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跨专业沟通培训:对执业药师的益处。

Interprofessional communication training: benefits to practicing pharmacists.

作者信息

Luetsch Karen, Rowett Debra

机构信息

School of Pharmacy, The University of Queensland, 20 Cornwall St, Brisbane, QLD, 4102, Australia.

Drug and Therapeutics Information Service, Repatriation General Hospital, Daws Rd, Adelaide, SA, 5041, Australia.

出版信息

Int J Clin Pharm. 2015 Oct;37(5):857-64. doi: 10.1007/s11096-015-0130-3. Epub 2015 May 13.

DOI:10.1007/s11096-015-0130-3
PMID:25968924
Abstract

BACKGROUND

Interprofessional communication skills are important for pharmacists to build collaborative relationships with other health professionals, integrate into healthcare teams, maximise their effectiveness in patient care in addressing complex care needs and meet the demands of health care reforms.

OBJECTIVE

This qualitative study explores clinical pharmacists' experiences and reflections after completing a learning and practice module which introduced them to a framework for successful interprofessional communication.

SETTING

The postgraduate clinical pharmacy program at The University of Queensland and the clinical pharmacy practice environments of forty-eight hospital and seven community based pharmacists.

METHOD

A learning and practice module outlining a framework for successful interprofessional communication was designed and integrated into a postgraduate clinical pharmacy program. Enrolled pharmacists applied newly learnt communication skills in pro-actively initiated, clinical discussions with a health professional in their practice environment. They provided written reflections on their experiences which were analysed using thematic analysis.

MAIN OUTCOME

Pharmacists' perceptions of the impact of applying the communication framework during their interaction with a health professional in their practice setting.

RESULTS

Themes which emerged from reflections described pharmacists' confidence and capabilities to successfully conduct a clinical discussion with a health professional after initial apprehension and nervousness about the scheduled interaction. The application of the communication framework enhanced their perception of their professional identity, credibility and ability to build a collaborative working relationship with other health professionals.

CONCLUSIONS

Pharmacists perceived that a learning and practice module for successful interprofessional practice integrated into a postgraduate clinical pharmacy program enhanced their interprofessional communication skills. The development of pro-active, interprofessional communication skills has the potential to increase interprofessional collaboration and pharmacists' personal role satisfaction. Pharmacists also observed it added value to their professional contribution in health care teams when addressing the demands of increasingly complex health care needs and reforms.

摘要

背景

跨专业沟通技能对于药剂师与其他医疗专业人员建立合作关系、融入医疗团队、在满足复杂护理需求的患者护理中发挥最大效力以及满足医疗改革的要求而言至关重要。

目的

本定性研究探讨了临床药剂师在完成一个学习与实践模块后的经历与反思,该模块向他们介绍了成功进行跨专业沟通的框架。

背景

昆士兰大学的研究生临床药学项目以及48名医院药剂师和7名社区药剂师的临床药学实践环境。

方法

设计了一个概述成功跨专业沟通框架的学习与实践模块,并将其纳入研究生临床药学项目。注册的药剂师在其实践环境中与一名医疗专业人员进行主动发起的临床讨论时,运用新学到的沟通技巧。他们提供了关于自身经历的书面反思,并采用主题分析法进行分析。

主要结果

药剂师对在其实践环境中与医疗专业人员互动期间应用沟通框架的影响的看法。

结果

反思中出现的主题描述了药剂师在对预定互动最初感到担忧和紧张之后,成功与医疗专业人员进行临床讨论的信心和能力。沟通框架的应用增强了他们对自身职业身份、可信度以及与其他医疗专业人员建立合作工作关系能力的认知。

结论

药剂师认为,纳入研究生临床药学项目的成功跨专业实践学习与实践模块增强了他们的跨专业沟通技能。积极主动的跨专业沟通技能的发展有可能增加跨专业合作以及药剂师的个人角色满意度。药剂师还观察到,在应对日益复杂的医疗护理需求和改革要求时,这为他们在医疗团队中的专业贡献增添了价值。

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