Skip to main content

Advertisement

Log in

Pharmacists’ experiences and perceptions about simulation use for learning and development of clinical skills in Kuwait

  • Research Article
  • Published:
International Journal of Clinical Pharmacy Aims and scope Submit manuscript

Abstract

Background There has been a worldwide exponential rise in simulation use in health professions education. Most of the evidence about simulation-based education (SBE) comes from Western educational systems. Little is known about simulation use in the education and training of pharmacy students and pharmacists in the Middle Eastern countries. Objective To explore pharmacists’ experiences, perceptions and attitudes toward simulation use for learning clinical skills in Kuwait. Setting Different governmental hospitals across the State of Kuwait. Method This was an exploratory descriptive study of pharmacists’ perceptions about SBE. A mixed-method research design was employed whereby 110 hospital pharmacists participated in focus groups and completed self-administered surveys. The focus group interviews were audio-recorded, transcribed verbatim and analysed using framework analysis. Descriptive statistics were used to describe characteristics of study participants and survey findings. Main outcome measure Pharmacists’ experiences, perceptions and attitudes toward SBE. Results A total of 110 pharmacists participated in the focus groups, of whom 88 completed the survey (80% response rate). The focus groups revealed that pharmacists had different experiences in relation to simulation use which included learning, assessment, and less frequently reported in their training as practitioners. They identified many benefits of simulation such as enhancing knowledge retention and allowing learners practice and rehearse clinical skills in safe environments. Participants’ perceived barriers to simulation use in pharmacy students’ training included the need for qualified faculty and simulated patients, time constrains to incorporate simulation in faculty teaching and reluctance of learners/educators to use simulation. Most participants expressed positive attitudes toward simulation and welcomed its integration in pharmacy students’ learning. In response to survey, 26.1% of pharmacists reported having no prior experience in the use of simulation. The top reported barriers to using simulation for learning were time constrains (22.7%) and the need for qualified faculty (6.8%). Conclusion Pharmacists in Kuwait have diverse experiences regarding simulation use for learning. They expressed positive attitudes toward simulation use for learning clinical skills. Efforts are needed to standardize and expand simulation use in the education and training of pharmacy students, trainees and practitioners to equip them with the clinical skills essential for pharmacy practice.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. NHS Department of Health. An organization with a memory. 2000. http://webarchive.nationalarchives.gov.uk/20130107105354/. http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4065086.pdf. Accessed 15 Apr 2018.

  2. Institute of Medicine. To err is human: building a safer health system. Washington: National Academy Press; 2000.

    Google Scholar 

  3. Okuda Y, Bryson EO, DeMaria S Jr, Jacobson L, Shen B, Levine AI, et al. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med. 2009;76:330–43.

    Article  PubMed  Google Scholar 

  4. Ker J, Bradley P. Simulation in medical education. In: Swanwick T, editor. Understanding medical education evidence, theory and practice. Chichester: Wiley-Blackwell; 2010.

    Google Scholar 

  5. Gaba DM. The future vision of simulation in healthcare. Simul Healthc. 2007;2:126–35.

    Article  PubMed  Google Scholar 

  6. Motola I, Devine LA, Chung HS, Sullivan JE, Issenberg SB. Simulation in healthcare education: a best evidence practical guide. AMEE Guide No. 82. Med Teach. 2013;35:e1511–30.

  7. Fanning RM, Gaba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007;2:115–25.

    Article  PubMed  Google Scholar 

  8. Brigden D, Dangerfield P. The role of simulation in medical education. Clin Teach. 2008;5:167–70.

    Article  Google Scholar 

  9. Maran NJ, Glavin RJ. Low- to high-fidelity simulation—a continuum of medical education? Med Educ. 2003;37(Suppl 1):22–8.

    Article  PubMed  Google Scholar 

  10. Khan K, Pattison T, Sherwood M. Simulation in medical education. Med Teach. 2011;33:1–3.

    Article  PubMed  Google Scholar 

  11. Gaba DM. Training and nontechnical skills: the politics of terminology. Simul Healthc. 2011;6:8–10.

    Article  PubMed  Google Scholar 

  12. Issenberg SB. The scope of simulation-based healthcare education. Simul Healthc. 2006;1:203–8.

    Article  PubMed  Google Scholar 

  13. Weller JM, Nestel D, Marshall SD, Brooks PM, Conn JJ. Simulation in clinical teaching and learning. Med J Aust. 2012;196:594.

    Article  PubMed  Google Scholar 

  14. Beaubien JM, Baker DP. The use of simulation for training teamwork skills in health care: how low can you go? Qual Saf Health Care. 2004;13(Suppl 1):i51–6.

    Article  PubMed  PubMed Central  Google Scholar 

  15. McGaghie WC, Draycott TJ, Dunn WF, Lopez CM, Stefanidis D. Evaluating the impact of simulation on translational patient outcomes. Simul Healthc. 2011;6(Suppl):S42–7.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. Anesthesiol Clin. 2007;25:225–36.

    Article  PubMed  Google Scholar 

  17. Good ML. Patient simulation for training basic and advanced clinical skills. Med Educ. 2003;37:14–21.

    Article  PubMed  Google Scholar 

  18. Weller JM. Simulation in undergraduate medical education: bridging the gap between theory and practice. Med Educ. 2004;38:32–8.

