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Using pharmacists' perceptions in planning changes in pharmacy practice.

R M Guerrero¹, N A Nickman, J N Bair

¹Department of Pharmacy Services, University Hospital, University of Utah Health Sciences Center, Salt Lake City 84132.

American Journal of Hospital Pharmacy

|September 1, 1990

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Pharmacists desire more clinical pharmacy services, but management support is lacking. A study revealed only 19.7% of time is spent on clinical services, prompting a strategic plan for improvement.

Area of Science:

Pharmacy Practice
Healthcare Management

Background:

Clinical pharmacy services are integral to patient care.
Assessing pharmacists' perceptions and time allocation is crucial for service development.

Purpose of the Study:

To evaluate pharmacists' perceptions of clinical pharmacy services.
To identify departmental goals for clinical pharmacy.
To determine the proportion of time spent on clinical services.

Main Methods:

Departmental survey to assess perceptions.
Interactive small-group process for goal generation and prioritization.
Work-sampling study to measure time allocation.

Main Results:

Pharmacists perceived clinical services were provided but lacked management support.

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Staff development was the highest priority for service enhancement.

Only 19.7% of pharmacists' time was dedicated to clinical services.

Conclusions:

A strategic plan was developed based on survey, goal-setting, and work-sampling data.
Implemented changes include a career ladder, staff development, and improved documentation.
The study informed a new model for integrated pharmacy services.