Krzyżaniak Natalia, Pawłowska Iga, Bajorek Beata
Department of Pharmacy, University of Technology Sydney, Graduate School of Health (Pharmacy), Sydney, Australia.
Department of Pharmacology, Medical University of Gdańsk, Gdańsk, Poland.
Eur J Hosp Pharm. 2018 Mar;25(e1):e7-e16. doi: 10.1136/ejhpharm-2017-001432. Epub 2018 Jan 20.
To describe and compare the pharmaceutical services and clinical pharmacy roles performed in neonatal intensive care units (NICUs) in Australian versus Polish hospitals.
A 26-item survey was distributed electronically to directors of pharmacy as well as neonatal pharmacists in hospitals in Poland and Australia. Most questions were fixed 'agree/disagree' answers, supplemented by open-ended questions. The survey was distributed between January and May 2017.
Overall, 30 Australian pharmacists and 22 Polish pharmacists completed the survey. Significant differences were observed in the types of pharmaceutical care services provided to NICUs between Australia and Poland. A higher proportion of Australians than Poles performed clinical roles: for example, providing medication recommendations (Aus=96.6%, Pol=9.1%, P<0.001); pharmaceutical interventions to resolve drug therapy problems (Aus=93.1%, Pol=18.2%, P<0.001); and general patient medication chart review (Aus=96.6%, Pol=13.6%, P<0.001). All (100%) Polish pharmacists did not consider themselves members of the NICU team and the majority (59.1%) felt that pharmaceutical care on the NICU was practically non-existent.
Future research should focus on bringing practice in countries such as Poland closer in line with practice in countries such as Australia.
描述并比较澳大利亚和波兰医院新生儿重症监护病房（NICU）所提供的药学服务及临床药学角色。
通过电子方式向波兰和澳大利亚医院的药房主任及新生儿药师发放一份包含26个条目的调查问卷。大多数问题为固定的“同意/不同意”答案，并辅以开放式问题。该调查于2017年1月至5月期间开展。
总体而言，30名澳大利亚药师和22名波兰药师完成了调查。澳大利亚和波兰在为NICU提供的药学服务类型方面存在显著差异。履行临床职责的澳大利亚人比例高于波兰人：例如，提供用药建议（澳大利亚=96.6%，波兰=9.1%，P<0.001）；为解决药物治疗问题而进行的药学干预（澳大利亚=93.1%，波兰=18.2%，P<0.001）；以及对患者用药图表进行常规审查（澳大利亚=96.6%，波兰=13.6%，P<0.001）。所有波兰药师（100%）都不认为自己是NICU团队的成员，且大多数（59.1%）觉得NICU的药学服务实际上不存在。
未来的研究应聚焦于使波兰等国的实践更接近澳大利亚等国的实践。