    Article  PubMed  Google Scholar 

  19. Seybert AL. Patient simulation in pharmacy education. Am J Pharm Educ. 2011;75:1–2.

    Google Scholar 

  20. Kane-Gill SL, Smithburger PL. Transitioning knowledge gained from simulation to pharmacy practice. Am J Pharm Educ. 2011;75:1–7.

    Article  Google Scholar 

  21. Atayee RS, Awdishu L, Namba J. Using simulation to improve first-year pharmacy students’ ability to identify medication errors involving the top 100 prescription medications. Am J Pharm Educ. 2016;80:86.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Lasater K. High-fidelity simulation and the development of clinical judgment: students’ experiences. J Nurs Educ. 2007;46:269–76.

    Article  PubMed  Google Scholar 

  23. Parekh A, Thorpe T. How should we teach undergraduates in simulation scenarios? Clin Teach. 2012;9:280–4.

    Article  PubMed  Google Scholar 

  24. Dow A. Simulation-based learning: a case study, part 1. Br J Midwifery. 2012;20:508–14.

    Article  Google Scholar 

  25. Mays N, Pope C. Qualitative research: rigour and qualitative research. BMJ. 1995;311:109–12.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Smith F. Health services research methods in pharmacy: qualitative interviews. Int J Pharm Pract. 1998;6:97–108.

    Article  Google Scholar 

  27. Kuper A, Reeves S, Levinson W. An introduction to reading and appraising qualitative research. BMJ. 2008;337:a288.

    Article  PubMed  Google Scholar 

  28. Huston P, Rowan M. Qualitative studies. Their role in medical research. Can Fam Physician. 1998;44:2453–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  29. Mays N, Pope C. Assessing quality in qualitative research. BMJ. 2000;320:50–2.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Hadi MA, Alldred DP, Closs SJ, Briggs M. Mixed-methods research in pharmacy practice: basics and beyond (part 1). Int J Pharm Pract. 2013;21:341–5.

    Article  PubMed  Google Scholar 

  31. Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A, Burgess RG, editors. Analyzing qualitative data. New York: Routledge; 1994.

    Google Scholar 

  32. Katoue MG, Ker J. Implementing the medicines reconciliation tool in practice: challenges and opportunities for pharmacists in Kuwait. Health Policy. 2018;122:404–11

    Article  PubMed  Google Scholar 

  33. Al-Wazaify M, Matowe L, Albsoul-Younes A, Al-Omran OA. Pharmacy education in Jordan, Saudi Arabia, and Kuwait. Am J Pharm Educ. 2006;70:18.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Rickles NM, Tieu P, Myers L, Galal S, Chung V. The impact of a standardized patient program on student learning of communication skills. Am J Pharm Educ. 2009;73:4.

    Article  PubMed  Google Scholar 

  35. Nestel D, Calandra A, Elliott RA. Using volunteer simulated patients in development of pre-registration pharmacists: learning from the experience. Pharm Educ. 2007;7:35–42.

    Article  Google Scholar 

  36. Monaghan MS, Jones RM, Schneider EF, Richardson RF, Grady AR, McCormack JR, et al. Using standardized patients to teach physical assessment skills to pharmacists. Am J Pharm Educ. 1997;61:266–71.

    Google Scholar 

  37. Hogg G, Ker J, Stewart F. Over the counter clinical skills for pharmacists. Clin Teach. 2011;8:109–13.

    Article  PubMed  Google Scholar 

  38. Knowles M. The adult learner: a neglected species. Houston: Gulf Publishing; 1984.

    Google Scholar 

  39. Shapiro MJ, Morey JC, Small SD, Langford V, Kaylor CJ, Jagminas L, et al. Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? Qual Saf Health Care. 2004;13:417–21.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Seropian M, Dillman D, Lasater K, Gavilanes J. Mannequin-based simulation to reinforce pharmacology concepts. Simul Healthc. 2007;2:218–23.

    Article  PubMed  Google Scholar 

  41. Palaganas JC, Epps C, Raemer DB. A history of simulation-enhanced interprofessional education. J Interprof Care. 2014;28:110–5.

    Article  PubMed  Google Scholar 

  42. Nestel D, Cecchini M, Calandrini M, Chang L, Dutta R, Tierney T, et al. Real patient involvement in role development: evaluating patient focused resources for clinical procedural skills. Med Teach. 2008;30:534–6.

    Article  PubMed  Google Scholar 

  43. Beyea SC, Kobokovich LJ. Human patient simulation: a teaching strategy. AORN J. 2004;80:738.

    Article  PubMed  Google Scholar 

  44. Rowan M, Huston P. Qualitative research articles: information for authors and peer reviewers. CMAJ. 1997;157:1442–6.

    CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

We would like to thank Dasman Diabetes Institute and the University of Dundee for providing opportunities for the professional development of healthcare professionals in Kuwait. We are grateful to all the pharmacists who participated in this study.

Funding

None.

Conflicts of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maram Gamal Katoue.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (DOCX 26 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Katoue, M.G., Ker, J. Pharmacists’ experiences and perceptions about simulation use for learning and development of clinical skills in Kuwait. Int J Clin Pharm 41, 1451–1461 (2019). https://doi.org/10.1007/s11096-019-00904-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11096-019-00904-5

Keywords

Navigation