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1.
Artigo em Inglês | MEDLINE | ID: mdl-38753037

RESUMO

The use of telehealth became widespread during the COVID-19 pandemic, including in child and adolescent attention-deficit/hyperactivity disorder (ADHD) services. Telehealth is defined as live, synchronous phone and video appointments between a healthcare provider and a parent and/or child with ADHD. There is a dearth of research on the use of telehealth within this population. The aim of this study was to examine parents' and caregivers' perceptions of telehealth for children and adolescents with ADHD. A cross-sectional survey design was employed. Recruitment of parents and caregivers of children and adolescents with ADHD was conducted online. The survey asked participants about their views of telehealth, previous experience, and willingness to use telehealth. Quantitative data were analysed using STATA. Qualitative data were analysed using content analysis. One hundred and twelve respondents participated in the survey. Participants were mostly female (n = 97, 86.6%) and aged between 45 and 54 (n = 64, 57.1%). Of the 61 (54.5%) participants with experience of telehealth, the majority reported that that they were at least satisfied with telehealth visits (n = 36, 59%), whilst approximately half rated their quality more poorly than in-person visits (n = 31, 50.8%). The majority of respondents (n = 91, 81.3%) reported that they would be willing to use telehealth for their child's future appointments. Most common reasons selected for wanting to use telehealth included saving time, improvements to the family routine, and reducing costs. Reasons selected for not wanting to use telehealth included not being able to receive hands-on care, belief that the quality of care is poorer than in-person consultations, and distraction of the child during telehealth visits. The study demonstrates that parents recognise deficits and benefits of telehealth, suggesting a need to build their trust and confidence in remote ADHD care.

2.
BMC Health Serv Res ; 23(1): 623, 2023 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-37312119

RESUMO

BACKGROUND: Remote mental health consultations were swiftly implemented across mental health services during the COVID-19 pandemic. Research has begun to inform future design and delivery of telemental health services. Exploring the in-depth experiences of those involved is important to understand the complex, multi-level factors that influence the implementation of remote mental health consultations. The aim of this study was to explore stakeholder perspectives and experiences of the implementation of remote mental health consultations during the COVID-19 pandemic in Ireland. METHODS: A qualitative study was conducted whereby semi-structured, individual interviews were undertaken with mental health providers, service users, and managers (n = 19) to acquire rich information. Interviews were conducted between November 2021 and July 2022. The interview guide was informed by the Consolidated Framework for Implementation Research (CFIR). Data were analysed thematically using a deductive and inductive approach. RESULTS: Six themes were identified. The advantages of remote mental health consultations were described, including convenience and increased accessibility to care. Providers and managers described varying levels of success with implementation, citing complexity and incompatibility with existing workflows as barriers to adoption. Providers' access to resources, guidance, and training were notable facilitators. Participants perceived remote mental health consultations to be satisfactory but not equivalent to in-person care in terms of quality. Views about the inferior quality of remote consultations stemmed from beliefs about the inhibited therapeutic relationship and a possible reduction in effectiveness compared to in-person care. Whilst a return to in-person services was mostly preferred, participants acknowledged a potential adjunct role for remote consultations in certain circumstances. CONCLUSIONS: Remote mental health consultations were welcomed as a means to continue care during the COVID-19 pandemic. Their swift and necessary adoption placed pressure on providers and organisations to adapt quickly, navigating challenges and adjusting to a new way of working. This implementation created changes to workflows and dynamics that disrupted the traditional method of mental health care delivery. Further consideration of the importance of the therapeutic relationship and fostering positive provider beliefs and feelings of competence are needed to ensure satisfactory and effective implementation of remote mental health consultations going forward.


