Omani Students Involvement in Evaluating Their Pharmacy Program

Our study addressed the fact that language could be a barrier for non-English speaking students in their learning process. This fact was clearly reflected in the results of the study as students were dissatisfied with their online courses compared with didactic lecture courses. Unlike online courses, in didactic lecture courses the instructor usually explains difficult English words and terminologies and this makes Arab students prefer regular courses to online courses. This attitude is mainly attributed to the ability of these students to match better between thinking, understanding and speaking using their mother language.


Introduction
The Pharmacists' professional roles and responsibilities have evolved historically from a focus on medication compounding and dispensing to extended pharmaceutical care services [1].
Nowadays their roles vary in different parts of the world.Examples are: community service, industry, research, academia, quality control and finally, the clinical service.This concept took turn in 1990 based on the introduction of the term "pharmaceutical care" by the researchers Hepler and Strand [2].In addition, it is widely believed that pharmacists can make great contributions to the primary provision of health care ensuring the safe and effective use of medications [1].As a result, the Universities and colleges, worldwide, responded by re-engineering their education system in an attempt to improve the quality of their undergraduates to best meet the needs of society [3].Now there is a global attitude on the improvement of teaching methods in Pharmacy Colleges to produce better-qualified undergraduate [4].This has equally been given much attention by our faculty and administration at the School of Pharmacy, College of Pharmacy and Nursing, University of Nizwa.
The Effectiveness in learning, like all other aspects of human behavior, is highly related to obtaining of satisfaction by the learner [5].Most institutions of higher education have carried out a variety of research projects with an increased concern being placed upon the phenomena of student satisfaction [6].The issue on student satisfaction in higher institutions of learning has gained popularity in recent years and research findings have established that student ratings can be a reliable and valid indicator of effective teaching [5,7,8].Despite of this, faculty debate exists regarding the validity and reliability of student evaluations [9,10].
Nevertheless, the opinion and feedback of Pharmacy students as the recipients of the program are important parameters to assessing the quality and the efficacy of our Pharmacy Program.Hence, the objective of this study is to assess the levels of Omani student's satisfaction toward the existing Pharmacy Program at University of Nizwa.
Pharmacy students who attended, at least one online course (N=96).Demographic data of the participants were student's age, gender, years spent in the School of Pharmacy and the student status, either regular student (who is enrolled in Diploma (D Pharm)/Bachelor (B Pharm) program), or bridging student (who is upgrading from Diploma to Bachelor) (Table 1).

Survey instrument
The survey instrument was a self-administered questionnaire generated in consultation with the literature as well as with anecdotal information acquired from faculty members and students.In addition to participants' demographics, the questionnaire consisted of six criteria for the assessment of Pharmacy Program, including study plan, instructor, methods of teaching, practicum/training, online courses and finally, a general question was added to assess students' levels of satisfaction with the overall Pharmacy Program.Each of these assessment criteria provides four statements except the study plan (provides three statements) and the overall Pharmacy Program (provides only one statement).
We did a pilot study including 14 students (8 from class 4 and 6 from class 5) who represent all students' statuses and attended, at least, one online course.Thereafter, changes were made to improve the assessment statements.The project was reviewed and approved by the University of Nizwa research and ethics committee.

Data analysis
The collected demographic data of the participants and the six items of the Pharmacy Program were assessed using a four-point-modified-Likert tool: strongly satisfied (1), satisfied (2), unsatisfied (3) and strongly unsatisfied (4).Analyses were conducted using STATA® v13 (2013) [11] with descriptive and inferential statistics such as means and standard deviations.

