探索英国心房的药剂师处方实践在一般实践中:使用理论领域框架的定性研究
Raman Sharma1, Syed Shahzad Hasan1, Barbara R Conway1
1Department of Pharmacy, School of Applied Sciences, University of Huddersfield, Huddersfield, UK.
International journal of clinical pharmacy
|December 10, 2025
概括
药剂师面临的挑战是管理心房动 (AF) 在一般实践中处方,需要更明确的角色和更好的数据访问. 有针对性的支持可以改善药剂师主导的AF护理.
科学领域:
- 一般的做法一般的做法
- 心脏病学 心脏病学
- 医药护理 医药护理 医药护理
背景情况:
- 药剂师在初级保健中的角色正在扩大,特别是在管理诸如心房动 (AF) 等长期疾病方面.
- 独立的处方药剂师在AF管理中发挥着关键作用,包括口服抗凝治疗.
- 了解他们在一般实践中的经验和挑战对于优化患者护理至关重要.
研究的目的:
- 探索独立处方药剂师在一般实践中管理AF的经验,感知和挑战.
- 利用理论领域框架 (TDF) 来指导药剂师在AF管理中的实践的调查和分析.
主要方法:
- 一项使用理论领域框架 (TDF) 进行面试指南和分析的定性研究.
- 与20名独立处方药师进行了半结构化访谈,这些药师在英语通用实践中.
- 在TDF的指导下,采用了主题分析来确定关键主题和障碍.
主要成果:
- 四个主题出现了:对处方的信心,感知角色,障碍和有效处方策略.
- 信心因经验而异;经验较少的药剂师更多地依赖于指南和同事.
- 关键障碍包括有限的患者记录访问权限,培训不足和工作负载压力.
- 改进策略包括专业发展,决策支持工具和同行咨询.
结论:
- 药剂师在AF管理方面面临重大挑战,需要更明确的角色定义和改进患者数据访问.
- 通过有针对性的干预措施解决障碍,可以加强药剂师领导的初级保健中AF管理.
- 进一步的研究应该集中在评估干预措施,以支持药剂师在这个不断变化的角色.
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