University of Alberta, Alberta, Canada.
Patient Educ Couns. 2011 Jun;83(3):432-42. doi: 10.1016/j.pec.2011.04.038. Epub 2011 May 31.
To characterize pharmacists' experience and explore their beliefs toward an interactive communication technique, the three prime questions (3PQs),where pharmacists ask about patients' understanding of medication's purpose, directions, and monitoring.
Mixed method design. Pharmacists were briefly trained and then integrated the 3PQs into their practice for two weeks. Pharmacists recorded their perceptions of patient interactions, completed a survey addressing self-efficacy and role beliefs toward the 3PQs, and participated in a focus group.
Eleven pharmacists participated and the 3PQs were used with 176 patients. Most interactions were under 5min. Pharmacists reported that questions about directions and monitoring were most effective in gathering new information with refills whereas medication purpose question was preferred for new fills. The majority of pharmacists were certain they could use the 3PQs and agreed it was their role. Five themes arose from the qualitative analysis: established communication routines, enhanced patient-pharmacist relationships, good medication history, tailoring of the 3PQs, and impact of pharmacy organization.
The 3PQs enabled pharmacists to briefly assess patient medication experiences and tailor education while fostering patient-centered relationships in pharmacy practice.
While the 3PQs may enhance pharmacists' patient assessment; integration may challenge pharmacists' work routine.
描述药剂师的经验，并探讨他们对一种互动沟通技巧——三问问题（3PQs）的信念，即药剂师询问患者对药物用途、用法和监测的理解。
混合方法设计。药剂师接受简短培训，然后将 3PQs 融入他们的实践中两周。药剂师记录他们对患者互动的看法，完成一份关于自我效能和对 3PQs 的角色信念的调查，并参加焦点小组。
11 名药剂师参与了研究，3PQs 用于 176 名患者。大多数互动时间不到 5 分钟。药剂师报告说，关于用法和监测的问题在收集新信息方面最有效，而药物用途问题则更适合新处方。大多数药剂师确信他们可以使用 3PQs，并认为这是他们的角色。从定性分析中出现了五个主题：既定的沟通惯例、增强的医患关系、良好的药物史、3PQs 的定制以及药房组织的影响。
3PQs 使药剂师能够简短地评估患者的药物体验，并在培养以患者为中心的关系的同时为患者提供教育。
虽然 3PQs 可能增强药剂师对患者的评估，但整合可能会挑战药剂师的工作常规。
