019).
5. Salameh LK, Abu Farha RK, Abu Hammour KM, Basheti IA. Impact of pharmacist's directed medication reconciliation on reducing medication discrepancies during transition of care in hospital setting. J Pharm Health Ser Res. 2019;10(1):149-156. https://doi.org/10.1111/jphs.12261
6. Al-Hashar A, Al-Zakwani I, Eriksson T, Sarakbi A, Al-Zadjali B, Al Mubaihsi S, Al Za'abi M. Impact of medication reconciliation and review and counselling, on adverse drug events and healthcare resource use. Int J Clin Pharm. 2018;40(5):1154-1164. https://doi.org/10.1007/s11096-018-0650-8
7. Al-Hashar A, Al-Zakwani I, Eriksson T, Al Za'abi M. Whose responsibility is medication reconciliation: Physicians, pharmacists or nurses? A survey in an academic tertiary care hospital. Saudi Pharm J. 2017;25(1):52-58. https://doi.org/10.1016/j.jsps.2015.06.012
8. Hammour KA, Farha RA, Basheti IA. Hospital pharmacy medication reconciliation practice in Jordan: perceptions and barriers. J Eval Clin Pract. 2016;22(6):932-937. https://doi.org/10.1111/jep.12565
9. Ramjaun A, Sudarshan M, Patakfalvi L, Tamblyn R, Meguerditchian AN. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. https://doi.org/10.1186/s12909-015-0306-5
10. Sullivan C, Gleason KM, Rooney D, Groszek JM, Barnard C. Medication reconciliation in the acute care setting: opportunity and challenge for nursing. J Nurs Care Qual. 2005;20(2):95-98. https://doi.org/10.1097/00001786-200504000-00001
11. van Sluisveld N, Zegers M, Natsch S, Wollersheim H. Medication reconciliation at hospital admission and discharge: insufficient knowledge, unclear task reallocation and lack of collaboration as major barriers to medication safety. BMC Health Serv Res. 2012;12:170. https://doi.org/10.1186/1472-6963-12-170
12. Lubowski TJ, Cronin LM, Pavelka RW, Briscoe-Dwyer LA, Briceland LL, Hamilton RA. Effectiveness of a medication reconciliation project conducted by PharmD students. Am J Pharm Educ. 2007;71(5):94. https://doi.org/10.5688/aj710594
13. Lindquist LA, Gleason KM, McDaniel MR, Doeksen A, Liss D. Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. J Gen Intern Med. 2008;23(7):998-1001. https://doi.org/10.1007/s11606-008-0567-3
14. Caroff DA, Bittermann T, Leonard CE, Gibson GA, Myers JS. A medical resident-pharmacist collaboration improves the rate of medication reconciliation verification at discharge. Jt Comm J Qual Patient Saf. 2015;41(10):457-461. https://doi.org/10.1016/s1553-7250(15)41059-1
15. Smidt A, Balandin S, Sigafoos J, Reed VA. The Kirkpatrick model: A useful tool for evaluating training outcomes. J Intellect Dev Disabil. 2009;34(3):266-274. https://doi.org/10.1080/13668250903093125
16. Metzger NL, Chesson MM, Momary KM. Simulated order verification and medication reconciliation during an introductory pharmacy practice experience. Am J Pharm Educ. 2015;79(7):96. https://doi.org/10.5688/ajpe79796
17. Boissinot L, Gutermann L, Borja-Prats C, Maire A, Eger J, Benmelouka C, Zerhouni L, Harcouet L, Bardin C, Conort O. Simulation training: An innovative and efficient tool to teach medication reconciliation to pharmacy students. In: 22th EAHP Congress. Cannes, France; 2017.
