Svensberg Karin, Kälvemark Sporrong Sofia, Håkonsen Helle, Toverud Else-Lydia
Department of Social Pharmacy, School of Pharmacy, University of Oslo, Oslo, Norway.
Department of Pharmacy, University of Copenhagen, Copenhagen, Denmark.
Int J Pharm Pract. 2015 Aug;23(4):256-265. doi: 10.1111/ijpp.12154. Epub 2014 Oct 30.
The development of more patient-centred care is not always visible in community pharmacies. The aim of this study was to explore Norwegian pharmacists' motivation and perceived responsibility regarding role development and involvement in patient-centred care.
A semi-structured interview guide was developed. Four focus group interviews were conducted with a heterogeneous sample of 21 community pharmacists and transcribed verbatim. An inductive analysis was performed, supplemented with an agent perspective.
Two main categories and nine subcategories were identified, with the main categories being 'reality vs. vision' and the overall 'agent' category. A gap was found between what the pharmacists said they were doing in their day-to-day work and what they expressed as their ideal tasks in the pharmacy. The pharmacists seem to transfer the need for their role as active medicine experts in patient-centred care to other agents such as authorities and pharmacy chains.
There is a gap between what the Norwegian community pharmacists express as their vision and current practice. The identified agent relationships appear to hamper the pharmacists' perceived ability to be active and take full responsibility in their role development and further implementation of patient-centred care. Adopting a fairly inactive position when it comes to increasing patient-centred care might be a result of a traditional product-focused pharmacy culture.
在社区药房中，以患者为中心的护理发展情况并非总能显现出来。本研究的目的是探讨挪威药剂师在角色发展和参与以患者为中心的护理方面的动机和感知到的责任。
制定了一份半结构化访谈指南。对21名社区药剂师的异质样本进行了四次焦点小组访谈，并逐字转录。进行了归纳分析，并辅以行动者视角。
确定了两个主要类别和九个子类别，主要类别为“现实与愿景”以及总体“行动者”类别。发现药剂师在日常工作中所说的他们正在做的事情与他们所表达的药房理想任务之间存在差距。药剂师似乎将他们在以患者为中心的护理中作为积极的药物专家的角色需求转移给了当局和连锁药房等其他行动者。
挪威社区药剂师所表达的愿景与当前实践之间存在差距。所确定的行动者关系似乎阻碍了药剂师在其角色发展以及进一步实施以患者为中心的护理方面积极主动并承担全部责任的感知能力。在增加以患者为中心的护理方面采取相当消极的立场可能是传统的以产品为重点的药房文化的结果。
