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What supports hospital pharmacist prescribing in Scotland? - A mixed methods, exploratory sequential study
J Fisher1, M Kinnear1, F Reid2
1NHS Lothian Pharmacy Service, Western General Hospital, Crewe Road, Edinburgh, Scotland, EH4 2XU, UK.
Research in Social & Administrative Pharmacy : RSAP
|July 2, 2017
Summary
Hospital pharmacist independent prescribers (PIPs) show varied prescribing activity across Scotland. Supportive leadership, role integration, and a positive work environment are key factors enhancing prescribing engagement.
Area of Science:
- Pharmacy Practice
- Healthcare Management
- Clinical Pharmacy
Background:
- Significant geographical disparities exist in the prescribing activity of hospital pharmacist independent prescribers (PIPs) in Scotland.
- Approximately 50% of qualified PIPs are actively prescribing, indicating a need to understand barriers and facilitators.
Purpose of the Study:
- To explore hospital PIPs' perceptions of factors influencing their prescribing activity.
- To identify essential infrastructure needed to support and enhance active prescribing by PIPs.
Main Methods:
- Qualitative methods including focus groups and interviews.
- Quantitative data collection via a questionnaire.
- Exploration of hospital PIPs' perspectives on prescribing.
Main Results:
- Supportive pharmacy leadership is perceived as crucial for enabling prescribing.
- Recognition of prescribing as an integral component of the clinical pharmacist role positively impacts activity.
- A work environment conducive to prescribing is a significant facilitator.
Conclusions:
- Organizational and environmental factors play a vital role in pharmacist prescribing.
- Enhancing prescribing requires a multi-faceted approach, including leadership support and role clarification.
- Addressing geographical variations in prescribing activity necessitates targeted support strategies.
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