Assuntos
COVID-19 , Serviços de Saúde Mental , Consulta Remota , Humanos , Saúde Mental , COVID-19/epidemiologia , Pandemias
3.
J Am Pharm Assoc (2003) ; 63(1): 90-96, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36151026

RESUMO

OBJECTIVES: To assess resilience among a sample of certified pharmacy technicians in the United States and evaluate associations between resilience and various personal and work-related characteristics and conditions, including coworker support and pharmacist leadership behaviors, and to assess the relationship between technicians' resilience and support from coworkers and commitment to their organization. METHODS: This study employed the use of a self-administered questionnaire survey electronically in a cross-sectional design. The questionnaire was delivered with a response portal open for approximately 6 weeks during the spring of 2022 to a sample of 3000 technicians certified through the National Healthcareer Association. The questionnaire consisted of items comprising the Brief Resilience Scale, an adapted version of the Multifactorial Leadership Questionnaire (A-MLQ), and items measuring aspects of coworker support, future uncertainty, commitment, and turnover, in addition to demographic and practice site-related questions. RESULTS: Usable responses were acquired from 822 respondents, who reported relatively high levels of resilience. Resilience was observed to be positively correlated with pharmacy transformative leadership behaviors measured on the A-MLQ and with coworker support and negatively correlated with future uncertainty. Respondents indicating the highest level of profession commitment reported a statistically higher level of resilience than did others. There were very few relationships observed between resilience and technicians' personal characteristics. CONCLUSIONS: Immutable characteristics (e.g., race/ethnicity, sex, and age) played a very small role in describing resilience among pharmacy technicians. Instead, organizational characteristics of the workplace were shown to be highly associative with resilience of technicians, adding further evidence that organizations and the profession can help facilitate resilience among these important pharmacy support personnel.


Assuntos
Assistência Farmacêutica , Farmácia , Humanos , Estados Unidos , Técnicos em Farmácia , Estudos Transversais , Certificação , Inquéritos e Questionários , Farmacêuticos
4.
J Am Pharm Assoc (2003) ; 62(4): 1338-1343, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35365406

RESUMO

BACKGROUND: The opioid epidemic continues to have a significant negative impact on public health in the United States. Community pharmacies represent an important care setting in confronting the opioid epidemic. However, they continue to be an underutilized care access point. Pharmacy technicians are often the first and most frequent pharmacy personnel to interact with people receiving a prescription for opioid medications. There is a paucity of studies conducted with pharmacy technicians as it pertains to interactions with these patients. OBJECTIVES: To explore community pharmacy technicians' roles and their personal experiences when interacting with patients who are receiving a prescription for opioid medications. METHODS: A qualitative design was employed in use of focus groups (FGs) conducted virtually across several regions of the United States. Audio recordings of U.S. FGs were transcribed verbatim and imported via Dedoose (v2.0, Dedoose, Manhattan Beach, CA,) for further data assessment using thematic analysis. The researchers used the Consolidated Criteria for Reporting Qualitative Research. RESULTS: In total, 46 pharmacy technicians participated in 8 FGs. The average length of time for FG was 56 minutes. The mean for the work experience was 7 years, with a range of 1 to 44. Of 46 subjects, 34 were working in a community setting, and the rest were in a hospital setting. Most of the subjects practiced in Tennessee and California at the time of the study. Two themes emerged from the data: "Interactions between pharmacy technicians and patients who are using opioid prescriptions," and "Interactions between pharmacy technicians and the pharmacy team while dispensing opioid prescriptions." CONCLUSION: Pharmacy technicians serve as a key health care system touchpoint in the community pharmacy. Although pharmacy technicians are exposed to people receiving a prescription for opioid medications, they feel under-resourced and ill-quipped to adequately serve this patient population.


Assuntos
Serviços Comunitários de Farmácia , Farmácias , Analgésicos Opioides/efeitos adversos , Humanos , Epidemia de Opioides , Farmacêuticos , Técnicos em Farmácia , Estados Unidos
5.
J Am Pharm Assoc (2003) ; 62(1): 112-119, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34711522

