Anyika E N, Alade T B
Department of Clinical Pharmacy and Biopharmacy, Faculty of Pharmacy, University of Lagos, Lagos.
Nig Q J Hosp Med. 2009 Jul-Sep;19(3):151-4. doi: 10.4314/nqjhm.v19i3.54498.
Many patients on admission have limited mobility and need physical examination by the clinical team. Ward rounds serve as an avenue for health professionals to meet and develop an integrated plan of care for the inpatients. Lack of representation for certain professional groups, including pharmacy, may adversely affect the range of opinions and therapies for patients.
The study evaluates pharmacist's perception of and participation in post-admission ward rounds, at the Lagos University Teaching Hospital (LUTH).
All the 60 pharmacists covering various units of pharmaceutical services were administered a forty-two element structured questionnaire. Fifty (83.3%) pharmacists completed the questionnaires. Descriptive statistics and chi-square were used to analyse the collated data.
Pharmacists had positive perception of their participation in ward rounds, some of whom were already involved in the exercise on a low scale. Peer reviews of patients' cases were frequently conducted and were usually dominated by the medical staff. The clinical role of the pharmacists is not clearly defined in respect to ward round. Their current impact in patient care activities during ward round is not significant.
Pharmacists should be scheduled to participate actively in ward rounds, peer reviews and other professional activities, for optimum patient care. The hospital authorities should optimise the involvement of pharmacists in the paradigm shift towards pharmaceutical care, with a view to minimizing prescribing errors, cost of drugs and length of hospital stay. The use of preceptors should be explored.
许多入院患者行动不便，需要临床团队进行体格检查。病房查房是医护人员会面并为住院患者制定综合护理计划的途径。包括药学专业在内的某些专业群体缺乏代表性，可能会对患者的意见范围和治疗方法产生不利影响。
本研究评估拉各斯大学教学医院（LUTH）药剂师对入院后病房查房的看法及参与情况。
向负责药学服务各科室的60名药剂师发放了一份包含42个项目的结构化问卷。50名（83.3%）药剂师完成了问卷。采用描述性统计和卡方检验对整理后的数据进行分析。
药剂师对参与病房查房持积极态度，其中一些人已经在低程度上参与了这项工作。患者病例的同行评审经常进行，且通常由医务人员主导。药剂师在病房查房方面的临床角色没有明确界定。他们目前在病房查房期间对患者护理活动的影响并不显著。
应安排药剂师积极参与病房查房、同行评审和其他专业活动，以实现最佳的患者护理。医院管理部门应优化药剂师在向药学服务模式转变中的参与度，以尽量减少处方错误、药品成本和住院时间。应探索使用带教老师。
