Elvey Rebecca, Hassell Karen, Lewis Penny, Schafheutle Ellen, Willis Sarah, Harrison Stephen
Manchester Pharmacy School, University of Manchester, Manchester, UK.
J Health Organ Manag. 2015;29(3):413-30. doi: 10.1108/JHOM-04-2014-0068.
Research on patient-centred professionalism in pharmacy is scarce compared with other health professions and in particular with pharmacists early in their careers. The purpose of this paper is to explore patient-centred professionalism in early career pharmacists and to describe reported behaviours. DESIGN/METHODOLOGY/APPROACH - This study explored patient-centred professional values and reported behaviours, taking a qualitative approach. In all, 53 early-career pharmacists, pharmacy tutors and pharmacy support staff, practising in community and hospital pharmacy in England took part; the concept of patient-centred professionalism was explored through focus group interviews and the critical incident technique was used to elicit real-life examples of professionalism in practice.
Triangulation of the data revealed three constructs of pharmacy patient-centred professionalism: being professionally competent, having ethical values and being a good communicator.
RESEARCH LIMITATIONS/IMPLICATIONS: It is not known whether our participants' perspectives reflect those of all pharmacists in the early stages of their careers. The data provide meaning for the concept of patient-centred professionalism. The work could be extended by developing a framework for wider application. Patient-centred professionalism in pharmacy needs further investigation from the patient perspective.
The findings have implications for pharmacy practice and education, particularly around increased interaction with patients.
The data contribute to a topic of importance to patients and in relation to UK health policy, which allocates more directly clinical roles to pharmacists, which go beyond the dispensing and supply of medicines.
ORIGINALITY/VALUE: The methods included a novel application of the critical incident technique, which generated empirical evidence on a previously under-researched topic.
与其他卫生专业相比，药学领域中以患者为中心的职业素养研究较少，尤其是针对职业生涯早期的药剂师。本文旨在探讨职业生涯早期药剂师以患者为中心的职业素养，并描述所报告的行为。设计/方法/途径——本研究采用定性方法，探讨以患者为中心的职业价值观和所报告的行为。共有53名在英格兰社区和医院药房工作的职业生涯早期药剂师、药房导师和药房支持人员参与；通过焦点小组访谈探讨以患者为中心的职业素养概念，并使用关键事件技术引出实践中职业素养的真实案例。
数据三角验证揭示了药学以患者为中心的职业素养的三个构成要素：具备专业能力、拥有道德价值观以及成为良好的沟通者。
研究局限性/启示：尚不清楚我们参与者的观点是否反映了所有处于职业生涯早期的药剂师的观点。这些数据为以患者为中心的职业素养概念提供了意义。可以通过开发更广泛应用的框架来扩展这项工作。从患者角度来看，药学中以患者为中心的职业素养需要进一步研究。
研究结果对药学实践和教育有启示，特别是在增加与患者互动方面。
这些数据有助于探讨一个对患者以及英国卫生政策都很重要的话题，英国卫生政策将更直接的临床角色分配给药剂师，这超出了药品调配和供应的范畴。
原创性/价值：这些方法包括关键事件技术的新颖应用，它为一个此前研究不足的主题提供了实证证据。
