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加拿大医院药剂师的职业文化与性格特质:制定有效知识转化策略的重要第一步。

Professional Culture and Personality Traits of Hospital Pharmacists across Canada: A Fundamental First Step in Developing Effective Knowledge Translation Strategies.

作者信息

Rosenthal Meagen, Hall Kevin W, Bussières Jean-François, Tsuyuki Ross T

机构信息

PhD, is Assistant Professor in the Department of Pharmacy Administration, School of Pharmacy, University of Mississippi, University, Mississippi.

BScPharm, PharmD, FCSHP, is Clinical Associate Professor in the Faculty of Pharmacy, University of Alberta, Edmonton, Alberta.

出版信息

Can J Hosp Pharm. 2015 Mar-Apr;68(2):127-35. doi: 10.4212/cjhp.v68i2.1438.

DOI:10.4212/cjhp.v68i2.1438
PMID:25964684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4414074/
Abstract

BACKGROUND

Evidence for the value of pharmacists' interventions in the care of patients is strong and continues to grow, but the rate at which these new practice opportunities are being integrated into daily practice has not kept pace. The knowledge translation literature suggests that before effective change strategies can be implemented, a better understanding of the current environment must be obtained. Two important factors within the practice environment are the professional culture and personality traits of group members.

OBJECTIVE

To gain insight, at a national level, into the culture of hospital pharmacy, using the Organizational Culture Profile, and into hospital pharmacists' personality traits, using the Big Five Inventory.

METHODS

A cross-sectional survey of hospital pharmacists from across Canada was conducted intermittently over the period August 2012 to September 2013. The online survey contained questions about demographic characteristics and practice setting, as well as questions from the Organizational Culture Profile and Big Five Inventory. The survey link was distributed directly to hospital pharmacists or made available through provincial monthly newsletters. All data were analyzed descriptively and inferentially.

RESULTS

In total, 401 surveys were returned. Descriptive analyses from the Organizational Culture Profile revealed that most respondents perceived value in the factors of supportiveness, competitiveness, and stability. Descriptive analyses from the Big Five Inventory revealed that respondents may have been more likely to exhibit behaviours in line with the trait of conscientiousness. Several significant subgroup differences were noted in relation to levels of education, regions of practice within Canada, years in practice, and proportion of time spent conducting clinical duties.

CONCLUSIONS

The results from this survey provide preliminary insight into the professional culture and personality traits of Canadian hospital pharmacists. It will be important to explore these findings in more depth to maximize the success of any future practice change initiatives.

摘要

背景

药剂师干预对患者护理价值的证据确凿且不断增加,但这些新的实践机会融入日常实践的速度却未能跟上。知识转化文献表明,在实施有效的变革策略之前,必须更好地了解当前环境。实践环境中的两个重要因素是团队成员的专业文化和个性特征。

目的

使用组织文化概况在国家层面深入了解医院药学文化,并使用大五人格量表了解医院药剂师的个性特征。

方法

在2012年8月至2013年9月期间对加拿大各地的医院药剂师进行了一项横断面调查。在线调查包含有关人口统计学特征和实践环境的问题,以及来自组织文化概况和大五人格量表的问题。调查链接直接分发给医院药剂师,或通过省级月度通讯提供。所有数据都进行了描述性和推断性分析。

结果

共收回401份调查问卷。组织文化概况的描述性分析表明,大多数受访者认为支持性、竞争性和稳定性因素具有价值。大五人格量表的描述性分析表明,受访者可能更有可能表现出符合尽责性特质的行为。在教育水平、加拿大境内的实践地区、实践年限以及从事临床工作的时间比例方面,注意到了几个显著的亚组差异。

结论

本次调查结果为加拿大医院药剂师的专业文化和个性特征提供了初步见解。更深入地探索这些发现对于使未来任何实践变革举措取得最大成功至关重要。

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本文引用的文献

1
Personality traits of hospital pharmacists: toward a better understanding of factors influencing pharmacy practice change.医院药剂师的人格特质:旨在更好地理解影响药学实践变革的因素
Can J Hosp Pharm. 2013 Sep;66(5):289-95. doi: 10.4212/cjhp.v66i5.1285.
2
Pharmacist-patient communication on use of antidepressants: a simulated patient study in community pharmacy.社区药房中关于抗抑郁药使用的药师与患者沟通:一项模拟患者研究
Res Social Adm Pharm. 2014 Mar-Apr;10(2):419-37. doi: 10.1016/j.sapharm.2013.05.006. Epub 2013 Jun 17.
3
A systematic review of the evidence for pharmacist care of patients with dyslipidemia.系统评价药师为血脂异常患者提供的护理的证据。
Pharmacotherapy. 2012 Mar;32(3):222-33. doi: 10.1002/j.1875-9114.2012.01022.x.
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The impact of pharmacist interventions on osteoporosis management: a systematic review.药师干预对骨质疏松症管理的影响:系统评价。
Osteoporos Int. 2011 Oct;22(10):2587-96. doi: 10.1007/s00198-011-1661-7. Epub 2011 Jul 1.
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Personality factors and medical training: a review of the literature.人格因素与医学培训:文献回顾。
Med Educ. 2011 Feb;45(2):132-40. doi: 10.1111/j.1365-2923.2010.03760.x.
6
US pharmacists' effect as team members on patient care: systematic review and meta-analyses.美国药剂师作为团队成员对患者护理的影响:系统评价和荟萃分析。
Med Care. 2010 Oct;48(10):923-33. doi: 10.1097/MLR.0b013e3181e57962.
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Sensitivity of patient outcomes to pharmacist interventions. Part III: systematic review and meta-analysis in hyperlipidemia management.患者结局对药剂师干预的敏感性。第三部分:高脂血症管理的系统评价与荟萃分析。
Ann Pharmacother. 2008 Sep;42(9):1195-207. doi: 10.1345/aph.1K618. Epub 2008 Aug 5.
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Pharmacist care of patients with heart failure: a systematic review of randomized trials.心力衰竭患者的药剂师护理:随机试验的系统评价
Arch Intern Med. 2008 Apr 14;168(7):687-94. doi: 10.1001/archinte.168.7.687.
9
Effects of pharmacist outpatient interventions on adults with diabetes mellitus: a systematic review.药剂师门诊干预对成年糖尿病患者的影响:一项系统综述。
Pharmacotherapy. 2008 Apr;28(4):421-36. doi: 10.1592/phco.28.4.421.
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Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges.利用 PARiHS 框架评估证据在实践中的成功实施:理论和实践挑战。
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