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探索苏丹临床药剂师面临的挑战。

Exploring the challenges for clinical pharmacists in Sudan.

作者信息

Elsadig Hwaida, Weiss Marjorie, Scott Jenny, Laaksonen Raisa

机构信息

University of Bath, Bath, UK.

Cardiff University, Cardiff, UK.

出版信息

Int J Clin Pharm. 2017 Oct;39(5):1047-1054. doi: 10.1007/s11096-017-0521-8. Epub 2017 Aug 19.

DOI:10.1007/s11096-017-0521-8
PMID:28823049
Abstract

Background Clinical pharmacy practice in hospitals is a new role for pharmacists in Sudan. Pharmacists have to face the challenge of moving from their traditional roles within the pharmacy premises to new roles on the wards with direct contact with patients and other healthcare professionals. Objectives To explore the role and challenges facing the clinical pharmacists of Sudan. Settings Two of the main government hospitals in Sudan and an online survey. Method This study applied a two phase mixed method, a focus group discussion and a survey. A FGD was conducted with the clinical pharmacists in two of the main government hospitals in Sudan. This was followed by an on-line survey among the clinical pharmacists of Sudan. Main outcome measure The role of the clinical pharmacists of Sudan and the challenges facing clinical pharmacy practice. Results Four pharmacists participated in the focus group and 51 out of 140 pharmacists (34%) completed the on-line survey. The roles that were perceived by the majority of pharmacists as part of their duties in hospitals in Sudan were identifying drug-related problems (100%, n = 51), providing drug-related information to healthcare professionals by (96%, n = 47), and educating patients about their medicines (96%, n = 48). The pharmacists identified a number of obstacles that hindered their progress in practice. These obstacles were related to the pharmacists themselves, the lack of senior clinical pharmacists for leadership, the environment they were working in and the training they had received in clinical pharmacy. Conclusion The new clinical pharmacists in Sudan faced several challenges that need to be overcome in order to move forward in their clinical practice. To do so they will require support from pharmacy educational institutions, other healthcare professionals and the healthcare institutions they are working within.

摘要

背景 在苏丹,医院临床药学实践对药剂师来说是一个新角色。药剂师必须面对从药房内的传统角色转变为在病房与患者和其他医疗专业人员直接接触的新角色的挑战。

目的 探讨苏丹临床药剂师所面临的角色和挑战。

设置 苏丹两家主要的政府医院及一项在线调查。

方法 本研究采用两阶段混合方法,即焦点小组讨论和调查。对苏丹两家主要政府医院的临床药剂师进行了焦点小组讨论。随后对苏丹的临床药剂师进行了在线调查。

主要结局指标 苏丹临床药剂师的角色以及临床药学实践面临的挑战。

结果 4名药剂师参与了焦点小组讨论,140名药剂师中有51名(34%)完成了在线调查。大多数药剂师认为在苏丹医院作为其职责一部分的角色包括识别药物相关问题(100%,n = 51)、向医疗专业人员提供药物相关信息(96%,n = 47)以及对患者进行用药教育(96%,n = 48)。药剂师们指出了一些阻碍他们实践进展的障碍。这些障碍与药剂师自身、缺乏高级临床药剂师进行领导、他们工作的环境以及他们所接受的临床药学培训有关。

结论 苏丹的新临床药剂师面临着一些需要克服的挑战,以便在临床实践中取得进展。为此,他们需要来自药学教育机构、其他医疗专业人员以及他们工作的医疗机构的支持。

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