RESUMO

BACKGROUND: The community pharmacy represents a convenient health care access point for patients and is increasingly used to deliver direct patient care services; however, several barriers exist that hinder widespread patient service implementation and scalability. Such barriers include scope of practice restrictions, a dearth of sustainable payment models, lack of pharmacist capacity given other responsibilities, and workflow models developed for dispensing medications rather than clinical care. In an effort to overcome the lack of pharmacist time and capacity, further task delegation to pharmacy technicians has been suggested. OBJECTIVES: The primary objective of this study was to present the final outcomes of the Optimizing Care Model's impact. The model's impact on pharmacist patient care, workday composition, and rates of product selection errors not identified during final product verification are reported. METHODS: The Optimizing Care Model is an innovative approach to community pharmacy practice aiming to foster a new patient-centered care delivery model that expands clinical service delivery and fosters collaboration across health care settings through task delegation, primarily through technician product verification (TPV). To investigate the impact of its sustained implementation, a quasi-experimental, 1-group pretest-posttest design was used. Outcomes assessed included medication errors, clinical activities, and workday composition. RESULTS: Six chain and 3 independent pharmacies completed the final, continuation phase of the study. Overall pharmacist time spent delivering patient care services increased significantly upon implementation of the Optimizing Care Model (21% vs. 43%; P < 0.05), whereas pharmacist time spent performing dispensing-related activities decreased significantly (67% vs. 37%; P < 0.05). Total undetected error rates were significantly less in the Optimizing Care Model phase compared with the traditional model (0.05% vs. 0.01%; P < 0.001). CONCLUSION: This study presented the final results of a 2-year assessment of the Optimizing Care Model. Results reaffirmed initial published findings that the model and its use of TPV increase the array and frequency of direct patient care services rendered while resulting in lower undetected error rates. Final project results of the Optimizing Care Model demonstrate increased clinical service delivery versus the traditional model, while also improving patient safety with lower rates of undetected dispensing errors within the Optimizing Care Model. The Optimizing Care Model continues to show promise as a future practice model for community pharmacies.


Assuntos
Serviços Comunitários de Farmácia , Farmácias , Humanos , Assistência ao Paciente , Farmacêuticos , Técnicos em Farmácia , Papel Profissional
6.
J Am Pharm Assoc (2003) ; 61(4): 382-389.e4, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33853751

RESUMO

BACKGROUND: Pharmacists have struggled to find time to spend on clinical tasks. As such, regulatory steps have been taken by some states to expand the scope of practice for community pharmacy technicians. OBJECTIVE: The objective of this study was to determine what settings and characteristics predict pharmacists' comfort levels with technicians giving or receiving verbal prescriptions, performing nonclinical medication therapy management tasks, administering vaccinations, and verifying prescriptions. METHODS: This study employed a national Internet-based survey of community pharmacists using a health care marketing research panel. The Consolidated Framework for Implementation Research (CFIR) was used as a theoretical basis for inquiry, particularly the CFIR domains of "outer setting," "inner setting," and "individual characteristics." As the outcome variable of this study, the respondents were asked to report their comfort levels with technicians performing the 4 advanced tasks. Four multivariable linear regression models identified statistically significant predictors of pharmacists' comfort with each task. Repeated measures analysis of variance (ANOVA) was used to compare the pharmacists' comfort levels among tasks. RESULTS: For all 4 tasks, pharmacists who believed that technicians had the ability to complete each task were more comfortable with technicians completing those tasks. In addition, pharmacists with perceptions of stronger technician interest in advanced tasks were found to be more comfortable with technicians taking on more responsibility for all tasks except vaccine administration. Repeated measures ANOVA found that pharmacists' comfort levels differed on all 4 tasks. CONCLUSION: This study found that the CFIR domains of inner setting (pharmacy location) and individual characteristics (perceptions of technicians and pharmacist education) affect pharmacists' level of comfort with technicians taking on additional responsibilities, but outer setting variables such as regulations do not. This suggests that pharmacist characteristics may affect the expansion of technician task responsibilities, no matter what state regulations allow.


