Multidisciplinary perspective on a pharmacist-led vaccination clinic in a regional cancer care setting: A qualitative study

IF 1.8 Q3 PHARMACOLOGY & PHARMACY
Kristoffer Johnstone , Joyce Cooper , John Smithson , Beverley Glass
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Abstract

Background

Immunosuppression in patients with cancer increases susceptibility to vaccine-preventable diseases, with suboptimal vaccination rates attributed to complex treatment schedules, timing of vaccination and uncertainty in relation to vaccination effectiveness. While pharmacists are routinely vaccinating patients in the community, high-risk cohorts, such as oncology patients, often lack access to dedicated vaccine services in hospital outpatient settings. Pharmacist-led vaccination clinics offer a promising solution to overcome existing barriers by integrating accessible, trusted healthcare professionals into patients' treatment location, to improve uptake through timely, co-located, and coordinated care. This study aimed to explore the perspectives of healthcare professionals regarding the implementation of a pharmacist-led vaccine clinic in an outpatient oncology unit.

Methods

Semi-structured interviews were conducted with pharmacists, nurses, and doctors from a single site regional referral hospital. Interviews were audio-recorded, transcribed verbatim, deductively and inductively coded and thematically analysed, with emerging themes mapped to the constructs of the Diffusion of Innovation Theory: relative advantage, complexity, compatibility, observability and trialability.

Results

Nineteen interviews were conducted with healthcare professionals, including seven pharmacists, six nurses and six doctors. Factors identified for successful implementation of a pharmacist-led vaccination clinic included patient-centred models, improved convenience and reduced complexity for patients, and compatibility with pharmacists' existing knowledge and role in outpatient units. Barriers were found to be work overload for pharmacists, reduced interaction with general practitioners, and lack of understanding of pharmacists' vaccination training.

Conclusion

Healthcare professionals expressed strong support for a pharmacist-led vaccine clinic in an outpatient oncology unit, recognising the potential to improve vaccination rates. Future research should however focus on assessing patient acceptance of such a service and the impact of such a clinic on vaccination rates.
多学科的观点在药剂师主导的疫苗接种诊所在区域癌症护理设置:一个定性研究
癌症患者的免疫抑制增加了对疫苗可预防疾病的易感性,由于复杂的治疗计划、疫苗接种时间和疫苗接种有效性的不确定性,疫苗接种率不理想。虽然药剂师在社区定期为患者接种疫苗,但高风险人群,如肿瘤患者,往往无法在医院门诊环境中获得专门的疫苗服务。药剂师领导的疫苗接种诊所提供了一种很有希望的解决方案,通过将可获得的、值得信赖的医疗保健专业人员整合到患者的治疗地点,以通过及时、共同定位和协调的护理提高患者的接受程度,从而克服现有的障碍。本研究旨在探讨医疗保健专业人员对在门诊肿瘤科实施药剂师主导的疫苗诊所的看法。方法采用半结构化访谈法,对来自单一站点地区转诊医院的药师、护士和医生进行访谈。访谈录音,逐字抄录,演绎和归纳编码,主题分析,新主题映射到创新扩散理论的结构:相对优势,复杂性,兼容性,可观察性和可试验性。结果共对19名医护人员进行了访谈,其中药师7名,护士6名,医生6名。确定的成功实施药剂师主导的疫苗接种诊所的因素包括以患者为中心的模式,提高了便利性并降低了患者的复杂性,以及与药剂师在门诊单位的现有知识和作用相兼容。发现障碍是药剂师的工作过载,与全科医生的互动减少,以及缺乏对药剂师疫苗接种培训的了解。结论卫生保健专业人员强烈支持在门诊肿瘤科设立药剂师主导的疫苗诊所,认识到提高疫苗接种率的潜力。然而,未来的研究应侧重于评估患者对这种服务的接受程度以及这种诊所对疫苗接种率的影响。
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
CiteScore
1.60
自引率
0.00%
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审稿时长
103 days
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