Letitia N. Warunek PharmD, BCPS, Brenda Gruver PharmD, Liam Bartko PharmD, Jaycee Blair PharmD
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引用次数: 0
Abstract
Background
Pharmacists play an important role in transitions of care, where successful communication is vital. The primary objective of this study was to assess the extent of intradisciplinary communication between pharmacists during patient transitions of care. Secondary objectives were to evaluate pharmacist communication practices and to explore the potential barriers and facilitators to effective health communications.
Methods
A twenty item online survey was administered by email to all pharmacists practicing within a multisite regional healthcare system in central and northeastern Pennsylvania. Statistical analysis consisted of descriptive statistics for multiple choice, select all that apply, and Likert-type questions. Themes were summarized for open ended questions.
Results
A total of 132 (32%) pharmacists responded to the survey of which 90 responses were included in the analysis. The majority of pharmacists felt either extremely comfortable (53.3%) or somewhat comfortable (33.3%) reaching out to another pharmacist within the same health system. However, most contacted other pharmacy disciplines within the health system ≤25% of their work week. The ability to reach the pharmacist was the most important factor to pharmacist comfort (extremely important n = 56, somewhat important n = 27). Not knowing who to contact was the biggest barrier (44.8%). The electronic messaging systems Microsoft Teams (almost always n = 33, often n = 25) and TigerText (almost always n = 17, often n = 23) were the forms of communication utilized most often.
Conclusions
Pharmacists feel comfortable communicating with pharmacists across different entities within the health system, however, intradisciplinary communication related to transitions of care activities is limited. Improving awareness of system-wide pharmacist directories (34.2%) and distribution of pharmacist schedules (18.4%) were identified as tools that may improve communication.
背景药剂师在护理过渡中发挥着重要作用,而成功的沟通对于护理过渡至关重要。本研究的主要目的是评估在患者护理过渡期间药剂师之间的学科内沟通程度。次要目标是评估药剂师的沟通实践,并探讨有效健康沟通的潜在障碍和促进因素。方法:通过电子邮件向宾夕法尼亚州中部和东北部一个多站点区域医疗保健系统内的所有执业药剂师发放了一份包含 20 个项目的在线调查问卷。统计分析包括多选、全选和李克特类型问题的描述性统计。结果 共有 132 名药剂师(32%)对调查做出了回复,其中 90 份回复纳入了分析。大多数药剂师认为,与同一医疗系统内的其他药剂师联系非常方便(53.3%)或比较方便(33.3%)。然而,大多数药剂师在工作周内联系医疗系统内其他药学学科的比例不超过 25%。能够联系到药剂师是让药剂师感到舒适的最重要因素(极其重要 n = 56,比较重要 n = 27)。不知道与谁联系是最大的障碍(44.8%)。电子信息系统 Microsoft Teams(几乎总是 n = 33,经常 n = 25)和 TigerText(几乎总是 n = 17,经常 n = 23)是最常用的沟通方式。提高对全系统药剂师目录的认识(34.2%)和分发药剂师日程表(18.4%)被认为是可以改善沟通的工具。