Sjölander Maria, Gustafsson Maria, Gallego Gisselle
Department of Pharmacology and Clinical Neuroscience, Umeå University, 90187, Umeå, Sweden.
School of Medicine, The University of Notre Dame Australia, 160 Oxford Street, Darlinghurst, NSW, 2010, Australia.
Int J Clin Pharm. 2017 Aug;39(4):953-959. doi: 10.1007/s11096-017-0488-5. Epub 2017 May 25.
Background This project is part of the prospective quasi experimental proof-of-concept investigation of clinical pharmacist intervention study to reduce drug-related problems among people admitted to a ward in a rural hospital in northern Sweden. Objective To explore doctors' and nurses' perceptions and expectations of having a ward-based pharmacist providing clinical pharmacy services. Setting Medical ward in a rural hospital in northern Sweden. Method Eighteen face-to-face semi-structured interviews were conducted with a purposive sample of doctors and nurses working on the ward where the clinical pharmacy service was due to be implemented. Semi-structured interviews were digitally recorded, transcribed and analysed using thematic analysis. Main outcome measure Perceptions and expectations of nurses and doctors. Results Doctors and nurses had limited experience of working with pharmacists. Most had a vague idea of what pharmacists can contribute within a ward setting. Participants, mainly nurses, suggested inventory and drug distribution roles, but few were aware of the pharmacists' skills and clinical competence. Different views were expressed on whether the new clinical pharmacy service would have an impact on workload. However, most participants took a positive view of having a ward-based pharmacist. Conclusion This study provided an opportunity to explore doctors' and nurses' expectations of the role of clinical pharmacists before a clinical pharmacy service was implemented. To successfully implement a clinical pharmacy service, roles, clinical competence and responsibilities should be clearly described. Furthermore, it is important to focus on collaborative working relationships between doctors, nurses and pharmacists.
背景 本项目是一项前瞻性准实验性概念验证调查的一部分，该调查旨在研究临床药师干预对瑞典北部一家乡村医院病房患者药物相关问题的影响。目的 探讨医生和护士对于病房配备临床药师提供临床药学服务的看法和期望。地点 瑞典北部一家乡村医院的内科病房。方法 对即将开展临床药学服务的病房中的医生和护士进行了18次面对面的半结构式访谈，访谈对象为经过目的抽样选取的人员。半结构式访谈进行了数字录音、转录，并采用主题分析法进行分析。主要观察指标 护士和医生的看法与期望。结果 医生和护士与药师合作的经验有限。大多数人对药师在病房环境中能发挥的作用只有模糊的概念。参与者（主要是护士）提出了库存管理和药品分发方面的职责，但很少有人了解药师的技能和临床能力。对于新的临床药学服务是否会影响工作量，存在不同看法。然而，大多数参与者对病房配备药师持积极态度。结论 本研究为在临床药学服务实施前探讨医生和护士对临床药师角色的期望提供了契机。要成功实施临床药学服务，应明确其角色、临床能力和职责。此外，关注医生、护士和药师之间的协作工作关系也很重要。
