Mourh Jasminder, Newby Brandi
, BSc(Pharm), ACPR, is a Clinical Pharmacist, Maternal Fetal Medicine, Child and Adolescent Psychiatry, Neonatal and Pediatric Pharmacy, Surrey Memorial Hospital, Surrey, British Columbia.
, BSc(Pharm), ACPR, is Coordinator with the Neonatal and Pediatric Pharmacy, Surrey Memorial Hospital, Surrey, British Columbia.
Can J Hosp Pharm. 2019 May-Jun;72(3):219-226. Epub 2018 Jun 30.
Many health care professionals experience a process of transition when entering the workforce. Various barriers have been documented in the literature, including a lack of confidence, challenging interactions with patients and colleagues, workload, increased responsibility, and a fear of making mistakes. Strategies to overcome these barriers, such as orientation and support programs, have been proposed. However, evidence for the transition of students into successful hospital pharmacists is limited.
To identify key barriers to the transition from student to successful hospital pharmacist and to outline strategies to overcome these barriers.
An electronic survey was distributed to Lower Mainland Pharmacy Services (LMPS) pharmacists, and subsequent one-on-one interviews were completed with a subgroup of new pharmacists.
A total of 137 LMPS pharmacists (about 32% of potential respondents) responded to the survey, and 3 of these also participated in an interview. A performance score (used to quantify the transition experience) was calculated for 113 respondents, and there was a correlation between performance score and role satisfaction ( = 0.550, < 0.001). Performance score was also correlated with years spent working as a hospital pharmacist ( = 0.333, < 0.001) and with highest level of pharmacy education ( = 0.210, = 0.026). Work in a specialty area and presence of an orientation program were additional factors associated with higher average performance scores. The greatest need for transitional support was during the first year of work, with trainers and social supports being identified as the most helpful resources. Various perspectives were offered during the interviews, with multiple barriers and strategies proposed.
Among respondents to this survey, the key barriers faced during the transition from student to successful hospital pharmacist were limited time working as a hospital pharmacist, lack of additional pharmacy education, lack of knowledge, rotation among multiple areas, uncertainty about role identity, and limited university preparation. Given that successful transition is associated with subsequent job satisfaction, workplace strategies such as limiting the number of practice areas, developing an orientation program, and providing continued support during the first year of work should be encouraged.
许多医疗保健专业人员在进入职场时都会经历一个过渡过程。文献中记载了各种障碍，包括缺乏自信、与患者及同事的互动具有挑战性、工作量、责任增加以及害怕犯错。已提出了克服这些障碍的策略，如入职培训和支持项目。然而，关于学生转变为成功的医院药剂师的证据有限。
确定从学生转变为成功的医院药剂师的关键障碍，并概述克服这些障碍的策略。
向下加拿大药房服务（LMPS）的药剂师发放了电子调查问卷，并随后与一部分新药剂师进行了一对一访谈。
共有137名LMPS药剂师（约占潜在受访者的32%）回复了调查问卷，其中3人还参与了访谈。为113名受访者计算了一个绩效分数（用于量化过渡经历），绩效分数与角色满意度之间存在相关性（r = 0.550，P < 0.001）。绩效分数还与担任医院药剂师的工作年限（r = 0.333，P < 0.001）以及药学教育的最高水平（r = 0.210，P = 0.026）相关。在专科领域工作和有入职培训项目是与较高平均绩效分数相关的其他因素。过渡支持的最大需求出现在工作的第一年，培训师和社会支持被认为是最有帮助的资源。访谈中提供了各种观点，提出了多种障碍和策略。
在本次调查的受访者中，从学生转变为成功的医院药剂师过程中面临的关键障碍包括担任医院药剂师的时间有限、缺乏额外的药学教育、知识不足、在多个领域轮岗、角色认同不确定以及大学准备有限。鉴于成功过渡与随后的工作满意度相关，应鼓励采取如限制实践领域数量、制定入职培训项目以及在工作第一年提供持续支持等工作场所策略。
