药剂师融入多学科家庭护理团队的障碍和促进因素:基于规范化过程理论的定性访谈研究
Karl-Erik Bø1, Kjell H Halvorsen2, Anna Yen-Ngoc Le2
1Department of Pharmacy, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, N-9037, Norway. karl-erik.bo@uit.no.
BMC health services research
|May 2, 2024
概括
将药剂师纳入挪威家庭护理团队面临着角色明确性和共同目标的挑战. 尽管存在这些障碍,但他们的服务得到了积极的接待,并加强了多学科的实践.
科学领域:
- 医疗保健服务 医疗保健服务
- 药房实践 在药房实践.
- 实施科学 实施科学
背景情况:
- 多学科医疗保健被认为可以提高效率.
- 药剂师融入初级保健正在增加,但缺乏标准化的实施.
- 挪威的家庭护理设置主要涉及护士和助理,传统药房以外的药剂师的存在有限.
研究的目的:
- 用规范化过程理论 (NPT) 评估挪威家庭护理环境中药剂师的整合过程.
- 识别影响药剂师服务在多学科家庭护理团队内的最佳利用障碍和促进者的障碍.
主要方法:
- 与9名家庭护理专业人员和药剂师进行了半结构化访谈.
- 标准化过程理论 (NPT) 结构被应用来分析定性数据.
主要成果:
- 专业人士努力定义药剂师的能力,并同意干预目标,导致关于必要性的问题.
- 报告指出,人们对利用药物优化服务的偏好相互矛盾,缺乏利益相关者赋权.
- 家庭护理领导人往往不了解他们的实施角色,但药剂师的贡献得到了很好的欢迎,并对多学科实践产生了积极的影响.
结论:
- 实施新的临床工作方法,例如整合药剂师,需要专门的实施专业知识.
- 在NPT模型有效地确定了影响药剂师在家庭护理中使用技能的因素.
- 研究的见解可以指导制定有针对性的战略,以加强药剂师在多学科团队中的整合.
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