Active-Learning Diabetes Simulation in an Advanced Pharmacy Practice Experience to Develop Patient Empathy

Objective. To develop and integrate an active-learning diabetes simulation into an advanced pharmacy practice experience to improve pharmacy students’ empathy toward patients with diabetes mellitus. Design. Students simulated the experience of having diabetes mellitus by conducting activities commonly prescribed to those with this disease state for 7 days, after which they submitted a standardized diabetes log and narrative reflection. Interpretive phenomenology design with thematic analysis was used to determine the impact of this experience on the students. Assessment. As shown in student reflections, 95% developed empathy, 97% found the experience beneficial, and 67% improved their ability to relate to and counsel patients. Most (95%) found difficulty adhering to the regimen. On average, students consumed 179 grams of carbohydrates per day and exercised 5 days or 215 minutes per week. Additionally, 69% decided to modify their personal habits to become healthier. Conclusions. Inclusion of the 7-day active-learning exercise greatly impacted student pharmacists’ self-reported empathy toward and ability to relate to patients with diabetes mellitus. Completion of this experience may result in long-lasting personal behavior modifications.

[1]  J. Shaw,et al.  Resources, Roadblocks and Turning Points: A Qualitative Study of American Indian/ Alaska Native Adults with Type 2 Diabetes , 2013, Journal of Community Health.

[2]  D. Hegney,et al.  Exploring the meaning of hypoglycaemia to community-dwelling Singaporean Chinese adults living with type 2 diabetes mellitus. , 2012, International journal of nursing practice.

[3]  E. Beverly,et al.  A Qualitative Study of Perceived Responsibility and Self-Blame in Type 2 Diabetes: Reflections of Physicians and Patients , 2012, Journal of General Internal Medicine.

[4]  M. Harris,et al.  The influence of power dynamics and trust on multidisciplinary collaboration: a qualitative case study of type 2 diabetes mellitus , 2012, BMC Health Services Research.

[5]  V. Basevi,et al.  Standards of Medical Care in Diabetes—2012 , 2011, Diabetes Care.

[6]  M. Hojat,et al.  Measuring Empathy in Pharmacy Students , 2011, American Journal of Pharmaceutical Education.

[7]  R. Small,et al.  Lived experience of gestational diabetes mellitus among immigrant South Asian women in Australia , 2011, The Australian & New Zealand journal of obstetrics & gynaecology.

[8]  Sarah Shrader,et al.  A Week-Long Diabetes Simulation for Pharmacy Students , 2010, American Journal of Pharmaceutical Education.

[9]  Michelle Zagar,et al.  TEACHERS' TOPICS Simulation-Based Learning About Medication Management Difficulties of Low-Vision Patients , 2010 .

[10]  Rajul A. Patel,et al.  A Team Public Health Research Project for First-Year Pharmacy Students to Apply Content From Didactic Courses , 2010, American Journal of Pharmaceutical Education.

[11]  Melissa A. Bumgardner,et al.  Impact of an Elective Diabetes Course on Student Pharmacists' Skills and Attitudes , 2010, American Journal of Pharmaceutical Education.

[12]  T. Gibbs,et al.  Learner-centred medical education: Improved learning or increased stress? , 2009, Education for health.

[13]  J. Cain,et al.  Assessing the Effect of a Polypharmacy Medication Adherence Simulation Project in a Geriatrics Course in a College of Pharmacy , 2009, Journal of the American Geriatrics Society.

[14]  Karen S Dearing,et al.  Enhancing intellectual empathy: the lived experience of voice simulation. , 2009, Perspectives in psychiatric care.

[15]  K. Plake,et al.  Active-learning laboratory session to teach the four M's of diabetes care. , 2009, American journal of pharmaceutical education.

[16]  Kim Penny HIV/AIDS role-play activity. , 2008, The Journal of nursing education.

[17]  J. F. Johnson A diabetes camp as the service-learning capstone experience in a diabetes concentration. , 2007, American journal of pharmaceutical education.

[18]  S. Fade,et al.  Using interpretative phenomenological analysis for public health nutrition and dietetic research: a practical guide , 2004, Proceedings of the Nutrition Society.

[19]  Sherrill A. Conroy A Pathway for Interpretive Phenomenology , 2003 .

[20]  C. Tanner,et al.  Interpretation/Analysis Methods in Hermeneutic Interpretive Phenomenology , 2003, Nursing research.

[21]  P. Finucane,et al.  Teaching medical students about disability and rehabilitation: methods and student feedback , 2000, Medical education.

[22]  P. Benner,et al.  Quality of life: a phenomenological perspective on explanation, prediction, and understanding in nursing science , 1985, ANS. Advances in nursing science.

[23]  W. Livingood,et al.  A walk in the patients' shoes: a step toward competency development in systems-based practice. , 2006, Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association.

[24]  P. Odegard,et al.  A diabetes education program for pharmacy students , 2002 .

[25]  Jodi Aronson A Pragmatic View of Thematic Analysis , 1995 .

[26]  M. Koda-Kimble,et al.  Diabetes Care as an Active Learning Model of Postgraduate Education and Training for Pharmaceutical Care. , 1994 .

[27]  Richard C. Fisher,et al.  The Potential for Problem-Based Learning in Pharmacy Education: A Clinical Therapeutics Course in Diabetes , 1994, American Journal of Pharmaceutical Education.

[28]  C. Bonwell,et al.  Active learning : creating excitement in the classroom , 1991 .

[29]  C. Bonwell,et al.  Active Learning: Creating Excitement in the Classroom. ERIC Digest. , 1991 .

[30]  Steven J. Taylor Introduction to qualitative research methods : the search for meanings / by Steven J. Taylor, Robert Bogdan , 1984 .