Swetenham Kate, Rowett Debra, Stephenson David
Southern Adelaide Palliative Services, 700 Goodwood Road, Daw Park, SA 5041, Australia.
Drug and Therapeutics Information Service, Repatriation General Hospital, Daws Rd, Daw Park, SA 5041, Australia. Email:
Aust Health Rev. 2014 May;38(2):238-41. doi: 10.1071/AH13030.
To operationalise the concept of 'advanced practice roles' in pharmacy within the new integrated regionalised palliative care service model outlined in the Palliative Care Services Plan 2009-2016, SA Health.
A working group was established under the auspices of the Palliative Care Clinical Network to progress the development of advanced practice pharmacist roles for regionalised palliative care services. A pharmacy stakeholder forum was conducted in December 2010 to provide further guidance on the advanced practice pharmacist roles in the following domains: education; network links and partnerships; quality and safety; and research.
Advanced practice pharmacist positions were created for each of the three regionalised palliative care services in South Australia (SA). Funding was obtained for a Statewide Palliative Care Pharmacy Network project, to build a sustainable community-based palliative care pharmacy network. Advanced practice pharmacists commenced in the regionalised palliative care services of SA on 4 October 2011.
The Statewide Palliative Care Clinical Network and the SA Palliative Care Plan provided a policy framework that supported involvement and advocacy in the planning of the advanced practice pharmacist roles. Collaboration between leaders in workforce reform, service planners, specialist palliative care providers and the pharmacy sector was a key enabler for developing the advanced practice pharmacist positions for regionalised palliative care services. What is known about the topic? The advanced practice palliative care pharmacist role reflects a new direction for the discipline of pharmacy and has been embraced at a time when a nationally endorsed Advanced Pharmacy Practice Framework has been published, while recognising that registration for pharmacists in Australia currently does not have specific endorsement for advanced practice. What does this paper add? This paper outlines the value of collaboration across settings and sectors. There is an opportunity for these roles to align with the new nationally endorsed framework for advanced practice in pharmacy. What are the implications for practitioners? These new positions strengthen the links between the hospital and community pharmacy sectors to enhance a quality use of medicines approach with improved access to end-of-life medicines for home-based palliative care clients, which actively facilitates a home death for those who choose it.
在南澳大利亚州卫生部《2009 - 2016年姑息治疗服务计划》中概述的新的综合区域化姑息治疗服务模式下，将药学领域“高级实践角色”的概念付诸实践。
在姑息治疗临床网络的支持下成立了一个工作组，以推进区域化姑息治疗服务中高级实践药剂师角色的发展。2010年12月举办了一次药学利益相关者论坛，就高级实践药剂师在以下领域的角色提供进一步指导：教育；网络联系与伙伴关系；质量与安全；以及研究。
为南澳大利亚州（SA）的三个区域化姑息治疗服务机构各设立了高级实践药剂师职位。为一个全州范围的姑息治疗药学网络项目获得了资金，以建立一个可持续的基于社区的姑息治疗药学网络。高级实践药剂师于2011年10月4日开始在南澳大利亚州的区域化姑息治疗服务机构工作。
全州范围的姑息治疗临床网络和南澳大利亚州姑息治疗计划提供了一个政策框架，支持在高级实践药剂师角色规划中的参与和倡导。劳动力改革领导者、服务规划者、专科姑息治疗提供者和药学部门之间的合作是为区域化姑息治疗服务发展高级实践药剂师职位的关键推动因素。关于该主题已知的情况是什么？高级实践姑息治疗药剂师角色反映了药学学科的一个新方向，并且在国家认可的高级药学实践框架发布之际得到了认可，同时认识到澳大利亚目前药剂师注册没有高级实践的具体认可。本文补充了什么？本文概述了跨机构和部门合作的价值。这些角色有机会与新的国家认可的药学高级实践框架保持一致。对从业者有什么影响？这些新职位加强了医院和社区药学部门之间的联系，以改善药物合理使用方法，使居家姑息治疗患者更容易获得临终药物，这积极促进了那些选择在家中离世者的在家死亡。
