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المؤلفNasr, Ziad G.
المؤلفMoustafa, Diala Alhaj
المؤلفDahmani, Sara
المؤلفWilby, Kyle J.
تاريخ الإتاحة2022-08-31T09:31:53Z
تاريخ النشر2022-12-01
اسم المنشورBMC Medical Education
المعرّفhttp://dx.doi.org/10.1186/s12909-022-03542-0
الاقتباسNasr, Z.G., Alhaj Moustafa, D., Dahmani, S. et al. Investigating pharmacy students’ therapeutic decision-making with respect to antimicrobial stewardship cases. BMC Med Educ 22, 467 (2022). https://doi.org/10.1186/s12909-022-03542-0
معرّف المصادر الموحدhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85132309299&origin=inward
معرّف المصادر الموحدhttp://hdl.handle.net/10576/33600
الملخصBackground: Antimicrobial stewardship programs (ASPs) play a big role in minimizing antimicrobial resistance. Pharmacists are essential members of the health care team and in order for them to fulfill roles on ASP teams and become antimicrobial stewards, they must be prepared adequately by pharmacy schools prior to entry into actual practice. Although programming has been implemented into entry-to-practice programs worldwide, little is known about how students interpret antimicrobial stewardship (AMS) data and arrive at clinical decisions. We aimed to explore students’ cognitive processes and determine how they formulate therapeutic decisions when presented with AMS cases. Methods: This was a qualitative study conducted using a case study approach, in which a sample (n=20) of pharmacy students was recruited to interpret AMS cases. Semi-structured 1-on-1 interviews were arranged with each participant. A think-aloud procedure with verbal protocol analysis was adopted to determine students’ decision-making processes. Thematic analysis was used to interpret themes from the interview data. Results: Two themes were interpreted from the data: students’ focus and students’ approach to case interpretation. Students’ focus relates to external factors students consider when interpreting AMS case data and use to make and justify therapeutic decisions including patient-centered factors, drug-related factors, AMS interventions, and pharmacist’s role. Students’ clinical reasoning describes the approach that students use to interpret the data and the decision-making processes they employ to arrive at a clinical decision including a systematic approach versus non-systematic approach. Conclusions: Students vary in their focus and the cognitive strategies used to interpret AMS cases. Findings support the notion that clinical reasoning and decision-making should be explicitly taught in pharmacy curricula, in order to help students become aware of their own cognitive processes and decision-making abilities.
راعي المشروعThis study was completed with funding from an Internal Student Grant from Qatar University (QUST-2-CPH-2020-9).
اللغةen
الناشرBMC
الموضوعAntimicrobial Stewardship
Clinical reasoning
Pharmacy education
Qualitative research
Think-aloud
العنوانInvestigating pharmacy students’ therapeutic decision-making with respect to antimicrobial stewardship cases
النوعArticle
رقم العدد1
رقم المجلد22
ESSN1472-6920
dc.accessType Open Access


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