Team Experiential Learning Through Community Services Delivery at Private Drug Rehabilitation Centres by University Students: Focus Group Discussion

Nur Amni ‘Afifah  Mohd Faisal; Norny Syafinaz Ab Rahman; Nor Ilyani  Mohamed Nazar; Irna Elina  Ridzwan; Che Suraya  Zin; Christopher John Turner; Nor Hidayah  Mohd Taufek

doi:10.31436/jop.v4i1.231

Authors

Nur Amni ‘Afifah Mohd Faisal Department of Pharmacy Practice, Kulliyyah of Pharmacy, International Islamic University Malaysia (IIUM), Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia.
Norny Syafinaz Ab Rahman Department of Pharmacy Practice, Kulliyyah of Pharmacy, International Islamic University Malaysia (IIUM), Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia.
Nor Ilyani Mohamed Nazar Department of Pharmacy Practice, Kulliyyah of Pharmacy, International Islamic University Malaysia (IIUM), Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia.
Irna Elina Ridzwan Department of Pharmaceutical Chemistry, Kulliyyah of Pharmacy, International Islamic University Malaysia (IIUM), Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia
Che Suraya Zin Department of Pharmacy Practice, Kulliyyah of Pharmacy, International Islamic University Malaysia (IIUM), Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia.
Christopher John Turner Retired but formerly with Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Nor Hidayah Mohd Taufek Department of Pharmacy Practice, Kulliyyah of Pharmacy, International Islamic University Malaysia (IIUM), Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia. https://orcid.org/0000-0002-6429-8884

DOI:

https://doi.org/10.31436/jop.v4i1.231

Keywords:

Team Experiential Learning, Drug rehabilitation centres, university students, perception, community services

Abstract

Introduction: Substance abuse problem necessitates comprehensive community responsibility including university students to assist with the recovery of the marginalised population. This study aimed to investigate perception and experiences addressing team experiential learning as well as barriers to learning perceived by university students who provided community services at private drug rehabilitation centres.

Materials and methods: Six focus group discussions were conducted with graduated and undergraduate pharmacy students who provided community services in private drug rehabilitation centres. A guide was used to explore students’ experiences, challenges encountered, and perceived learnings. Data were extracted from interview transcripts, sorted, and coded using Atlas.ti® version 9 and subjected to thematic analysis.

Results: The themes identified according to the scope of learning experience were (1) contribution of knowledge, (2) positive interaction, (3) application of interprofessional learning, and (4) appreciation of team experiential practice. Themes emerged under the scope of gaps and barriers were (1) initial negative perception, (2) communication barriers, (3) technical problems and (4) difficulties in coping with behaviours. For perceived learnings, themes identified were (1) enhanced confidence and skills, (2) contact with reality, and (3) increased empathy.

Conclusion: Team experiential learning in community service for marginalised population provided students with opportunities to directly contribute to the community and improved their learning.

References

Anwar, K. (2016). Panel discussion and the development of students' self confidence. English Language Teaching, 9(4), 224-229. https://doi.org/10.5539/elt.v9n4p224

Ataro, G. (2020). Methods, methodological challenges and lesson learned from phenomenological study about OSCE experience: Overview of paradigm-driven qualitative approach in medical education. Annals of Medicine and Surgery, 49(1), 19–23. https://doi.org/10.1016/j.amsu.2019.11.013

Baasanjav, U. (2013). Incorporating the experiential learning cycle into online classes. MERLOT Journal of Online Learning and Teaching, 9(4).

Beck, D. E., Thomas, S. G., & Janer, A. L. (1996). Introductory practice experiences: A conceptual framework. American Journal of Pharmaceutical Education, 60(2), 122-130.

Boak, G. (2016). Enabling team learning in healthcare. Action Learning: Research and Practice, 13(2), 101–117. https://doi.org/10.1080/14767333.2016.1150807

Bratberg, J. (2019). Pharmacy: Addressing substance use in the 21st century. Substance Abuse, 0(0), 1–14. https://doi.org/10.1080/08897077.2019.1694618

Brusa, J. L. (2019). An experiential-learning lesson to encourage teamwork and healthy practices. Journal of Microbiology & Biology Education, 20(2), 1–6. https://doi.org/10.1128/jmbe.v20i2.1668

Chatalalsingh, C., & Reeves, S. (2014). Leading team learning: What makes interprofessional teams learn to work well. Journal of Interprofessional Care, 28(6), 513–518. https://doi.org/10.3109/13561820.2014.900001