18. WMA. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191-2194. https://doi.org/10.1001/jama.2013.281053
19. Bond C, Raehl CL, Franke T. Clinical pharmacy services, hospital pharmacy staffing, and medication errors in United States hospitals. Pharmacotherapy. 2002;22(2):134-147. https://doi.org/10.1592/phco.22.214.171.124551
20. American College of Clinical Pharmacy, Hume AL, Kirwin J, Bieber HL, Couchenour RL, Hall DL, Kennedy AK, LaPointe NM, Burkhardt CD, Schilli K, Seaton T, Trujillo J, Wiggins B. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-e337. https://doi.org/10.1002/phar.1215
21. Walker PC, Tucker Jones JN, Mason NA. An advanced pharmacy practice experience in transitional care. Am J Pharm Educ. 2010;74(2):20. https://doi.org/10.5688/aj740220
22. Padiyara RS. Student pharmacists and medication reconciliation upon hospital admission: proposing a way to meet ASHP 2015 objective 1.1. J Am Pharm Assoc (2003). 2008;48(6):701. https://doi.org/10.1331/japha.2008.08106
23. Lancaster JW, Grgurich PE. Impact of students pharmacists on the medication reconciliation process in high-risk hospitalized general medicine patients. Am J Pharm Educ. 2014;78(2):34. https://doi.org/10.5688/ajpe78234
24. Fox LM, Pham KH, Dollar M. Using interactive digital images of products to teach pharmaceutics. Am J Pharm Educ. 2007;71(3):58. https://doi.org/10.5688/aj710358
25. Curley LE, Wu Z, Svirskis D. Using technology in pharmacy education: pharmacy student performance and perspectives when visual aids are integrated into learning. Front Pharmacol. 2018;9:1062. https://doi.org/10.3389/fphar.2018.01062
26. Fox BI. Information technology and pharmacy education. Am J Pharm Educ. 2011;75(5):86. https://doi.org/10.5688/ajpe75586
27. Yellepeddi VK, Roberson C. The use of animated videos to illustrate oral solid dosage form manufacturing in a pharmaceutics course. Am J Pharm Educ. 2016;80(8):141. https://doi.org/10.5688/ajpe808141
28. Curley L, Hinton J, Marjoribanks C, Mirjalili A, Kennedy J, Svirskis D. Magnetic resonance imaging to visualize disintegration of oral formulations. J Pharm Sci. 2017;106(3):745-750. https://doi.org/10.1016/j.xphs.2016.11.009
29. Woolfitt Z. The effective use of video in higher education. [Lectoraat Teaching]. Inholland University of Applied Sciences. 2015.
30. Brame CJ. Effective educational videos: Principles and guidelines for maximizing student learning from video content. CBE Life Sci Educ. 2016;15(4):es6. https://doi.org/10.1187/cbe.16-03-0125
31. Forbes H, Oprescu FI, Downer T, Phillips NM, McTier L, Lord B, Barr N, Alla K, Bright P, Dayton J, Simbag V, Visser I. Use of videos to support teaching and learning of clinical skills in nursing education: A review. Nurse Educ Today. 2016;42:53-56. https://doi.org/10.1016/j.nedt.2016.04.010
32. Wilson EA, Park DC, Curtis LM, Cameron KA, Clayman ML, Makoul G, Vom Eigen K, Wolf MS. Media and memory: the efficacy of video and print materials for promoting patient education about asthma. Patient Educ Couns. 2010;80(3):393-398. https://doi.org/10.1016/j.pec.2010.07.011
33. von Schantz S, Katajavuori N, Juppo AM. The use of video instructions in patient education promoting correct technique for dry powder inhalers: An Investigation on Inhaler-Naïve Individuals. Pharmacy (Basel) 2018;(4):106.
34. Hitch G, Williams J, Herbland A, Bowen J, Jardine S, Power P, Venstone G. The use of videos in blended learning to enhance students’ learning in systems-based patient assessment with development of associated clinical skills: an Analysis. Pharm Educ. 2013;13 (1):157-161.
35. Lindner K, Blosser G, Cunigan K. Visual versus auditory learning and memory recall performance on short-term versus long-term tests. Modern Psychol Stud 2009;15(1):39-42.
36. Zhang D, Zhou L, Briggs RO, Nunamaker JF Jr. Instructional video in e-learning: Assessing the impact of interactive video on learning effectiveness. Inform Manag. 2006;43(1):15-27. https://doi.org/10.1016/j.im.2005.01.004