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Related Experiment Video

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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses

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Therapeutic decision-making in primary care pharmacy practice.

Megan G Anakin¹, Stephen B Duffull², Daniel F B Wright²

¹Education Unit, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.

Research in Social & Administrative Pharmacy : RSAP

|April 20, 2020

Summary

Primary care pharmacists

Keywords:

Clinical reasoning Information gathering Judgement Pharmacy practice Primary care Therapeutic decision-making

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Area of Science:

Pharmacy Practice and Education
Decision-Making Theory

Background:

Therapeutic decision-making is crucial in pharmacy but poorly documented.
Understanding its practical enactment and theoretical underpinnings is needed.

Purpose of the Study:

To investigate the alignment between primary care pharmacists' decision-making explanations and a theoretical model.
To enhance pharmacy education and practice theory.

Main Methods:

Qualitative study involving interviews with 10 primary care pharmacists.
Analysis of interview data using a general inductive approach.
Comparison of emergent themes with a theoretical model of therapeutic decision-making.

Main Results:

Eight themes emerged from pharmacists' explanations of therapeutic decision-making.
Themes mapped to the four steps of the theoretical model.
Information gathering was described vividly; reasoning, judgment, and decision steps were less articulated.

Conclusions:

The theoretical model effectively interprets empirical data on therapeutic decision-making.
Findings can help pharmacists articulate their decision-making process to colleagues and patients.
Results can inform pharmacy educators in curriculum development for therapeutic decision-making.