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研究是“迈向未知的一步”:对药剂师关于影响英国国民医疗服务体系(NHS)中研究参与因素的看法的探索。

Research is 'a step into the unknown': an exploration of pharmacists' perceptions of factors impacting on research participation in the NHS.

作者信息

Lowrie Richard, Morrison Graeme, Lees Rosalind, Grant Christopher H, Johnson Chris, MacLean Fiona, Semple Yvonne, Thomson Alison, Harrison Heather, Mullen Alexander B, Lannigan Norman, Macdonald Sara

机构信息

NHS Greater Glasgow and Clyde Pharmacy and Prescribing Support Unit, Glasgow, Scotland.

College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.

出版信息

BMJ Open. 2015 Dec 30;5(12):e009180. doi: 10.1136/bmjopen-2015-009180.

Abstract

OBJECTIVE

This study explored National Health Service (NHS) pharmacists' perceptions and experiences of pharmacist-led research in the workplace.

DESIGN

Semistructured, face-to-face discussions continued until distinct clusters of opinion characteristics formed. Verbatim transcripts of audio-recordings were subjected to framework analysis.

SETTING

Interviews were carried out with 54 pharmacists with diverse backgrounds and roles from general practices and secondary care in the UK's largest health authority.

RESULTS

The purpose and potential of health services research (HSR) was understood and acknowledged to be worthwhile by participants, but a combination of individual and system-related themes tended to make participation difficult, except when this was part of formal postgraduate education leading to a qualification. Lack of prioritisation was routinely cited as the greatest barrier, with motivation, confidence and competence as additional impediments. System-related themes included lack of practical support and pharmacy professional issues. A minority of highly motivated individuals managed to embed research participation into routine activity.

CONCLUSIONS

Most pharmacists realised the desirability and necessity of research to underpin pharmacy service expansion, but a combination of individual and professional level changes is needed to increase activity. Our findings provide a starting point for better understanding the mindset of hospital-based and general practice-based pharmacists towards research, as well as their perceived barriers and supports.

摘要

目的

本研究探讨了国民保健服务体系(NHS)药剂师对工作场所中由药剂师主导的研究的看法和经历。

设计

进行半结构化的面对面讨论,直至形成不同的意见特征集群。对录音的逐字记录进行框架分析。

背景

对来自英国最大卫生当局的全科医疗和二级医疗领域的54名背景和角色各异的药剂师进行了访谈。

结果

参与者理解并认可卫生服务研究(HSR)的目的和潜力,认为其是有价值的,但个人和系统相关的一系列主题往往使参与变得困难,除非这是导致获得资格的正规研究生教育的一部分。缺乏优先级通常被认为是最大的障碍,动机、信心和能力也是额外的阻碍。与系统相关的主题包括缺乏实际支持和药学专业问题。少数积极性高的个人设法将研究参与融入日常活动。

结论

大多数药剂师认识到研究对于支持药学服务扩展的可取性和必要性,但需要个人和专业层面的共同改变来增加研究活动。我们的研究结果为更好地理解医院和全科医疗领域药剂师对研究的心态以及他们所感知的障碍和支持提供了一个起点。

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