在一般实践中谈判新角色:临床药剂师的定性研究
Fay Bradley1, Pauline A Nelson2, Chris Cutts3
1School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester.
概括
在一般实践中,临床药剂师角色谈判受到角色明确性,竞争要求,技能利用和实践控制的影响. 不同的资金模式会影响全科医生的影响力和药剂师的适应能力,并有可能滥用技能.
科学领域:
- 医疗保健工作人员发展发展.
- 主要护理政策的第一阶段.
- 一般实践中的非医疗角色
背景情况:
- 英格兰的全科医生面临着劳动力短缺,这导致政策支持通过补偿资金为非医疗角色提供资金.
- 临床药剂师的角色是此类资金的早期受益者,为整合在一般实践环境中的新专业角色提供了洞察力.
研究的目的:
- 在一般实践中确定影响临床药剂师角色谈判的因素.
- 根据不同的融资和就业模式,比较角色谈判流程.
主要方法:
- 对参与两个计划的员工进行了定性采访研究:NHS英格兰临床药剂师通用实践计划和当地CCG资助的计划.
- 与临床药剂师,全科医生和实践人员进行了半结构化访谈,随后进行了模板分析.
主要成果:
- 四个关键因素影响了角色谈判:角色模两可,竞争要求,适当地利用临床技能,以及一般实践控制的水平.
- 模型之间出现了关于GP对角色塑造和药剂师适应性的影响的差异.
- 在这两项计划中都观察到不适当地利用临床技能,特别是在英格兰NHS补偿和直接就业模式下.
结论:
- 从临床药剂师角色整合中学到的教训适用于在一般实践中引入其他非医疗角色.
- 了解影响角色谈判的因素以及不同融资/就业模式的影响对于成功实施至关重要.
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