'Illuminating determinants of implementation of non-dispensing pharmacist services in home care: a qualitative interview study'.
Medication errors are leading causes of hospitalization and death in western countries and WHO encourages health care providers to implement non-dispensing pharmacist services in primary care to improve medication work. However, these services struggle to provide any impact on clinical outcomes. We...
| Publicado en: | Scandinavian Journal of Primary Health Care Vol. 41; no. 1; pp. 43 - 52 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Mar2023
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163051179&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163051179 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02813432 BDB jtl: Scandinavian Journal of Primary Health Care issn: 02813432 maglogo: Y pubinfo: dt: Mar2023 vid: 41 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 163051179 161264648 163051179 163051179 10.1080/02813432.2023.2164840 163051179 ppf: 43 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: 'Illuminating determinants of implementation of non-dispensing pharmacist services in home care: a qualitative interview study'. aug: au: Bø, Karl-Erik Halvorsen, Kjell H. Risør, Torsten Lehnbom, Elin C. affil: Department of Pharmacy, Faculty of Health Sciences, UiT The Arctic University of Tromsø, Tromsø, Norway sug: subj: Pharmacy Service Evaluation Attitude of Health Personnel Evaluation Pharmacists Home Health Care Program Implementation Primary Health Care Human Norway Female Male Qualitative Studies Semi-Structured Interview Conceptual Framework Workload Stress, Occupational Medication Compliance Implementation Science Descriptive Statistics Female Male ab: Medication errors are leading causes of hospitalization and death in western countries and WHO encourages health care providers to implement non-dispensing pharmacist services in primary care to improve medication work. However, these services struggle to provide any impact on clinical outcomes. We wanted to explore health care professionals' views on medication work to illuminate determinants of the implementation success. The research was designed to inform and adapt implementation strategies for non-dispensing pharmacist services. Semi-structured interview study with nine healthcare professionals. Four Norwegian home care wards. Nine healthcare professionals working at different wards within one home care unit. Determinants of implementation outcomes. Contextual determinants of the implementation process were mainly related to characteristics of the setting such as poorly designed information systems, work overload, and chaotic work environments. The identified barriers question the innovation's appropriateness related to the setting's needs but also provide possibilities for tailoring pharmacist services to local medication work issues. The observable positive effects and the perceived advantage of the pharmacist services are likely to facilitate the implementation process. Our study provided information on contextual elements that influence the implementation process of non-dispensing pharmacist services. Awareness of these factors can help develop strategies to help the organization succeed in in achieving program outcomes. The results in this study illuminate barriers and facilitators to the implementation of pharmacist services in a home care setting. Existing medication work methods and poor information handover systems are likely to counteract outcomes of the pharmacist services and inflict unfavorable conditions for implementation. Healthcare professionals' perception of increased medication work support and confidence in pharmacist skills suggest innovation acceptability and serve as indicators of implementation success. The identified barriers to improving medication work provide opportunities to develop tailored strategies to enhance the implementation of non-dispensing pharmacist services. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|