Students' self-efficacy completing the pharmacist patient care process: Integrating authentic assessment into a pharmacy elective
DOI:
https://doi.org/10.46542/pe.2023.231.223229Keywords:
Authentic assessment, Pharmacist Patient Care Process (PPCP), Post-graduate Education, Self-efficacyAbstract
Background: Authentic assessments can be used to accurately measure students’ ability to perform tasks reflective of practising pharmacist responsibilities.
Objective: To evaluate the impact of an authentic assessment on student self-efficacy in completing the Pharmacists Patient Care Process (PPCP) in an elective course.
Methods: An authentic assessment simulated a direct patient care visit in an ambulatory care setting. For the assessment, students completed four steps of the PPCP, followed by a survey to evaluate their perceived self-efficacy in completing the activity.
Results: After the activity, 90% or more students felt more confident in knowing what information to collect, conducting a patient interview, and counselling a patient. General themes from free response questions confirmed student confidence and knowledge.
Conclusion: Creating and implementing an authentic assessment allowed for students to demonstrate improved self-efficacy while conducting the PPCP in a setting that closely resembled a real-life practice environment.
References
Accreditation Council for Pharmacy Education. (2015). Accreditation standards and key elements for the professional program in pharmacy leading to the doctor of pharmacy degree. https://www.acpe-accredit.org/pdf/Standards2016 FINAL.pdf
Archbald, D.A., & Newmann, F.M. (1988). Beyond standardized testing: Assessing authentic academic achievement in the secondary school. Washington, DC: Office of Educational Research and Improvement
Chong, E. J., Lim, J. S., Liu, Y., Lau, Y. Y., & Wu, V. X. (2016). Improvement of learning domains of nursing students with the use of authentic assessment pedagogy in clinical practice. Nurse education in practice, 20, 125–130. https://doi.org/10.1016/j.nepr.2016.08.002
Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological review, 84(2), 191–215. https://doi.org/10.1037//0033-295x.84.2.191
Bandura, A. (1994). Self-Efficacy. In V. S. Ramachaudran (Ed.), Encyclopedia of Human Behavior (Vol. 4, pp. 71-81). New York: Academic Press. (Reprinted in H. Friedman (Ed.) (1998). Encyclopedia of Mental Health. San Diego: Academic Press)
Bandura, A. (1997). Self-efficacy: The exercise of control. W.H. Freeman Publisher
Frey, B.B., Schmitt, V.L., & Allen, J.P. (2012). Defining Authentic Classroom Assessment. Practical Assessment, Research, and Evaluation, 17(2). https://doi.org/10.7275/sxbs-0829
Gulikers, J. T. M., Bastiaens, T. J., & Kirschner, P. A. (2004). A Five-Dimensional Framework for Authentic Assessment. Educational technology research and development, 52(3), 67-86. https://doi.org/10.1007/BF02504676
Hirsch, A. C., & Parihar, H. S. (2014). A capstone course with a comprehensive and integrated review of the pharmacy curriculum and student assessment as a preparation for advanced pharmacy practice experiences. American journal of pharmaceutical education, 78(10), 192. https://doi.org/10.5688/ajpe7810192
Joint Commission of Pharmacy Practitioners. (2014). Pharmacists’ Patient Care Process. https://jcpp.net/wp-content/uploads/2016/03/PatientCareProcess-with-supporting-organizations.pdf
Margolis, A., Shah, S., Kraus, C., & Pigarelli, D. W. (2020). Longitudinal Assessment of Pharmacy Students' Confidence and Skill in Providing Evidence-based Answers to Clinical Questions. American journal of pharmaceutical education, 84(10), ajpe7884. https://doi.org/10.5688/ajpe7884
Medina, M. S., Plaza, C. M., Stowe, C. D., Robinson, E. T., DeLander, G., Beck, D. E., Melchert, R. B., Supernaw, R. B., Roche, V. F., Gleason, B. L., Strong, M. N., Bain, A., Meyer, G. E., Dong, B. J., Rochon, J., & Johnston, P. (2013). Center for the Advancement of Pharmacy Education 2013 educational outcomes. American journal of pharmaceutical education, 77(8), 162. https://doi.org/10.5688/ajpe778162
Noureldin, M., Gordon, S. K., McCafferty, R., & Campbell, J. A. (2021). Evaluation of pharmacy students' self-efficacy and performance in applying components of the Pharmacists' Patient Care Process within a capstone course and during advanced pharmacy practice experiences. Currents in pharmacy teaching & learning, 13(12), 1659–1667. https://doi.org/10.1016/j.cptl.2021.09.028
Phillips, B. B., Newsome, A. S., Bland, C. M., Palmer, R., Smith, K., DeRemer, D. L., & Phan, S. V. (2019). Pharmacy Student Performance in a Capstone Course Utilizing the Pharmacists' Patient Care Process. American journal of pharmaceutical education, 83(8), 7357. https://doi.org/10.5688/ajpe7357
Saseen, J. J., Linnebur, S. A., Borgelt, L. M., Trujillo, J., Fish, D. N., & Mueller, S. (2017). A Pharmacotherapy Capstone Course to Target Student Learning and Programmatic Curricular Assessment. American journal of pharmaceutical education, 81(3), 45. https://doi.org/10.5688/ajpe81345
Smith K. J. (2020). Incorporating the Pharmacists' Patient Care Process Into An Interprofessional Second Year Capstone. Currents in pharmacy teaching & learning, 12(1), 41–48. https://doi.org/10.1016/j.cptl.2019.10.006
Usher, E. L., Pajares, F. (2008). Sources of Self-Efficacy in School: Critical Review of the Literature and Future Directions. Review of Educational Research, 78(4), 751-796. https://doi.org/10.3102/0034654308321456
Wiggins, G. (1989). A True Test: Toward More Authentic and Equitable Assessment. Phi Delta Kappan, 70(9), 703–713. http://www.jstor.org/stable/20404004
Wu, X. V., Heng, M. A., & Wang, W. (2015). Nursing students' experiences with the use of authentic assessment rubric and case approach in the clinical laboratories. Nurse education today, 35(4), 549–555. https://doi.org/10.1016/j.nedt.2014.12.009