Chie, Q. T., Tam, C. L., Bonn, G., Dang, H. M., & Khairuddin, R. (2016). Substance abuse, relapse, and treatment program evaluation in Malaysia: Perspective of rehab patients and staff using the mixed method approach. Frontiers in Psychiatry, 7, 90. https://doi.org/10.3389/fpsyt.2016.00090

Dole, E. J., & Tommasello, A. (2002). Recommendations for implementing effective substance abuse education in pharmacy practice. Substance Abuse, 23(S1), 263-271, 37–41. https://doi.org10.1080/08897070209511520

Dunning, D., Heath, C., & Suls, J. M. (2004). Flawed self-assessment: Implications for health, education, and the workplace. Psychological Science in the Public Interest, 5(3), 69-106. https://doi.org/10.1111/j.1529-1006.2004.00018.x

Ford, R. (2011). Interpersonal challenges as a constraint on care: The experience of nurses’ care of patients who use illicit drugs. Contemporary Nurse, 37(2), 241-252. https://doi.org/10.5172/conu.2011.37.2.241

Galvani, S. (2007). Refusing to listen: Are we failing the needs of people with alcohol and drug problems? Social Work Education, 26(7), 697-707. https://doi.org/10.1080/02615470601129891

Gordon, J. A., Hayden, E. M., Ahmed, R. A., Pawlowski, J. B., Khoury, K. N., & Oriol, N. E. (2010). Early bedside care during preclinical medical education: an technology-enhanced patient simulation advance the Flexnerian ideal? Academic Medicine, 85(2), 370-377. https://doi.org/10.1097/ACM.0b013e3181c88d74

Halliday, M., Mill, D., Johnson, J., & Lee, K. (2021). Research in social and administrative pharmacy let’s talk virtual! Online focus group facilitation for the modern researcher. Research in Social and Administrative Pharmacy, 17(12), 2145-2150. https://doi.org/10.1016/j.sapharm.2021.02.003

Hasanah, C. I. , Zaliha, A. R., & Mahiran, M. (2010). Factors influencing the quality of life in patients with HIV in Malaysia. Quality of Life Research, 20(1), 91-100. https://doi.org/10.1007/s11136-0 10-9729-y

Hendry, G., Winn, P., Wiggins, S., & Turner, C. J. (2016). Qualitative evaluation of a practice-based experience pilot program for master of pharmacy students in Scotland. American Journal of Pharmaceutical Education December, 80(10). https://doi.org/10.5688/ajpe8010165

Hudson, J. N., Lethbridge, A., Vella, S., & Caputi, P. (2016). Decline in medical students’ attitudes to interprofessional learning and patient-centredness. Medical Education, 50(5), 550–559. https://doi.org/10.1111/medu.12958

Kayes, A. B., Kayes, D. C., & Kolb, D. A. (2005). Experiential learning in teams. Simulation & Gaming, 36(3), 330–354. https://doi.org/10.1177/1046878105279012

Legal, M. (2019). Advanced strategies in pharmacy experiential education. The Canadian Journal of Hospital Pharmacy, 72(3), 239–244. https://doi.org/10.4212/cjhp.v72i3.2904

Mattila, A. M., Astle, J. K., Calhoun, B. C., LaCroix, R., Santacecilia, G., D’Acunto, K., Cavanaugh, J. E., Morgan, A. A., & Lassila, H. (2022). A student centered interprofessional awareness program to increase knowledge and improve attitudes about substance use disorder. Journal of Interprofessional Education & Practice, 28. https://doi.org/10.1016/j.xjep.2022.100530

McLellan, A. T., Lewis, D. C., O’Brien, C. P., & Kleber, H. D. (2000). Drug dependence, a chronic medical illness, implications for treatment, insurance, and outcomes evaluation. Journal of American Medical Association, 284(13), 1689-1695. https://doi.org/10.1001/jama.284.13.1689

Mustapha, R., Mahmud, M., Paris, T. N. S. T., Musa, M. S., Awang, H., & Burhan, N. M. (2023). The factors of the drug addict relapse in Malaysia: The experts views and consensus. Open Journal of Social Sciences, 11(4), 160-173.

