Jennifer D. Lake , Janet Barnsley , Aisha Lofters , Zubin Austin
{"title":"从戈夫曼角度分析基层医疗机构药剂师职业身份不明确和角色协商的影响:多案例研究。","authors":"Jennifer D. Lake , Janet Barnsley , Aisha Lofters , Zubin Austin","doi":"10.1016/j.sapharm.2024.04.016","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Professional identity and its development is a focus of research, education, and practice. But, there is a lack of how professional identity impacts changes in pharmacists’ roles in practice, which are particularly prevalent in primary care teams.</p></div><div><h3>Objectives</h3><p>This research uses Goffmanian theory, micro-sociologic interactional theory, to describe the outcomes of role negotiation in integrated primary care teams.</p></div><div><h3>Methods</h3><p>This is a multiple case study done per Yin, which used interviews and documents to collect data. Interviews used a storytelling format to gather information on the pharmacist's role and negotiation with their team. Four to six interviews were done in each case. Data was analyzed in an iterative manner using the Qualitative approach by Leuven including narrative reports being created for each case.</p></div><div><h3>Results</h3><p>Five cases were recruited but three cases were completed. In each case, the pharmacist was passive in role negotiation and allowed other actors to decide what tasks were of value. Likely this passivity was due to their professional identities: supportive and “not a physician”. These identities led to a focus on the pharmacists' need to develop. This multi-case study demonstrated that pharmacists’ professional identity led to passivity being valued and expected. Whether pharmacists self-limited, which has been previously seen, needs to be better defined. But unclear archetypes reduced tasks identified as unique to the pharmacist.</p></div><div><h3>Conclusion</h3><p>Goffmanian theory highlighted a key success for future pharmacist role negotiation, a clear professional identity by both pharmacists and society, including team members. Until that occurs, there is a risk of underuse in primary care team settings.</p></div>","PeriodicalId":48126,"journal":{"name":"Research in Social & Administrative Pharmacy","volume":null,"pages":null},"PeriodicalIF":3.7000,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1551741124001529/pdfft?md5=f262736f4109c41cf7b2227d5a242d8e&pid=1-s2.0-S1551741124001529-main.pdf","citationCount":"0","resultStr":"{\"title\":\"A Goffmanian analysis of impact of unclear professional identity and role negotiation of pharmacists in primary care: A multiple case study\",\"authors\":\"Jennifer D. Lake , Janet Barnsley , Aisha Lofters , Zubin Austin\",\"doi\":\"10.1016/j.sapharm.2024.04.016\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Professional identity and its development is a focus of research, education, and practice. But, there is a lack of how professional identity impacts changes in pharmacists’ roles in practice, which are particularly prevalent in primary care teams.</p></div><div><h3>Objectives</h3><p>This research uses Goffmanian theory, micro-sociologic interactional theory, to describe the outcomes of role negotiation in integrated primary care teams.</p></div><div><h3>Methods</h3><p>This is a multiple case study done per Yin, which used interviews and documents to collect data. Interviews used a storytelling format to gather information on the pharmacist's role and negotiation with their team. Four to six interviews were done in each case. Data was analyzed in an iterative manner using the Qualitative approach by Leuven including narrative reports being created for each case.</p></div><div><h3>Results</h3><p>Five cases were recruited but three cases were completed. In each case, the pharmacist was passive in role negotiation and allowed other actors to decide what tasks were of value. Likely this passivity was due to their professional identities: supportive and “not a physician”. These identities led to a focus on the pharmacists' need to develop. This multi-case study demonstrated that pharmacists’ professional identity led to passivity being valued and expected. Whether pharmacists self-limited, which has been previously seen, needs to be better defined. But unclear archetypes reduced tasks identified as unique to the pharmacist.</p></div><div><h3>Conclusion</h3><p>Goffmanian theory highlighted a key success for future pharmacist role negotiation, a clear professional identity by both pharmacists and society, including team members. 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A Goffmanian analysis of impact of unclear professional identity and role negotiation of pharmacists in primary care: A multiple case study
Background
Professional identity and its development is a focus of research, education, and practice. But, there is a lack of how professional identity impacts changes in pharmacists’ roles in practice, which are particularly prevalent in primary care teams.
Objectives
This research uses Goffmanian theory, micro-sociologic interactional theory, to describe the outcomes of role negotiation in integrated primary care teams.
Methods
This is a multiple case study done per Yin, which used interviews and documents to collect data. Interviews used a storytelling format to gather information on the pharmacist's role and negotiation with their team. Four to six interviews were done in each case. Data was analyzed in an iterative manner using the Qualitative approach by Leuven including narrative reports being created for each case.
Results
Five cases were recruited but three cases were completed. In each case, the pharmacist was passive in role negotiation and allowed other actors to decide what tasks were of value. Likely this passivity was due to their professional identities: supportive and “not a physician”. These identities led to a focus on the pharmacists' need to develop. This multi-case study demonstrated that pharmacists’ professional identity led to passivity being valued and expected. Whether pharmacists self-limited, which has been previously seen, needs to be better defined. But unclear archetypes reduced tasks identified as unique to the pharmacist.
Conclusion
Goffmanian theory highlighted a key success for future pharmacist role negotiation, a clear professional identity by both pharmacists and society, including team members. Until that occurs, there is a risk of underuse in primary care team settings.
期刊介绍:
Research in Social and Administrative Pharmacy (RSAP) is a quarterly publication featuring original scientific reports and comprehensive review articles in the social and administrative pharmaceutical sciences. Topics of interest include outcomes evaluation of products, programs, or services; pharmacoepidemiology; medication adherence; direct-to-consumer advertising of prescription medications; disease state management; health systems reform; drug marketing; medication distribution systems such as e-prescribing; web-based pharmaceutical/medical services; drug commerce and re-importation; and health professions workforce issues.