Thompson D F, Kaczmarek E R, Hutchinson R A
Drug Information Service, State of Oklahoma Teaching Hospitals, Oklahoma City.
Am J Hosp Pharm. 1988 Feb;45(2):345-51.
Pharmacists' and nurses' attitudes toward pharmacist-nurse relations and pharmaceutical services were surveyed before and after the implementation of satellite pharmacies at a 600-bed teaching hospital. The same questionnaire was distributed two months before decentralization (phase 1) and nine months after decentralization was completed (phase 2). Sixty questions about the pharmacy services and the drug treatment process were to be answered using a seven-point, Likert-type scale. Overall response rates for the two phases were 62% and 45%, respectively. Pharmacists' satisfaction with all measured aspects of pharmaceutical services increased after decentralization of services; nurses' satisfaction increased for all measures except pharmacist-conducted medication histories. Pharmacists' satisfaction with the nursing department was greater after decentralized services were implemented. Most aspects of role conflict, one of four measured antecedents to interdepartmental conflict, improved subsequent to decentralization of services. Because of changes in personnel between the two phases of the study, the results may represent the opinions of different people, rather than actual changes in satisfaction. The attitudes of nurses and pharmacists toward overall distributive pharmaceutical services and toward certain aspects of interprofessional relations improved after pharmaceutical services were decentralized.
在一家拥有600张床位的教学医院实施卫星药房前后，对药剂师和护士对药剂师 - 护士关系及药学服务的态度进行了调查。在分权前两个月（阶段1）和分权完成后九个月（阶段2）发放了相同的问卷。关于药学服务和药物治疗过程的60个问题需使用七点李克特量表回答。两个阶段的总体回复率分别为62%和45%。服务分权后，药剂师对药学服务所有测量方面的满意度有所提高；除药剂师进行的用药史外，护士对所有测量指标的满意度均有所提高。实施分权服务后，药剂师对护理部门的满意度更高。角色冲突是部门间冲突的四个测量前因之一，其大多数方面在服务分权后有所改善。由于研究两个阶段之间人员变动，结果可能代表不同人的意见，而非满意度的实际变化。药学服务分权后，护士和药剂师对整体分配性药学服务及专业间关系某些方面的态度有所改善。
