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社区药房实践中的冲突:药剂师、技术人员和助理的经历。

Conflict in community pharmacy practice: The experience of pharmacists, technicians and assistants.

作者信息

Gregory Paul A M, Austin Zubin

机构信息

Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario.

出版信息

Can Pharm J (Ott). 2016 Dec 8;150(1):32-41. doi: 10.1177/1715163516679426. eCollection 2017 Jan-Feb.

Abstract

BACKGROUND

Intraprofessional conflict among pharmacists, regulated technicians and assistants may undermine attempts to advance patient care in community pharmacy. There is no available research examining this issue in light of the evolution of the profession and roles within the profession.

METHODS

A combination of interviews and focus groups involving pharmacists, technicians and assistants was undertaken. Each participant completed the Conflict Management Scale as a way of identifying conflict management style. Data were analyzed and coded using a constant-comparative, iterative method.

RESULTS

A total of 41 pharmacy team members participated in this research (14 pharmacists, 14 technicians and 13 assistants). Four key themes were identified that related to conflict within community pharmacy: role misunderstanding, threats to self-identity, differences in conflict management style and workplace demotivation.

INTERPRETATION

As exploratory research, this study highlighted the need for greater role clarity and additional conflict management skills training as supports for the pharmacy team. The impact of conflict in the workplace was described by participants as significant, adverse and multifactorial.

CONCLUSIONS

To support practice change, there has been major evolution of roles and responsibilities of pharmacists, technicians and assistants. Conflict among pharmacy team members has the potential to adversely affect the quality of care provided to patients and is an issue for managers, owners, regulators and educators.

摘要

背景

药剂师、注册技术人员和助理之间的专业内部冲突可能会破坏社区药房推进患者护理的努力。目前尚无研究从该职业及其内部角色的演变角度审视这一问题。

方法

对药剂师、技术人员和助理进行了访谈与焦点小组相结合的研究。每位参与者都完成了冲突管理量表,以此确定冲突管理风格。采用持续比较、迭代的方法对数据进行分析和编码。

结果

共有41名药房团队成员参与了本研究(14名药剂师、14名技术人员和13名助理)。确定了与社区药房内部冲突相关的四个关键主题:角色误解、自我认同受到威胁、冲突管理风格差异以及工作场所的积极性受挫。

解读

作为探索性研究,本研究强调了需要更明确的角色界定以及额外的冲突管理技能培训,以支持药房团队。参与者将工作场所冲突的影响描述为重大、不利且具有多因素性。

结论

为支持实践变革,药剂师、技术人员和助理的角色与职责发生了重大演变。药房团队成员之间的冲突有可能对患者护理质量产生不利影响,这是管理人员、业主、监管机构和教育工作者面临的一个问题。

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