Assuntos
Serviços Comunitários de Farmácia , Assistência Farmacêutica , Farmácias , Humanos , Percepção , Farmacêuticos , Técnicos em Farmácia , Papel Profissional
7.
Ann Pharmacother ; 54(9): 907-920, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32115996

RESUMO

Objective: To review specific literature that aimed to predict the future of US pharmacy, beginning in the late 1980s. Data Sources: Articles were identified from searching MEDLINE, CINAHL, Google Scholar, and references of relevant articles. The following combinations of search terms were used: future, pharmacy, prediction, and forecast. Study Selection and Data Extraction: The following inclusion criteria were applied: (1) full-text commentary, review, or original research and (2) focused predominantly on the pharmacy in the United States. Data on predictions for the future of pharmacy were extracted. Data Synthesis: We selected 3 articles published between 1988 and 2006, with each aiming to project the future for the following decade. We examined each prediction in light of the current knowledge. Relevance to Patient Care and Clinical Practice: Educators, practitioners, and other stakeholders should consider reflecting on the changes in pharmacy for the past 3 decades and applying both historical and emerging trends to improve patient care and sustain practice in the third decade of the 21st century and beyond. Conclusion: Most of the predictions for the future of pharmacy from the past 3 decades materialized, with some still in progress (reimbursement for pharmacy services), whereas others manifested in unexpected ways (transition from shortage to excess of pharmacists). Current forces shaping pharmacy include, but are not limited to, growing spending and use of specialty drugs, automation of pharmacy operations, growth of pharmacy in the digital health enterprise, and growing consumer interest in the use of analytical pharmacy that tests drugs before dispensing.


Assuntos
Assistência Farmacêutica , Farmácia/tendências , História do Século XX , História do Século XXI , Humanos , Assistência ao Paciente/normas , Assistência ao Paciente/tendências , Assistência Farmacêutica/história , Assistência Farmacêutica/tendências , Farmácias/história , Farmácias/tendências , Farmacêuticos/normas , Farmacêuticos/tendências , Estados Unidos
8.
Hum Resour Health ; 18(1): 55, 2020 08 03.
Artigo em Inglês | MEDLINE | ID: mdl-32746844

RESUMO

The use of traditional and complementary medicines (TM/CMs) has become an increasingly popular part of healthcare and self-care practices across the world. While the benefits and risks of many TM/CMs are yet to be fully evaluated, their prevalent use without consistent oversight has not been fully addressed by the public health sector. Pharmacists play an integral role in contributing to public health. Discussion about integrating TM/CMs into the professional practice of the pharmacist began over two decades ago. Nevertheless, TM/CMs are predominantly managed as "retail products" and are not integrated into pharmaceutical care and practice. While some isolated measures towards integration have been proposed, there remains no consensus on how to deliver pharmaceutical care in a coordinated, systematic manner. Systems thinking approaches are needed to formulate and implement strategies that change pharmacists' practice related to TM/CMs. Such approaches will ultimately reduce risk, optimize patient care, and result in better health outcomes.


Assuntos
Terapias Complementares/métodos , Ciência da Implementação , Farmacêuticos/organização & administração , Medicamentos sob Prescrição/uso terapêutico , Análise de Sistemas , Serviços Comunitários de Farmácia/organização & administração , Humanos , Papel Profissional
9.
J Am Pharm Assoc (2003) ; 60(4): e64-e69, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32217084

RESUMO

OBJECTIVES: Assess the impact of pharmacy technician-supported point-of-care testing (POCT), including sample collection, on the number of cholesterol screenings performed in a community pharmacy setting. Secondary objectives include assessment of provider perceptions and patient satisfaction of POCT when executed by a technician. PRACTICE DESCRIPTION: Thirty-two community pharmacies in 1 regional division of a large community pharmacy chain in Tennessee; 16 participated in a certified pharmacy technician (CPhT) training program, and 16 did not. PRACTICE INNOVATION: CPhTs supported POCT service delivery limited to the nonprofessional, technical tasks (e.g., sample collection, quality assurance). EVALUATION: The primary objective was evaluated by comparing the total number of screenings for control and intervention sites. Descriptive and inferential statistics were used. Both secondary measures were assessed via anonymous, Likert-type scale questionnaires. RESULTS: Intervention pharmacies performed 358 screenings, whereas control pharmacies performed 255 screenings (16.8% difference). The patient perception survey found that 94% (149 of 159) of those who received screening with CPhT involvement agreed or strongly agreed that the service was valuable, and 70% (111 of 159) reported that they are likely to follow up with their primary care providers to discuss the results. Furthermore, most patients were in agreement that they were overall satisfied with the screening services provided by the CPhT (94%, 149 of 159), and the CPhT was professional while performing the screening (95%, 151 of 159). The provider perceptions survey on service implementation found that most pharmacy personnel agreed or strongly agreed that CPhTs performing POCT was feasible, appropriate, and acceptable. CONCLUSION: This study provided preliminary data that technician-supported POCT may positively impact the number of screenings provided. In addition, provider perceptions were positive, and patients felt satisfied with the studied technician model.


