探索一个基于病房的临床药房活动收集工具的适用性,用于门诊护理实践:一个混合方法研究研究
Izwan Ishak1,2, Caroline Cheng3,4, Lindsay Greenland3
1School of Pharmacy, University College London, London, UK. izwanikmal91@gmail.com.
International journal of clinical pharmacy
|November 4, 2024
概括
目前收集临床药房活动的工具无法准确地捕捉出门诊护理服务的全部范围. 需要改进,以确保全面的监测和有效的员工部署在门诊护理设置.
科学领域:
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 一个经过验证的基于病房的工具可以监控各种环境中的临床药房活动,包括门诊护理.
- 有关该工具对全方位的门诊临床药房服务的代表性存在担忧.
研究的目的:
- 确定门诊护理中临床药房活动的范围.
- 评估现有的基于病房的工具是否适合捕捉这些活动.
- 为改进的工具推修改.
主要方法:
- 在门诊和多学科会议上直接观察药剂师的临床活动.
- 观察到的活动与现有的基于病房的工具进行比较.
- 与门诊药剂师进行的半结构面试的主题分析.
主要成果:
- 观察了29个门诊临床药房活动;现有的工具只捕获了15个.
- 关键的未捕获活动包括多学科会议参与,安排实验室测试和患者结果监测.
- 确定了33个候选的门诊临床药房活动.
结论:
- 现有的基于病房的工具不足以涵盖门诊护理临床药房活动的全部范围.
- 建议将未被捕获的活动纳入来提高工具的代表性.
- 标准化 ambulatory 活动的测量可以提高劳动力部署和患者的结果.
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