Entrustment in Action: Factors that Contribute to Entrustment Decision-Making Through the Lens of the Supervisor and the Intern
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View abstract on PubMed
Summary
This summary is machine-generated.Pharmacist entrustment decisions depend on intern skills, self-awareness, and task complexity. Enhancing supervisor trust and consistency in workplace assessments is crucial for intern development.
Area Of Science
- Pharmacy Education
- Professional Development
- Workplace-Based Assessment
Background
- Provisionally registered pharmacists (intern pharmacists) require careful supervision and entrustment decisions for safe practice.
- Entrustable Professional Activities (EPAs) are increasingly used in pharmacy education for workplace-based assessments.
Purpose Of The Study
- To explore factors influencing entrustment decisions for intern pharmacists from both intern and registered pharmacist perspectives.
- To identify key themes in making entrustment decisions for specific pharmacy tasks.
Main Methods
- Anonymous online survey distributed to registered and intern pharmacists in Australia.
- Qualitative analysis of open-ended responses using Braun and Clarke's reflexive thematic analysis.
- Focus on three Entrustable Professional Activities: dispensing, compounding, and medication counselling.
Main Results
- Four major themes emerged: intern competency, intern self-awareness/metacognition, entrustment process dynamics, and barriers/opportunities in entrustment.
- Interns' technical skills, interpersonal abilities, self-awareness, and receptiveness to feedback were critical.
- Task complexity, contextual risk, and supervisor trust influenced decisions; supervisors utilized team input.
Conclusions
- Entrustment decisions are complex, involving intern attributes, task specifics, and situational factors.
- Metacognitive skills and reflective practice are vital for intern autonomy.
- Variability in supervisor trust and practices necessitates standardized approaches to enhance consistency in EPA utilization.
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