连接内部背景和创新因素:通过药房工作人员的眼光检查药房干预措施
Taylor L Watterson1, Jukrin Moon2, Jamie A Stone3,4
1Pharmacy Systems Outcomes and Policy, College of Pharmacy, University of Illinois Chicago, USA.
Exploratory research in clinical and social pharmacy
|August 29, 2024
概括
通过将创新与药店内部环境相协调,确保工作负载中立性,可以维持像Senior SafeTM这样的社区药房干预措施. 这种方法支持长期改善患者护理.
科学领域:
- 实施科学 实施科学
- 药房实践 在药房实践.
- 医疗保健干预 可持续性 可持续性
背景情况:
- 社区药房对于医疗保健干预至关重要,但由于潜在的工作量增加,它们面临着可持续性挑战.
- 将创新最大限度地与药店的内部环境相适应,对于干预维持至关重要.
- 作为一个案例研究,研究了Senior SafeTM干预措施,帮助老年人进行非处方药 (OTC) 选择.
研究的目的:
- 探索高级安全TM干预因素与社区药房内部背景之间的一致性.
- 评估这种一致性对工作量和干预维持的影响.
- 确定影响药房干预措施成功实施和维护的关键因素.
主要方法:
- 使用探索,准备,实施,维持 (EPIS) 框架进行定性研究.
- 与参与高级安全TM实施的19名药房工作人员进行了半结构化采访.
- 根据EPIS构造,对面试成绩单的演分析,然后对创新适应性进行主题分析.
主要成果:
- 大多数参与者报告说,由于高级安全TM干预,工作量或工作流程没有显著变化.
- 采访反表明与现有医疗保健系统文化保持一致,领导层对安全的承诺,以及药房技术人员的增强作用.
- 观察到创新因素与药店内部环境之间的一致性.
结论:
- 创新因素和内部背景之间的一致性可能导致高级安全TM干预工作负载中立.
- 这项研究强调了在设计和实施阶段考虑干预维护和可持续性的重要性.
- 药房文化和领导力支持是成功在社区环境中维持医疗保健干预的关键因素.
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