Results
Data analysis revealed that the number of female participants was greater than the number of males, representing 85.4%.Age ranged from 20 to 29 and the majority of the participants' ages were in the range of 20-23 (55.2%).The number of B Pharm students was greater than the number of D Pharm students, representing 82.3%.The fifth and fourth year Students were 97.2% and 20.8% of the participants respectively.Most of students were regular (87.5%), the reset were bridging students, those who joined the University to upgrade their status from D Pharm to B pharm (Table 2).Table 3 lists the 20 statements that elicit the student's level of satisfaction.These statements represented the six aspects/items of the Pharmacy Program including study plan, instructors, methods of teaching, practicum courses/training, online courses and finally, the overall Pharmacy Program at University of Nizwa.The responses to these statements constitute the dependent variable of the study.Figure 1 illustrates the percentages of students' satisfaction with each assessment item.
Table 3 shows the attainment of satisfaction levels with numbers, percentages, mean and standard deviations followed by the overall satisfaction levels for each evaluation statement.The level of satisfaction with the Pharmacy Program study plan was 68.7%.Satisfaction was positive towards the prerequisites arrangement (M±SD = 2.3±0.79), and the easiness of following the study plan (M±SD = 2.3±0.74).
Students were satisfied with instructor teaching and assessment in a similar manner (68.7%).Student appeared to be more satisfied with the instructor's teaching material that enhances their knowledge and skills, (M±SD = 2.2±0.72).
Regarding the method of teaching, the overall satisfaction was 67.7%.Lectures were presented in understandable manner (M±SD = 2.3±0.82), and there is full integration between lectures and laboratory sessions (M±SD = 2.3±0.82).Table 3: Attainment of satisfaction levels with numbers, percentages, mean and standard deviations followed by the overall satisfaction levels for each evaluation statement.(N=96).* Mean ± standard deviations (M±SD) are representing satisfaction levels 1-4; 1= strongly agree, 2= agree.3= disagree, 4= strongly disagree.With practicum and training courses, the overall satisfaction level was 51.0%.The lack of synchronization between theory and practice during practicum courses represented the most dissatisfying element, (M±SD = 2.5±0.83),followed by the insufficiency in the arrangement of course logistics like transportation and/or accommodation facilities, (M±SD =2.4±0.79)Study results showed a clear dissatisfaction with the online courses.The reported average satisfaction level was 38.5%.Results revealed that online courses were not as informative as regular courses (M±SD = 2.9±0.86),online courses do not cover all contents of the subject (M±SD = 2.9±0.89),there is not sufficient time to interact with the instructor (M±SD = 2.5±0.95), and the online course discussion does not motivate students to read more (M±SD = 2.8±0.86).
Finally, students reported their satisfaction level with the overall Pharmacy Program at University of Nizwa as 67.7% (M±SD = 2.3±0.69)(Table 3).
The purpose of this study was to evaluate students' levels of satisfaction with the Pharmacy-program at University of Nizwa.In this study, we assessed the learner-perceived levels of compliance with his/her desires or demands towards the existing Pharmacy Program.While promoting the quality in Pharmacy Programs, higher education institutions consider student satisfaction as one of the major principles in higher education; the higher the service quality, the more satisfied the student [12].Accordingly, satisfaction is based on customer expectations and perception of service quality.Consequently, institutions have been paying more attention to meeting the expectations and needs of their students [9,13].Therefore, this study assessed the satisfaction levels of students with a number of elements contributing to the existing Pharmacy-program at University of Nizwa.
The Students' level of the satisfaction with the Pharmacy Program study plan was 68.7%.Students showed high level of satisfaction with the way study plan guides them to register for each semester (M±SD = 2.3±0.78); and with the clearly-stated pre-requisites and co-requisites for each course (M±SD = 2.3±0.79).This result is in-line with another study assessing students' academic satisfaction conducted in King Fahd University of Petroleum and Minerals, Dhahran, Saudi Arabia where satisfaction levels with the curriculum study plan was 84% [14].Arbaugh highlighted the importance of the convenience and flexibility of any educational program study plan as an important contributor to student satisfaction [15].
Our students were satisfied with the instructor in a similar manner (68.7%) and in this aspect they were more satisfied with the Instructors interaction style that enhances the student knowledge and skills, (M±SD = 2.2±0.72).A 9-year-period study by Tessema et al. [5], in Midwestern United States University, focused on the evidence of factors affecting college students' satisfaction with major curriculum.The findings of this study showed that quality of instruction is one of the statistically significant impacts on student satisfaction.Some authors believe that both quality and quantity of interaction is crucial for student satisfaction [16].Majority of researchers believe that student ratings are useful means of evaluating teaching [5,7,8].However, some educators and researchers continue to believe that student ratings of teachers are bad tools for assessing teaching effectiveness [9,10].
Regarding the method of teaching, the overall satisfaction was 67.7%.Sixty-three percent of the students agreed there was a full integration between lectures and laboratory sessions (M±SD = 2.3±0.82).Students (68.8%) also agreed that the lectures were presented in understandable manner.Although most of our students are Arabic speaking, the level of satisfaction toward the statement "Learning material is presented in an understandable manner" was positive.This could be attributed to the huge effort by the instructors to troubleshoot the communication problem among the students as 62.8% of the students agreed that they can clarify unclear issues during the lecture (M±SD = 2.3±0.82).As the teaching language in our University is English, language appeared to be a troublesome that influence communication between students and tutors.
Language barriers and cultural differences are affecting many of our students because they feel embarrassed when they speak in English in-front-of others.This problem is common especially within group work [17].
The overall satisfaction level with practicum and training courses was 51.0%.The lack of synchronization between theory and practice during practicum courses represented the most dissatisfying element, (M±SD = 2.5±0.83),followed by the insufficiency in the arrangement of course logistics like transportation and/or accommodation facilities, (M±SD =2.4±0.79).
Although the students were satisfied with the training period and its usefulness, they were not quite satisfied with the integrity of what is studied and what is practiced.In a similar study conducted in the University of Jordan, the satisfaction level of students with their practicum experience was 49%.Students' concerns emphasized issues like connections between university courses and practicum requirements, field sites and supervision [18].
One notable important finding in our study was the student satisfaction level with the online courses, which was 38.5%.Students' responses reflected that online courses were not as informative as regular courses (M±SD = 2.9±0.86);online courses do not cover all content of the subject (M±SD = 2.9±0.89);there is not sufficient time to interact with the instructor (M±SD= 2.5±0.95); and online course discussion does not motivate students to read more (M±SD = 2.8±0.86).
A meta-analysis about studies of comparison between online education and traditional methods showed that students find online education as satisfactory as traditional classroom [19].Another study by Sikora showed that 70% of students enrolled in undergraduate courses reported that they were satisfied with their online course experiences than with their traditional classroom experiences [20].
In our study, the students' satisfaction with online learning was generally negative (table 1).Unlike online course, in didactic lectures the instructor usually explains difficult English words and terminologies.This, among other factors, makes students prefer regular courses to online courses.All our students have to take International English Language Testing System (IELTS) or Test of English as a Foreign Language (TOEFL) before being admitted to the University.
Nevertheless Language could still be a barrier for non-Englishspeaking students when they start a course.Some researchers argue that different language systems may cause difficulty for non-Englishspeaking students to understand English language, particularly when they move with their learning abilities from first language to the second language [21].The last statement in this study was to assess the students' satisfaction level with the overall Pharmacy Program at University of Nizwa.Results revealed a satisfaction level of 67.7% (M±SD = 2.3±0.69).This result is chary compared to similar study conducted at the Midway School of Pharmacyin Chatham, Kent, UK, as their students' satisfaction with their Pharmacy-program showed a percentage of 97% giving them the most satisfied result compared with any other higher education institution in the UK [22].

Figure 1 :
Figure 1: Percentage of students' satisfaction with each assessment item.