IF 2.6 4区 医学 Q2 PHARMACOLOGY & PHARMACY
Jonathan Tan, Jasmine Tan, Leanna de Souza, Qianying Wang, Alexander Wong, Jarrod Mcmaugh, Kenneth Lee, Amy Page
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引用次数: 0

摘要

背景:在澳大利亚,国家住院用药电子表格(eNRMC)旨在加强老年护理机构的用药安全、减轻行政负担和沟通。然而,尽管药剂师在用药管理中发挥着至关重要的作用,但对其实施情况的研究却十分有限,药剂师的参与度也极低。目的:本研究旨在探讨药剂师在为养老机构提供护理服务时使用(eNRMC)的经验:采用定性描述研究设计,并使用框架法进行专题分析。通过目的性抽样和 "滚雪球 "抽样的方式招募有使用 eNRMC 经验的药剂师,并邀请他们参加 2024 年 8 月举行的半结构化个人访谈。对访谈进行了音像录制,使用简洁的逐字记录法进行了转录,并使用 NVivo 软件进行了分析。结果:澳大利亚各地的 12 名参与者具有不同程度的经验,他们同意并完成了半结构化访谈。确定了三大主题:(1) 药物管理的改进;(2) eNRMC 软件的局限性;(3) 医疗机构向 eNRMC 软件的过渡。药剂师报告称,用药安全、工作流程和沟通都得到了加强。然而,eNRMC 的不兼容性、编辑受限和工作量增加是实施过程中面临的挑战。此外,培训不足和全科医生的抵制也导致了制表错误和用药事故的发生:来自不同岗位的药剂师认为 eNRMC 有利于加强药物管理,但软件的局限性和缺乏支持仍然是增加用户挫败感和阻碍采用的障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring Australian pharmacists' experiences with the electronic National Residential Medication Chart: a qualitative descriptive study.

Background: In Australia, the electronic National Residential Medication Chart (eNRMC) aims to enhance medication safety, reduce administrative burden, and communication in aged care facilities. However, research on its implementation is limited, with minimal pharmacist involvement, despite their critical role in medication management. It is essential to address the underrepresentation to optimise their experience with the eNRMC.

Aim: This study aimed to explore the experiences of pharmacists who have used the (eNRMC) while providing care to residential aged care facilities.

Method: A qualitative descriptive study design was employed, with thematic analysis conducted using The Framework Method. Pharmacists with experience using the eNRMC were recruited through purposive and snowball sampling and were invited to participate in semi-structured individual interviews in August 2024. Interviews were audio-visually recorded, transcribed using clean verbatim and analysed with NVivo software. An inductive coding approach was used to generate themes.

Results: Twelve participants across Australia with varying levels of experience consented and completed semi-structured interviews. Three main themes were identified: (1) Improvements in Medication Management, (2) Limitations of the eNRMC Software, and (3) the Facility's Transition to eNRMC Software. Pharmacists reported enhanced medication safety, workflow, and communication. However, eNRMC incompatibilities, restricted editing and increased workloads were challenges during implementation. Additionally inadequate training and resistance from general practitioners contributed to charting errors and medication incidents.

Conclusion: Pharmacists from various roles described the eNRMC as beneficial for enhancing medication management, but software limitations and lack of support remain barriers that increased frustrations amongst users and impede adoption.

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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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