A qualitative exploration of the role of a palliative care pharmacist providing home-based care in the rural setting, from the perspective of health care professionals

IF 1.9 4区医学 Q2 NURSING

Australian Journal of Rural Health Pub Date : 2024-03-27 DOI:10.1111/ajr.13115

Natasha J. Downing BPharm, AACP, MPS, Gemma Skaczkowski PhD, Donna Hughes-Barton PhD, Helen Stone BPharm, BSc, MPS, GAICD, Leah Robinson, Kate M. Gunn PhD

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引用次数: 0

Abstract

Introduction

Pharmacists are often not recognised as a core part of palliative care teams, despite their ideal placement to assist with the burden of medication management.

Objective

This study explored the role of pharmacists working in the rural palliative care team, in the home-based setting.

Design

Health care professionals working with palliative care patients in rural South Australia participated in semi-structured interviews. Data were analysed using thematic analysis.

Findings

Data from 20 participants identified 10 themes. Theme 1: This model of care gives patients a choice. Theme 2: The pharmacist is a trusted source of support and information. Theme 3: Patient, carer and family distress is reduced. Theme 4: Enables patients to stay at home by improving medication knowledge and decreasing burden; 4.1—Patient, carer and family's understanding about medication management is improved, 4.2—Patient, carer and family travel is decreased, 4.3—Burden associated with getting to the doctor is decreased. Theme 5: Communication between all parties is enhanced; 5.1—Enhanced communication between the patient and health care team, 5.2—Enhanced communication within the health care team. Theme 6: Patient, carer and family burden of coordinating prescriptions and medications is reduced. Theme 7: Benefits health care professionals by improving medication knowledge, reducing workload and stress; 7.1—Understanding about medications and their management is improved, 7.2—Workload is reduced, 7.3—Work-related stress is reduced. Theme 8: The disparity of care between rural and urban patients is reduced. Theme 9: Helps to address rural workforce shortages. Theme 10: Challenges of this model of care; 10.1—A need for greater pharmacist capacity to meet demand, 10.2—A need for increased and sustained funding for the pharmacist role, 10.3—Large amount of travel to get to patients.

Conclusion

Rural health care professionals are supportive of pharmacists working as part of the palliative care team in home-based settings and identified many benefits of this model of care.

查看原文本刊更多论文

从医护人员的角度，对在农村地区提供居家姑息关怀服务的姑息关怀药剂师的角色进行定性探索。

简介：药剂师通常不被认为是姑息关怀团队的核心部分，尽管他们是协助减轻药物管理负担的理想人选：本研究探讨了药剂师在以家庭为基础的农村姑息关怀团队中的作用：设计：在南澳大利亚农村地区为姑息关怀患者提供服务的医护人员参加了半结构化访谈。采用主题分析法对数据进行分析：来自 20 位参与者的数据确定了 10 个主题。主题 1：这种护理模式为患者提供了选择。主题 2：药剂师是值得信赖的支持和信息来源。主题 3：减轻了患者、护理人员和家属的痛苦。主题 4：通过提高用药知识和减轻负担，使患者能够留在家中；4.1-患者、照护者和家人对药物管理的理解得到提高，4.2-患者、照护者和家人的旅行减少，4.3-与就医相关的负担减轻。主题 5：加强各方之间的沟通；5.1-加强患者与医疗团队之间的沟通，5.2-加强医疗团队内部的沟通。主题 6：减轻病人、护理人员和家属在协调处方和用药方面的负担。主题 7：通过提高药物知识、减轻工作量和压力，使医护人员受益；7.1-提高了对药物及其管理的认识，7.2-减轻了工作量，7.3-减轻了与工作有关的压力。主题 8：缩小了农村和城市病人之间的医疗差距。主题 9：有助于解决农村劳动力短缺问题。主题 10：这种医疗模式面临的挑战；10.1--需要更多的药剂师来满足需求，10.2--需要为药剂师的角色提供更多和持续的资金，10.3--前往患者处的路途遥远：农村医疗保健专业人员支持药剂师作为居家姑息关怀团队的一员，并认为这种关怀模式有很多好处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.30

自引率

16.70%

发文量

122

审稿时长

12 months

期刊介绍： The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.