Khalil Hanan
Faculty of Medicine, Nursing and Health Sciences, Monash Rural Health, Monash University, Moe, Victoria, Australia.
Aust J Rural Health. 2019 Apr;27(2):158-163. doi: 10.1111/ajr.12494. Epub 2019 Apr 4.
This study describes the development and implementation of a medication safety program for Aboriginal Health Practitioners practising in rural Australia.
A two-stage process was used to develop and implement the medication safety program. Initially, a total of eight semi-structured interviews was undertaken with Aboriginal Health Practitioners to identify the main challenges faced while implementing medication safety in the organisation. This was followed by the development of a culturally appropriate medication safety program.
Aboriginal Community Controlled Health Service.
Aboriginal Health Practitioners.
The participants' knowledge, confidence, behaviour, and utilisation of medication safety developed resources.
The development and implementation of the medication safety program in the Aboriginal Community Controlled Health Service consisted of addressing the barriers to medication safety cited by the Aboriginal Health Practitioner from the interviews, providing face-to-face educational sessions and developing a culturally appropriate educational resource to address the identified gaps. The program developed was evaluated by 17 Aboriginal Health Practitioners who took part in the study. The evaluation of Aboriginal Health Practitioners' knowledge, confidence, behaviour, utilisation of the medication safety program and resources was undertaken using an anonymous survey. A total of 31 participants completed the survey: 17 before the training and 14 at 6 months post-training. The data analysis, using t test, revealed a statistically significant change in the Aboriginal Health Practitioners' knowledge, confidence, behaviour and utilisation.
The success of the implementation of a collaborative medication safety program within the Aboriginal Community Controlled Health Service is dependent on understanding the barriers to medication safety in the workplace associated within the organisation and emphasising a wide culture of patient safety.
本研究描述了为在澳大利亚农村地区执业的原住民健康从业者制定和实施药物安全计划的过程。
采用两阶段流程来制定和实施药物安全计划。首先，对原住民健康从业者进行了总共八次半结构化访谈，以确定在组织中实施药物安全时面临的主要挑战。随后制定了一个符合文化背景的药物安全计划。
原住民社区控制卫生服务机构。
原住民健康从业者。
参与者对药物安全相关资源的知识、信心、行为及利用情况。
在原住民社区控制卫生服务机构中，药物安全计划的制定和实施包括解决访谈中原住民健康从业者提到的药物安全障碍，提供面对面教育课程，并开发符合文化背景的教育资源以弥补已发现的差距。参与研究的17位原住民健康从业者对所制定的计划进行了评估。通过匿名调查对原住民健康从业者的知识、信心、行为、对药物安全计划及资源的利用情况进行了评估。共有31名参与者完成了调查：17人在培训前，14人在培训后6个月。使用t检验进行数据分析，结果显示原住民健康从业者在知识、信心、行为和利用方面有统计学上的显著变化。
在原住民社区控制卫生服务机构内成功实施协作性药物安全计划取决于了解组织内与工作场所药物安全相关的障碍，并强调广泛的患者安全文化。
