Evaluating the internalisation of the intrinsic role of health advocacy of student pharmacists in a new integrated Bachelor of Pharmacy curriculum: a mixed-methods study

Abstract To keep up with the contemporary health landscape, there is an imperative need for healthcare professionals to practise health advocacy through health promotion on the individual, population, and systems levels. In the Academic Year of 2020/2021, the National University of Singapore (NUS) D...

Full description

Bibliographic Details
Main Authors: Li Hui, Candice Lau, Jolin Xin Ni Wong, Julian Azfar, Paul John Gallagher, Leroy Koh
Format: Article
Language:English
Published: BMC 2023-11-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-023-04877-y
_version_ 1797414798902689792
author Li Hui, Candice Lau
Jolin Xin Ni Wong
Julian Azfar
Paul John Gallagher
Leroy Koh
author_facet Li Hui, Candice Lau
Jolin Xin Ni Wong
Julian Azfar
Paul John Gallagher
Leroy Koh
author_sort Li Hui, Candice Lau
collection DOAJ
description Abstract To keep up with the contemporary health landscape, there is an imperative need for healthcare professionals to practise health advocacy through health promotion on the individual, population, and systems levels. In the Academic Year of 2020/2021, the National University of Singapore (NUS) Department of Pharmacy implemented a new spiral curriculum integrating basic, clinical, and systems sciences with one of its aims to deepen students’ health advocacy internalisation and prepare them as future health advocates. A mixed-methods approach was adopted. Questionnaires were disseminated across three time-points to elicit students’ levels of internalisation of health advocacy, which were then categorised into levels, and a Mann–Whitney U test was conducted. In comparison with prematriculation, no significant difference was found after students underwent the first year of the curriculum, while a significant difference was found after students underwent two years of the curriculum. Semi-structured interviews were also conducted after each Academic Year to gain deeper insights into the questionnaire results. Thematic analysis of the interviews revealed that curricular integration in the first year was perceived to be lacking. However, with learnt knowledge constantly reinforced and more experiential learning opportunities incorporated throughout the second year, students found the integrated curriculum beneficial in instilling confidence to practise health advocacy. This study offers insights into the prospects of a spiral integrated curriculum in imparting health advocacy, and may even suggest its potential to be applied to other educational settings. Future follow-up studies can also be conducted on the same study population to evaluate long-term impacts and areas for improvement of the curriculum.
first_indexed 2024-03-09T05:39:01Z
format Article
id doaj.art-74bd74c073b24f5782ab3054c39bb53a
institution Directory Open Access Journal
issn 1472-6920
language English
last_indexed 2024-03-09T05:39:01Z
publishDate 2023-11-01
publisher BMC
record_format Article
series BMC Medical Education
spelling doaj.art-74bd74c073b24f5782ab3054c39bb53a2023-12-03T12:26:32ZengBMCBMC Medical Education1472-69202023-11-0123111210.1186/s12909-023-04877-yEvaluating the internalisation of the intrinsic role of health advocacy of student pharmacists in a new integrated Bachelor of Pharmacy curriculum: a mixed-methods studyLi Hui, Candice Lau0Jolin Xin Ni Wong1Julian Azfar2Paul John Gallagher3Leroy Koh4Department of Pharmacy, National University of SingaporeDepartment of Pharmacy, National University of SingaporeSaw Swee Hock School of Public Health, National University of SingaporeDepartment of Pharmacy, National University of SingaporeDepartment of Pharmacy, National University of SingaporeAbstract To keep up with the contemporary health landscape, there is an imperative need for healthcare professionals to practise health advocacy through health promotion on the individual, population, and systems levels. In the Academic Year of 2020/2021, the National University of Singapore (NUS) Department of Pharmacy implemented a new spiral curriculum integrating basic, clinical, and systems sciences with one of its aims to deepen students’ health advocacy internalisation and prepare them as future health advocates. A mixed-methods approach was adopted. Questionnaires were disseminated across three time-points to elicit students’ levels of internalisation of health advocacy, which were then categorised into levels, and a Mann–Whitney U test was conducted. In comparison with prematriculation, no significant difference was found after students underwent the first year of the curriculum, while a significant difference was found after students underwent two years of the curriculum. Semi-structured interviews were also conducted after each Academic Year to gain deeper insights into the questionnaire results. Thematic analysis of the interviews revealed that curricular integration in the first year was perceived to be lacking. However, with learnt knowledge constantly reinforced and more experiential learning opportunities incorporated throughout the second year, students found the integrated curriculum beneficial in instilling confidence to practise health advocacy. This study offers insights into the prospects of a spiral integrated curriculum in imparting health advocacy, and may even suggest its potential to be applied to other educational settings. Future follow-up studies can also be conducted on the same study population to evaluate long-term impacts and areas for improvement of the curriculum.https://doi.org/10.1186/s12909-023-04877-yPharmacyEducationCurriculum designIntegrationSpiral curriculumHealth advocacy
spellingShingle Li Hui, Candice Lau
Jolin Xin Ni Wong
Julian Azfar
Paul John Gallagher
Leroy Koh
Evaluating the internalisation of the intrinsic role of health advocacy of student pharmacists in a new integrated Bachelor of Pharmacy curriculum: a mixed-methods study
BMC Medical Education
Pharmacy
Education
Curriculum design
Integration
Spiral curriculum
Health advocacy
title Evaluating the internalisation of the intrinsic role of health advocacy of student pharmacists in a new integrated Bachelor of Pharmacy curriculum: a mixed-methods study
title_full Evaluating the internalisation of the intrinsic role of health advocacy of student pharmacists in a new integrated Bachelor of Pharmacy curriculum: a mixed-methods study
title_fullStr Evaluating the internalisation of the intrinsic role of health advocacy of student pharmacists in a new integrated Bachelor of Pharmacy curriculum: a mixed-methods study
title_full_unstemmed Evaluating the internalisation of the intrinsic role of health advocacy of student pharmacists in a new integrated Bachelor of Pharmacy curriculum: a mixed-methods study
title_short Evaluating the internalisation of the intrinsic role of health advocacy of student pharmacists in a new integrated Bachelor of Pharmacy curriculum: a mixed-methods study
title_sort evaluating the internalisation of the intrinsic role of health advocacy of student pharmacists in a new integrated bachelor of pharmacy curriculum a mixed methods study
topic Pharmacy
Education
Curriculum design
Integration
Spiral curriculum
Health advocacy
url https://doi.org/10.1186/s12909-023-04877-y
work_keys_str_mv AT lihuicandicelau evaluatingtheinternalisationoftheintrinsicroleofhealthadvocacyofstudentpharmacistsinanewintegratedbachelorofpharmacycurriculumamixedmethodsstudy
AT jolinxinniwong evaluatingtheinternalisationoftheintrinsicroleofhealthadvocacyofstudentpharmacistsinanewintegratedbachelorofpharmacycurriculumamixedmethodsstudy
AT julianazfar evaluatingtheinternalisationoftheintrinsicroleofhealthadvocacyofstudentpharmacistsinanewintegratedbachelorofpharmacycurriculumamixedmethodsstudy
AT pauljohngallagher evaluatingtheinternalisationoftheintrinsicroleofhealthadvocacyofstudentpharmacistsinanewintegratedbachelorofpharmacycurriculumamixedmethodsstudy
AT leroykoh evaluatingtheinternalisationoftheintrinsicroleofhealthadvocacyofstudentpharmacistsinanewintegratedbachelorofpharmacycurriculumamixedmethodsstudy