Service-Learning as a Strategy to Enhance Student Understanding of the Profession and Patient Centred Care.

Angela Kim-Sing

Abstract


Objectives. To pilot a service-learning course in pharmacy as a strategy to enhance professionalization and student understanding of patient centred care.

Design. Ten students were enrolled in the course and eight students participated in this study.  Data collection was limited to the written reflections and focus groups.  Analysis of the data was a qualitative thematic analysis using NVIVO 10 software.

Assessment. Five inflection points for student learning were identified which resulted in two key outcomes observed: (1) students had a deep understanding of patient centred care, and (2) students understood the role of the pharmacist in the current climate.   These outcomes were understood through Kolb’s experiential learning model and Vygotsky’s theory on the zone of proximal development.

Conclusion. Incorporating service-learning is an excellent way of improving student’s academic experience.  The community oriented coursework gave meaning to patient centred care and interprofessional collaboration, and enhanced student understanding of the profession.



Keywords


service-learning; pharmacy; experiential education; zone of proximal development.

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References


Knapp TD, Fisher BJ and Levesque-Bristol C. Service-Learning's impact on college students' commitment to future civic engagement, self-efficacy, and social empowerment. J Community Pract. 2010; 18(2-3): 233-251.

Canadian Alliance for Community Service-Learning. http://www.communityservicelearning.ca/en/welcome_history_canada.htm. Accessed May 10, 2013.

Jacoby B. Service-Learning in today's higher education. In: Jacoby B, ed. Service-Learning in Higher Education: Concepts and Practices. San Francisco,CA: Jossey-Bass Publishers;1996:6-8.

Kezar A. Assessing community service-learning:are we identifying the right outcomes. About Campus. 2002; 7(2):14-20.

Crossing the Quality Chasm: A New Health System for the 21st Century, Institute on Medicine.

http://iom.edu/Reports/2001/Crossing-the-Quality-Chasm-A-New-Health-System-for-the-21st-Century.aspx. Accessed March 5, 2013.

Kearney KR. A service-learning course for first year pharmacy students. Am J Pharm Educ. 2008;72(4): 1-7.

Nemire RE, Margulis L, Frenzel-Shepherd E. Prescription for a healthy service-learning course: A focus on the partnership. Am J Pharm Educ. 2004; 68(1): 1-11.

Flume PF. Community college service-learning pedagogy. The Community College Enterprise. 2009; 15(2): 75-93.

Drab S, Lamsam G, Connor S, et al. Incorporation of service-learning across four years of the PharmD curriculum. Am J Pharm Educ. 2004; 68(2): 1-9.

Swords AC, Kiely R. Beyond pedagogy:service-learning as movement building in higher education. J Community Pract. 2010; 18(2-3):148-170.

Eyler J, Giles DE Jr, Schmiede A. A practitioner's guide to refelction in service-learning. Nashville, TN: Vanderbilt University 1996

Gibbs, GR. Qualitative Data Analysis: Explorations with NVivo. Buckingham: Open University Press; 2002

Garcia-Horta JB, Guerra-Ramos MT. The use of CAQDAS in educational research: some advantages, limitations and potential risks. Int J Res Meth Educ. 2009;32:151-165.

Hanson JL, Balmer DF, Giardino AP. Qualitative research methods for medical educators. Acad Pediatr. 2011;11:375-386.

Lee RL. Experience is a good teacher: Integrating service and learning in information systems education. JISE 2012; 23(2): 165-176.

Eyler J, Giles DE. Where's the Learning in Service-learning? 1st ed. San Francisco, CA: Jossey-Bass; 1999.

Hoxmeier J, Lenk MM. Service-learning in information systems courses: community projects that make a difference. JISE. 2003;4(1):91-100.

Kolb DA. Experiential Learning: Experience as the Source of Learning and Development. Upper Saddle River, NJ: Prentice-Hall; 1984.

Vygotsky LS. Mind in Society: Development of Higher Psychological Processes. Cambridge, MA: Harvard University Press; 1978: 79-91.

Peters SJ, MacKinnon GE. Introductory practice and service-learning experiences in US Pharmacy Curricula. Am J Pharm Educ. 2004;68(1):1-5.

Barner, JC. First-year pharmacy students' perceptions of their service-learning experience. Am J Pharm Educ. 2000:64;266-271.

Ehrlich T. Reinventing John Dewey's pedagogy as a university discipline. Elem Sch J. 1988:98(5):489-508.

Parker- Gwin R, Mabry JB. Service-learning as pedagogy and civic education: comparing outcomes for three models. Teach Sociol. 1988; 26(4):276-291.