Assuntos
Serviços Comunitários de Farmácia , Técnicos em Farmácia , Humanos , Farmacêuticos , Testes Imediatos , Tennessee
10.
Ann Pharmacother ; 53(5): 545-547, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30453744

RESUMO

Studies have found that expanded pharmacy technician roles can help "free up" pharmacist time, leading to role optimization. However, these studies and the positions taken by many are quite pharmacist-centric. We seem to have underestimated the importance of support staff in pharmacy operations. If research demonstrates that technicians can perform a function safely and effectively, that alone should compel the function's allowance in practice. Freeing up pharmacist time for higher-order care is a positive corollary to technician advancement, but it need not be a precondition for it.


Assuntos
Assistência Farmacêutica , Técnicos em Farmácia , Papel Profissional , Atitude do Pessoal de Saúde , Competência Clínica/normas , Competência Clínica/estatística & dados numéricos , Educação em Farmácia/legislação & jurisprudência , Educação em Farmácia/normas , Humanos , Relações Interpessoais , Assistência Farmacêutica/legislação & jurisprudência , Assistência Farmacêutica/organização & administração , Assistência Farmacêutica/normas , Assistência Farmacêutica/estatística & dados numéricos , Farmácias/estatística & dados numéricos , Farmacêuticos/legislação & jurisprudência , Farmacêuticos/psicologia , Farmacêuticos/estatística & dados numéricos , Serviço de Farmácia Hospitalar/legislação & jurisprudência , Serviço de Farmácia Hospitalar/normas , Serviço de Farmácia Hospitalar/estatística & dados numéricos , Técnicos em Farmácia/educação , Técnicos em Farmácia/legislação & jurisprudência , Técnicos em Farmácia/psicologia , Técnicos em Farmácia/estatística & dados numéricos , Prática Profissional/legislação & jurisprudência , Prática Profissional/normas , Prática Profissional/estatística & dados numéricos , Papel Profissional/psicologia
11.
J Am Pharm Assoc (2003) ; 59(3): 310-318, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30940516

RESUMO

OBJECTIVES: The primary objective of this study was to identify and summarize the perspectives of managers, pharmacists, and pharmacy technicians regarding the implementation of the Optimizing Care Model and corresponding task delegation of final product verification to pharmacy technicians in the community pharmacy. A secondary objective was to better understand successes and concerns in implementing the model. DESIGN: This qualitative research study employed the use of semistructured interviews. The authors served as coders and analyzed the transcripts with the use of inductive and deductive thematic analysis. SETTING AND PARTICIPANTS: Key informants included managers, pharmacists, and pharmacy technicians participating in the Optimizing Care Model in community pharmacies across both chain and independent pharmacy settings in Iowa, Tennessee, and Wisconsin. Interviews were conducted via telephone. RESULTS: The research team interviewed 14 participants. Six themes were identified: The Optimizing Care Model catalyzes patient care service delivery expansion in the community pharmacy setting, effectiveness is driven by "freed-up" pharmacist time compared with the traditional model, the model positively affects roles and job satisfaction of pharmacy personnel, technician engagement and ownership have a strong impact on the success and ramifications of the model, significant changes to pharmacy operations are necessary for successful implementation, and there are several factors ensuring successful implementation and sustaining of the Optimizing Care Model. CONCLUSION: Various participants (pharmacists, managers, technicians) in a technician product verification program known as the Optimizing Care Model agreed that patient care delivery can be enhanced through the task delegation of final product verification to pharmacy technicians. Additional positive impacts on organizational and individual level outcomes were found, which included quality of work life, engagement, and commitment.


