评估澳大利亚住宅老年护理设施中现场药剂师干预的实施忠实性:混合方法研究
Miranda Batten1, Jane Koerner2, Sam Kosari3
1Health Research Institute, University of Canberra, Bruce, ACT, 2617, Australia. miranda.batten@canberra.edu.au.
BMC health services research
|October 27, 2023
概括
在老年护理机构的现场药剂师干预显示出中等的实施忠实度. 诸如药剂师角色,流行病和设施传播等因素影响了交付,突出了未来推广的挑战和促进者.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践.
背景情况:
- 现场药剂师 (OSP) 的干预措施在澳大利亚的住宅老年护理设施 (RACF) 中实施,以加强药物管理.
- 这项研究评估了澳大利亚首都地区的OSP干预措施的实施忠实性和调节因素.
研究的目的:
- 评估RACF中OSP干预的实施忠实性.
- 为了确定缓解OSP干预交付的因素.
主要方法:
- 采用了融合平行混合方法设计.
- 实施忠实性通过干预活动,药物审查质量和居民审查比例进行了定量评估.
- 与RACF经理和OSP进行的半结构面试探讨了调节因素.
主要成果:
- OSP干预显示了中等的整体执行忠实性,通常按预期交付.
- 便利化策略支持高认知的交付标准,参与RACF经理和OSP.
- 障碍包括兼职角色,COVID-19流行病和设施分配,而促进者包括支持会议和强有力的关系.
结论:
- 在现实世界RACF中,OSP干预可以按预期实现,实现中等保真度.
- 交付受到各种调节因素的影响,存在障碍和促进者.
- 结果为澳大利亚RACF中OSP服务的更广泛推广提供了见解.
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