Muzyk, A., Mullan, P., Andolsek, K., Derouin, A., Smothers, Z., Sanders, C., & Holmer, S. (2020). A pilot interprofessional course on substance use disorders to improve students’ empathy and counseling skills. American Journal of Pharmaceutical Education, 84(4). https://doi.org/10.5688/ajpe7415

Powell, R. A., & Single, H. M. (1996). Focus groups. International Journal for Quality in Health Care, 8(5), 499-504. https://doi.org/10.1093/intqhc/8.5.499

Ramli, M., Nora, M. Z., Zafri, A. A. B., Junid, M. R., Umeed, A. K., & Hajee, M. I. (2009). High-risk behaviours and concomitant medical illnesses among patients at methadone maintenance therapy clinic, hospital Tengku Ampuan Afzal, Malaysia. Malaysian Family Physician: The Official Journal of The Academy of Family Physicians of Malaysia. 4(2&3), 77-82.

Reid, M. S., Fallon, B., Sonne, S., Flammino, F., Nunes, E. V., Jiang, H., Kourniotis, E., Lima, J., Brady, R., Burgess, C., Arfken, C., Pihlgren, E., Giordano, L., Starosta, A., Robinson, J., & Rotrosen, J. (2008). Smoking cessation treatment in community-based substance abuse rehabilitation programs. Journal of Substance Abuse Treatment, 35(1), 68–77. https://doi.org/10.1016/j.jsat.2007.08.010

Rusdi, A., Robson, N. Z., Muhammad, M. A. Z., & Mohamad, H. (2008). A fifty-year challenge in managing drug addiction in Malaysia. Journal of University of Malaya Medical Centre (JUMMEC), 11(1), 3–6. https://doi.org/10.22452/jummec.vol11no1.2

Sakr, C. J., Fakih, L., Dejong, J., Yazbick-Dumit, N., Soueidan, H., Haidar, W., Boufarhat, E., & Akl, I. B. (2022). Can interprofessional education change students’ attitudes? A case study from Lebanon. BMC Medical Education, 22(1), 1-5.

Ssekamatte, T., Isunju, J. B., Nalugya, A., Mugambe, R. K., Kalibala, P., Musewa, A., … & Bazeyo, W. (2022). Using the Kolb’s experiential learning cycle to explore the extent of application of one health competencies to solving global health challenges; A tracer study among AFROHUN-Uganda alumni. Globalization and Health, 18(1), 1–13. https://doi.org10.1186/s12992-022-00841-5

Stein, J. B. (2003). Attitudes of social work students about substance abuse: Can a brief educational program make a difference? Journal of Social Work Practice in the Addictions, 3(1), 77–90. https://doi.org 10.1300/J160v03n01_06

Tallent-Runnels, M. K., Thomas, J. A., Lan, W. Y., Cooper, S., Ahern, T. C., Shaw, S. M., & Liu, X. (2006). Teaching courses online: A review of the research. Review of Educational Research, 76(1), 93-135. https://doi.org 10.3102/00346543076001093

Tates, K., Zwaanswijk, M., Otten, R., Van Dulmen, S., Hoogerbrugge, P. M., Kamps, W. A., & Bensing, J. M. (2009). Online focus groups as a tool to collect data in hard-to-include populations: Examples from paediatric oncology. BMC Medical Research Methodology, 9(1), 1–8. https://doi.org10.1186/1471-2288-9-15

Taufek, N. H. M., Halimi, S. N., Ab Rahman, N. S., Zin, C. S., & Turner, C. J. (2021). Reflections of pharmacy students on experiential education in providing health services to people with history of substance use disorders in Malaysia. Journal of Pharmacy, 1(2), 63-69.https://doi.org10.31436/jop.v1i2.31

Tommasello, A. C. (2004). Substance abuse and pharmacy practice: What the community pharmacist needs to know about drug abuse and dependence. Harm reduction journal 1(1), 1–15.

Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349-357. https://doi.org10.1093/intqhc/mzm042

Trotter, S., & Dunnivan-Mitchell, S. (2019). Simulation enhances soft skills among inter-professionals participating in an international service-learning experience to a resource-limited country. MedEdPublish, 8(24), 24.

Turner, C. (2018). Shared responsibility for the education of pharmacy students. The Bulletin of the American Society of Hospital Pharmacists, 75(4), 223-229.

Van Boekel, L. C., Brouwers, E. P. M., van Weeghel, J., & Garretsen, H. F. L. (2013). Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: Systematic review. Drug and Alcohol Dependence, 131(1–3), 23–35. https://doi.org10.1016/j.drugalcdep.2013.02.018

Zieber, M., & Sedgewick, M. (2018). Competence, confidence, and knowledge retention in undergraduate nursing students — A mixed method study. Nurse Education Today, 62, 16–21. https://doi.org/10.1016/j.nedt.2017.12.008