Assuntos
Serviços Comunitários de Farmácia/organização & administração , Serviços Comunitários de Farmácia/tendências , Assistência ao Paciente/métodos , Farmácias/organização & administração , Farmácias/tendências , Humanos , Entrevistas como Assunto , Iowa , Motivação , Assistência ao Paciente/tendências , Farmacêuticos/tendências , Técnicos em Farmácia/tendências , Papel Profissional , Pesquisa Qualitativa , Qualidade de Vida , Tennessee , Wisconsin , Engajamento no Trabalho
12.
J Am Pharm Assoc (2003) ; 59(4S): S32-S38.e1, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31104978

RESUMO

OBJECTIVES: The primary objective of this study was to identify community pharmacy technicians who might be selected for engagement in advanced clinical support tasks and emerging roles. The secondary objective was to determine the demographic and work characteristics of these technicians who can be engaged in advanced roles. DESIGN: Using data from a survey of pharmacy technicians, a 2-step cluster analysis was performed with current involvement, self-efficacy, and attitude toward advanced clinical support tasks as the variables. Comparisons of the clusters were based on demographic and work-related variables (e.g., employment status, practice setting, job rank, sex, age, organization and professional commitment). Multiple regression analyses were used to identify the association between the technician's desired involvement in advanced tasks and their cluster, demographic, and work characteristics. SETTING AND PARTICIPANTS: The study included a random sample of pharmacy technicians surveyed across the United States who practiced in the community pharmacy setting. OUTCOME MEASURES: Not applicable. RESULTS: One hundred and twenty-eight pharmacy technicians formed 4 clusters. Overall, respondents were mostly female, a mean age of 36 years, working in large pharmacy organizations including chain, discount, mass merchandiser, and grocery store pharmacy, and with an average of 7 years' experience working as a technician. Self-efficacy, attitude, and current and desired involvement in clinical support tasks were significantly different (P < 0.001) among the 4 clusters. Twenty-one percent were stratified as "most ideal" technicians prepared to engage in advanced clinical support tasks and emerging roles. These technicians were the oldest in age and had the highest patient care score, and most were highly committed to remaining a technician. CONCLUSION: This study provides a method to use community pharmacy technicians' current capacity and potential to select those who can perform emerging roles and advanced clinical support tasks. The analysis identified those who might be selected first by organizations for taking up emerging roles, particularly more clinically oriented tasks. Pharmacy organizations can apply these results to workflow design and potentially to human resources management activities.


Assuntos
Serviços Comunitários de Farmácia/organização & administração , Farmácias/organização & administração , Técnicos em Farmácia/organização & administração , Adulto , Análise por Conglomerados , Estudos Transversais , Feminino , Humanos , Masculino , Farmacêuticos/organização & administração , Papel Profissional , Autoeficácia , Inquéritos e Questionários
13.
J Am Pharm Assoc (2003) ; 59(6): 880-885, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31474528

RESUMO

OBJECTIVES: To explore initial outcomes of the Optimizing Care Model's impact on patient care through technician product verification after the first 3 months of implementation, including the model's impact on pharmacist workday composition, rates of patient care services delivered, and rates of product selection errors not identified during final product verification. SETTING: Fourteen chain and independent community pharmacies licensed and located in Tennessee. INNOVATION: The Optimizing Care Model is an innovative approach to community pharmacy practice aiming to foster a new patient-centered care delivery model that expands clinical service delivery through task delegation to pharmacist extenders. EVALUATION: A quasiexperimental 1-group pretest-posttest design was used. Study sites self-reported data from 3 months before and 3 months after implementation of the intervention. RESULTS: Overall pharmacist time spent delivering patient care services increased significantly on implementation of the Optimizing Care Model (25% vs. 43%; P < 0.001), and time spent performing dispensing-related activities decreased significantly (63% vs. 37%; P = 0.02). There was a total increase in quantity of clinical services delivered to patients from baseline, but data from initial study outcomes did not reach statistical significance. At least 1 new clinical service provided under a collaborative practice agreement had been implemented by all 14 sites (100%) as of Spring 2018. Total undetected error rates were significantly less in the Optimizing Care Model phase compared to the traditional model (0.063% vs. 0.085%; P < 0.001). CONCLUSION: Initial results of the Optimizing Care Model demonstrate improved patient care through increased clinical service delivery versus the traditional model. Undetected error detection rates were low in both models, but lower in the Optimizing Care Model. The Optimizing Care Model may represent a novel approach to improving care for patients while creating efficiencies through a staff delegation model, providing pharmacists the opportunity to further evolve their practice and advance clinical care for patients.


