| 'It's showed me the skills that he has': pharmacists' and mentors' views on pharmacist supplementary prescribing. | |
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MedLine Citation:
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PMID: 20405593 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: Supplementary prescribing has seen pharmacists assume greater responsibility for prescribing in collaboration with doctors. This study explored the context and experiences, in relation to the practice of supplementary prescribing, of pharmacists and physicians (who acted as their training mentors) at least 12 months after pharmacists had qualified as supplementary prescribers. METHODS: The setting was primary and secondary healthcare sectors in Northern Ireland. Pharmacists and mentors who had participated in a pre-training study were invited to take part. All pharmacists (n = 47) were invited to participate in focus groups, while mentors (n = 35) were asked to participate in face-to-face semi-structured interviews. The research took place between May 2005 and September 2007. All discussions and interviews were audiotaped, transcribed and analysed using constant comparison. KEY FINDINGS: Nine pharmacist focus groups were convened (number per group ranging from three to six; total n = 40) and 31 semi-structured interviews with mentors were conducted. The six main themes that emerged were optimal practice setting, professional progression for prescribing pharmacists, outcomes for prescribing pharmacists, mentors and patients, relationships, barriers to implementation and the future of pharmacist prescribing. Where practised, pharmacist prescribing had been accepted, worked best for chronic disease management, was perceived to have reduced doctors' workload and improved continuity of care for patients. However, three-quarters of pharmacists qualified to practise as supplementary prescribers were not actively prescribing, largely due to logistical and organisational barriers rather than inter-professional tensions. Independent prescribing was seen as contentious by mentors, particularly because of the diagnostic element. CONCLUSIONS: Supplementary prescribing has been successful where it has been implemented but a number of barriers remain which are preventing the wider acceptance of this practice innovation. |
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Authors:
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Fran Lloyd; Carole Parsons; Carmel M Hughes |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The International journal of pharmacy practice Volume: 18 ISSN: 0961-7671 ISO Abbreviation: Int J Pharm Pract Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-04-21 Completed Date: 2010-05-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9204243 Medline TA: Int J Pharm Pract Country: England |
Other Details:
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Languages: eng Pagination: 29-36 Citation Subset: IM |
Affiliation:
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Northern Ireland Centre for Pharmacy Learning and Development School of Pharmacy, Belfast, Northern Ireland, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel Delivery of Health Care / methods*, trends Drug Prescriptions Humans Interprofessional Relations Mentors / psychology* Pharmacists / psychology* Professional Role Program Development / methods Program Evaluation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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