影响临床药师参与跨专业查房的因素:一项全国性调查的专题分析。

IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Journal of Interprofessional Care Pub Date : 2024-05-01 Epub Date: 2023-12-27 DOI:10.1080/13561820.2023.2289506
Dona Babu, Sally Marotti, Debra Rowett, Renly Lim, Alice Wisdom, Lisa Kalisch Ellett
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引用次数: 0

摘要

查房(WR)是专业间互动和交流的重要机会,有助于优化患者护理。药剂师参与跨专业 WR 可以减少不良药物事件,提高用药的适当性并加强沟通。目前,澳大利亚临床药师对 WR 的参与还很有限。本研究旨在探讨影响澳大利亚医院临床药师参与 WR 的因素。我们对澳大利亚临床药剂师进行了一项自填式匿名全国调查。本研究描述了定性问题的结果,并根据布劳恩和克拉克的技术在 NVivo-2020 中进行了专题分析。共构建了五个主题:"临床药学服务结构"、"查房结构"、"药剂师能力"、"文化 "和 "价值"。支持药剂师贡献的文化、一致的 WR 结构和灵活的临床药学服务使药剂师能够参与 WR。由于工作量、工作流程以及自我感觉需要丰富的临床知识而 "缺席 "WR,会限制药剂师与医生一起积极主动地参与药物决策以改善患者护理效果的机会。跨专业团队与药剂师之间的双向交流,共同构建每个人在 WR 中的角色,有助于为有效的药物管理开展一致且相互依赖的合作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What is impacting clinical pharmacists' participation in an interprofessional ward round: a thematic analysis of a national survey.

The ward round (WR) is an important opportunity for interprofessional interaction and communication enabling optimal patient care. Pharmacists' participation in the interprofessional WR can reduce adverse drug events and improve medication appropriateness and communication. WR participation by clinical pharmacists in Australia is currently limited. This study aims to explore what is impacting clinical pharmacists' participation in WRs in Australian hospitals. A self-administered, anonymous national survey of Australian clinical pharmacists was conducted. This study describes the outcomes from qualitative questions which were analyzed thematically in NVivo-2020 according to Braun and Clarke's techniques. Five themes were constructed: "Clinical pharmacy service structure", "Ward round structure", "Pharmacist's capabilities", "Culture" and "Value". A culture supportive of pharmacist's contribution with a consistent WR structure and flexible delivery of clinical pharmacy services enabled pharmacists' participation in WR. Being physically "absent" from the WR due to workload, workflow, and self-perception of the need for extensive clinical knowledge can limit opportunities for pharmacists to proactively contribute to medicines decision-making with physicians to improve patient care outcomes. Bidirectional communication between the interprofessional team and the pharmacist, where there is a co-construction of each individual's role in the WR facilitates consistent and inter-dependent collaborations for effective medication management.

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来源期刊
Journal of Interprofessional Care
Journal of Interprofessional Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.80
自引率
14.80%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The Journal of Interprofessional Care disseminates research and new developments in the field of interprofessional education and practice. We welcome contributions containing an explicit interprofessional focus, and involving a range of settings, professions, and fields. Areas of practice covered include primary, community and hospital care, health education and public health, and beyond health and social care into fields such as criminal justice and primary/elementary education. Papers introducing additional interprofessional views, for example, from a community development or environmental design perspective, are welcome. The Journal is disseminated internationally and encourages submissions from around the world.
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