Assuntos
Serviços Comunitários de Farmácia/organização & administração , Assistência ao Paciente/métodos , Farmacêuticos/organização & administração , Técnicos em Farmácia/organização & administração , Humanos , Modelos Organizacionais , Papel Profissional , Fatores de Tempo
15.
Explor Res Clin Soc Pharm ; 14: 100448, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38737524

RESUMO

Interrogating the literature is among the first steps a researcher undertakes when actuating a research project or also when any scholar might seek to know what has been done in an area, best practices for conducting a certain activity, or simply to seek answers for a question ranging from one's own personal curiosity to those that might affect departmental or institutional guidance. Decisions on the type of review process to undertake is one that is not taken lightly. This methods commentary outlines the reasons for conducting a scoping review versus a systematic review for topics related to pharmacy education. Considerations for conducting the scoping review are outlined including considerations for writing a protocol prior to conducting a scoping review, to potential platforms to use for transparency of sharing data, processes related to guidelines for data extraction and types of search strategies utilized.

16.
Int J Clin Pharm ; 46(2): 542-547, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38194008

RESUMO

Despite increased attention to, and frameworks conceptualizing person-centered care, systematic, organizational, and provider-level barriers continue to discourage the development and delivery of person-centered care (PCC) in pharmacy practice and beyond. This commentary describes existing pharmacy-specific literature related to PCC, barriers to PCC within the context of pharmacy practice, and potential solutions to increase person-centeredness in pharmacy services. Literature to substantiate and describe barriers and potential solutions was identified from 2008 to 2023, a period where the emphasis on PCC in pharmacy practice dramatically increased. Overall, pharmacy-specific literature was identified describing four key barriers to PCC. Several potential solutions were identified, including: using innovative and theory-informed approaches to collecting individual need and preference information, employing processes and equipping providers to facilitate trust, changing organizational culture, and aligning quality metrics and financial incentives with PCC. Identified solutions may be used to address individual, organizational, and systematic barriers to promote PCC.


Assuntos
Assistência Farmacêutica , Farmácias , Farmácia , Humanos , Assistência Centrada no Paciente
17.
Res Social Adm Pharm ; 2024 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-38866606

RESUMO

This commentary explores how a change in the professional identity of pharmacists from medicines supplier to clinical decision-maker might take place. Three leverage points are identified that support this change. The first leverage point involves workplace culture. Pharmacists require workplaces that support them to assume direct responsibility for drug therapy decisions that may not have traditionally been part of pharmacy practice. The second leverage point involves terminology. Pharmacists need to be able to name and describe the process they use when making decisions about drug therapy. The third leverage point encompasses pharmacy education. Future pharmacists require a foundation that enables them to mobilize their knowledge and skills about drug therapy to act as clinical decision-makers with patients that require complex care. By acting on multiple leverage points, advocates for change in the pharmacy profession can assist pharmacists to establish themselves as decision-makers about drug therapy, shift their professional identity, and reformulate their view of the profession.

