The Aged Care Onsite Pharmacist (ACOP) program in Australia: a qualitative study to examine key considerations for successful implementation in residential aged care homes.

IF 3.2 4区 医学 Q2 PHARMACOLOGY & PHARMACY
Sara Javanparast, Daria S Gutteridge, Peter D Hibbert, Elizabeth Manias, Andrew C Stafford, Gregory M Peterson, Gillian E Caughey, Janet K Sluggett
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引用次数: 0

Abstract

Introduction: The Aged Care Onsite Pharmacist (ACOP) program was recently launched in Australia to enable pharmacists to deliver clinical governance, clinical pharmacy and education services on the ground in residential aged care homes (RACHs). As the program is now being scaled up nationally, it is crucial to understand the complex interactions between various factors at the individual and organisational levels to ensure the program is successfully implemented and achieves its ultimate goal of improving the quality use of medicines in RACHs.

Aim: This qualitative study aimed to explore stakeholders' perspectives on medication management, perceived value of onsite pharmacists, and key considerations for successful program implementation in RACHs.

Method: We employed a qualitative approach and conducted semi-structured interviews (n = 61) with residents/families, pharmacists, medical practitioners, RACH staff, and individuals involved in policy and planning. Participants with experience working in both metropolitan and rural areas were included. The interviews were audio-recorded, transcribed, and thematically analysed, both inductively and deductively. The Consolidated Framework for Implementation Research informed the design of the study, developing interview schedules and data analysis.

Results: Factors influencing the program implementation were grouped into five themes: (1) Individuals: factors concerning individuals involved in the program; (2) Innovation: factors related to the program design; (3) Process: implementation process actions; (4) Inner setting: factors relating to the organisational context; and (5) Outer setting: factors pertaining to the policy context. Most participants valued the potential contribution of onsite pharmacists. Program flexibility was noted as essential to increase its acceptability, uptake and adoptability. A desire for implementation strategies was evident. Workforce, organisational leadership, infrastructure and resources, and broader policy support were noted as critical for the program's success.

Conclusion: The ACOP program represents a promising strategy to enhance medication management in RACHs. However, implementation on a large scale necessitates a thoughtful consideration of various interconnected factors at the individual, organisation and policy levels that may affect its uptake, adoptability, and long-term sustainability. This has implications for policymakers and providers at the scale up phase to ensure the program achieves its ultimate goal of enhancing residents' health outcomes.

澳大利亚的老年护理现场药剂师(ACOP)计划:一项定性研究,以检查在住宅老年护理家中成功实施的关键考虑因素。
简介:老年护理现场药剂师(ACOP)计划最近在澳大利亚启动,使药剂师能够在住宅老年护理之家(RACHs)提供临床管理,临床药学和教育服务。由于该规划目前正在全国范围内扩大,了解个人和组织层面各种因素之间的复杂相互作用至关重要,以确保规划成功实施并实现其提高农村地区药品使用质量的最终目标。目的:本定性研究旨在探讨利益相关者对药品管理的看法,现场药剂师的感知价值,以及成功实施项目的关键考虑因素。方法:我们采用定性方法,对居民/家庭、药剂师、医生、RACH工作人员和参与政策和规划的个人进行了半结构化访谈(n = 61)。与会者包括在都市和农村地区都有工作经验的人。访谈录音,转录,主题分析,归纳和演绎。执行研究综合框架为研究的设计、制定面谈时间表和数据分析提供了信息。结果:影响项目实施的因素分为五个主题:(1)个体:涉及项目参与个体的因素;(2)创新:与方案设计相关的因素;(3)过程:实施过程行动;(4)内部环境:与组织背景有关的因素;(5)外部环境:与政策背景有关的因素。大多数参与者都重视现场药剂师的潜在贡献。规划灵活性被认为是提高其可接受性、吸收性和可采用性的必要条件。对执行战略的渴望是显而易见的。劳动力、组织领导、基础设施和资源以及更广泛的政策支持被认为是项目成功的关键。结论:ACOP项目是加强乡村医院用药管理的一种有前景的策略。然而,大规模的实施需要对个人、组织和政策层面的各种相互关联的因素进行深思熟虑,这些因素可能会影响其吸收、可采用性和长期可持续性。这对政策制定者和提供者在扩大规模阶段的影响,以确保该计划实现其提高居民健康结果的最终目标。
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来源期刊
CiteScore
4.10
自引率
8.30%
发文量
131
审稿时长
4-8 weeks
期刊介绍: The International Journal of Clinical Pharmacy (IJCP) offers a platform for articles on research in Clinical Pharmacy, Pharmaceutical Care and related practice-oriented subjects in the pharmaceutical sciences. IJCP is a bi-monthly, international, peer-reviewed journal that publishes original research data, new ideas and discussions on pharmacotherapy and outcome research, clinical pharmacy, pharmacoepidemiology, pharmacoeconomics, the clinical use of medicines, medical devices and laboratory tests, information on medicines and medical devices information, pharmacy services research, medication management, other clinical aspects of pharmacy. IJCP publishes original Research articles, Review articles , Short research reports, Commentaries, book reviews, and Letters to the Editor. International Journal of Clinical Pharmacy is affiliated with the European Society of Clinical Pharmacy (ESCP). ESCP promotes practice and research in Clinical Pharmacy, especially in Europe. The general aim of the society is to advance education, practice and research in Clinical Pharmacy . Until 2010 the journal was called Pharmacy World & Science.
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