Assessing pharmacy students' ability to accurately measure blood pressure using a blood pressure simulator arm

Am J Pharm Educ. 2013 Jun 12;77(5):98. doi: 10.5688/ajpe77598.

Abstract

Objective: To compare student accuracy in measuring normal and high blood pressures using a simulator arm.

Methods: In this prospective, single-blind, study involving third-year pharmacy students, simulator arms were programmed with prespecified normal and high blood pressures. Students measured preset normal and high diastolic and systolic blood pressure using a crossover design.

Results: One hundred sixteen students completed both blood pressure measurements. There was a significant difference between the accuracy of high systolic blood pressure (HSBP) measurement and normal systolic blood pressure (NSBP) measurement (mean HSBP difference 8.4 ± 10.9 mmHg vs NSBP 3.6 ± 6.4 mmHg; p<0.001). However, there was no difference between the accuracy of high diastolic blood pressure (HDBP) measurement and normal diastolic blood pressure (NDBP) measurement (mean HDBP difference 6.8 ± 9.6 mmHg vs. mean NDBP difference 4.6 ± 4.5 mmHg; p=0.089).

Conclusions: Pharmacy students may need additional instruction and experience with taking high blood pressure measurements to ensure they are able to accurately assess this important vital sign.

Keywords: assessment; blood pressure; hypertension; pharmacy students; simulation.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blood Pressure Determination / methods*
  • Blood Pressure*
  • Clinical Competence*
  • Computer Simulation*
  • Cross-Over Studies
  • Curriculum
  • Education, Pharmacy / methods*
  • Humans
  • Hypertension / diagnosis*
  • Hypertension / physiopathology
  • Predictive Value of Tests
  • Prospective Studies
  • Reproducibility of Results
  • Single-Blind Method
  • Students, Pharmacy*
  • Task Performance and Analysis
  • Teaching / methods*