18.
Res Social Adm Pharm ; 20(5): 539-546, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38346916

RESUMO

Top faculty talent recruitment, mentoring, productivity, and retention are paramount for organizational success among institutions of higher learning. Programs would do well to treat these various aspects of faculty management/development as inextricably linked to one another, rather than viewing recruitment or retention in a vacuum. The Strategic Academic Recruitment (StAR) program at the Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences in Dublin was founded to bear these things, along with best practices in faculty development, in mind to enhance organizational effectiveness. This paper provides some background, description, and outcomes of the program thus far, revealing positive trends in scholarly productivity, teaching, program faculty commitment, and the development of future leaders for the institution, even while further evaluation and continued quality improvement for the StAR initiative are called for. It is hoped that the details provided here can be helpful for other academic organizations as they consider any of various initiatives aimed to attract high-quality labor capital, position those faculty for success, and enhance organizational effectiveness and reputation.


Assuntos
Tutoria , Humanos , Avaliação de Programas e Projetos de Saúde , Docentes de Medicina/educação , Mentores , Ocupações em Saúde
19.
Res Social Adm Pharm ; 20(6): 170-173, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38514292

RESUMO

Across the world traditional and complementary medicine (T&CM) product use is prevalent with some countries reporting greater than 50% of the population using these products. T&CM products are primarily self-selected through retail outlets including pharmacies. Pharmacists across the world generally agree they should play a role in ensuring the appropriate and safe use of T&CM products but report being time and resource poor to do so. In this commentary, it is proposed that pharmacy technicians as members of the pharmacy workforce, who with adequate education, and supportive technologies could support pharmacists in providing guidance to consumers and patients about the appropriate and safe use of T&CM products. Pharmacy technicians play a crucial role in the pharmacy workforce, serving as integral members of healthcare teams fulfilling a wide array of tasks essential for the efficient functioning of pharmacies and ensuring the safe dispensation of medications. They have been described by pharmacists as the "the face of the pharmacy" in the community setting and relied on not only for mitigating and triaging problems, but also be primarily responsible for developing rapport, eliciting trust and even loyalty from pharmacy patrons. As such, there is a momentous opportunity for pharmacy technicians to play a role in providing T&CM advice and triaging the need for pharmacists' intervention where harm, or risk of is identified.


Assuntos
Serviços Comunitários de Farmácia , Terapias Complementares , Farmacêuticos , Técnicos em Farmácia , Papel Profissional , Humanos , Farmacêuticos/organização & administração , Serviços Comunitários de Farmácia/organização & administração , Medicina Tradicional
20.
Res Social Adm Pharm ; 20(7): 590-596, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38565426

RESUMO

BACKGROUND: Research in Social and Administrative Pharmacy has been expanding in the last decade. The recently published Granada Statements offer key recommendations to improve the quality of research in this field. OBJECTIVES: To identify the factors associated with the citations of articles in the field of social, administrative, clinical pharmacy and practice research. METHODS: This study was a retrospective, observational analysis of articles published in three leading journals. Per article Google Scholar citations was the dependent variable. Predictor variables were extracted from all articles published from 2013 to 2015. The dependent variable was dichotomized using sample's median Google Scholar citations. Logistic regression analysis was performed to identify independent predictors of citations ≥ median. RESULTS: The median number of citations per article was 17 (range 0-341), with a mean of 24.2 (SD 27.6). The number of references included in the articles (OR 1.03, CI 1.02-1.04), the year of publication (OR 0.31 CI 0.21-0.46 for articles published 2015), article social media mentions (OR = 1.01, CI 1.01-1.03 and OR 1.10 CI 1.04-1.18 for Facebook and X, respectively), the topic area of research namely pharmacy services (OR 1.65, CI 1.06-2.57) and medication adherence (OR 2.22 CI 1.13-4.33) were independently associated with article having citations ≥ median. CONCLUSIONS: The number of references, the year of publication, social media mentions and the topic area of research, namely pharmacy services and medication adherence, were associated with citations above median in the leading journals of social and administrative pharmacy research. Authors may consider providing a thorough literature review in their articles, while researchers, editors, and publishers are advised to use social media to promote newly published work. This article complements the Granada Statements and may contribute to fostering wider dissemination of the discipline's outputs.


Assuntos
Pesquisa em Farmácia , Mídias Sociais , Humanos , Publicações Periódicas como Assunto/estatística & dados numéricos , Estudos Retrospectivos , Bibliometria , Editoração/estatística & dados numéricos
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