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Exploring Australian pharmacists' experiences with the electronic National Residential Medication Chart: a
Jonathan Tan1, Jasmine Tan2, Leanna de Souza2
1School of Allied Health, The University of Western Australia, Perth, Australia. tanjonathan033@gmail.com.
International Journal of Clinical Pharmacy
|March 14, 2025
Summary
Pharmacists find the electronic National Residential Medication Chart (eNRMC) beneficial for medication management in aged care. However, software limitations and inadequate support hinder its full adoption and create user frustration.
Area of Science:
- Aged care medication management
- Health informatics
- Pharmacist professional practice
Background:
- The electronic National Residential Medication Chart (eNRMC) in Australia aims to improve medication safety and communication in aged care.
- Limited research exists on eNRMC implementation, particularly regarding pharmacist involvement.
- Optimizing pharmacist experience with eNRMC is crucial for effective medication management.
Purpose of the Study:
- To explore the experiences of pharmacists using the eNRMC in aged care facilities.
- To identify perceived benefits and challenges associated with eNRMC implementation from a pharmacist's perspective.
Main Methods:
- Qualitative descriptive study utilizing thematic analysis via The Framework Method.
- Purposive and snowball sampling recruited pharmacists with eNRMC experience.
- Semi-structured interviews were conducted, transcribed, and analyzed using NVivo with an inductive coding approach.
Main Results:
- Twelve pharmacists participated, reporting enhanced medication safety, workflow, and communication.
- Identified themes include improvements in medication management, eNRMC software limitations, and facility transition challenges.
- Challenges included software incompatibilities, restricted editing, increased workloads, inadequate training, and charting errors.
Conclusions:
- Pharmacists view the eNRMC as beneficial for medication management in aged care.
- Software limitations and insufficient support act as barriers to adoption and cause user frustration.
- Addressing these barriers is essential for optimizing the use of eNRMC in aged care settings.
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