Department of Nursing, Research Center for Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran (the Islamic Republic of).
Macquarie Business school, Department of Management, Macquarie University, Sydney, New South Wales, Australia.
BMJ Open. 2021 Sep 21;11(9):e047089. doi: 10.1136/bmjopen-2020-047089.
Edication management is a process in which medications are selected, procured, delivered, prescribed, reviewed, administered and monitored to assure high-quality patient care and safety. This paper explores clinicians' attitudes towards medication management which is both open to influence and strongly linked to successful changes in mediation behaviour. We aimed to investigate effects of engaging in participatory action research to improve emergency medicine clinicians' attitudes to safety in medication management.
Emergency department of one university affiliated hospital.
A total of 85 clinicians including nurses and physicians partook as participants. Eight managers and clinicians participated as representatives.
Data are drawn from two-cycle participatory action research. Initially, a situation analysis on the current medication management and clinician views regarding medication management was conducted using three focus groups. Evaluation and reflection data were obtained through qualitative interviews. All qualitative data were analysed using content analysis.
Clinicians initially expressed negative attitudes towards existing and new plans for medication management, in that they were critical of current medication-related policy and procedures, as well as wary of the potential relevance and utility of potential changes to medication management. Through the action research, improvement actions were implemented including interprofessional courses, pharmacist-led interventions and the development of new guidelines regarding medication management. Participants and their representatives were engaged in all participatory action research stages with different levels of involvement. Extracted results from evaluation and reflection stages revealed that by engaging in the action research and practice new interventions, clinicians' attitude towards medication management was improved.
The results support the impact of participatory action research on enhancing clinicians' positive attitudes through their involvement in planning and implementing safety enhancing aspects of medication management.
药物管理是一个选择、采购、配送、处方、审查、管理和监测药物以确保高质量患者护理和安全的过程。本文探讨了临床医生对药物管理的态度，因为这种态度既容易受到影响，又与药物管理行为的成功改变密切相关。我们旨在调查参与参与式行动研究对改善急诊医学临床医生对药物管理安全态度的影响。
一家大学附属医院的急诊部。
共有 85 名临床医生，包括护士和医生，作为参与者参与。8 名经理和临床医生作为代表参加。
数据来自两轮参与式行动研究。最初，使用三个焦点小组对当前的药物管理和临床医生对药物管理的看法进行了情况分析。通过定性访谈获得评估和反思数据。所有定性数据均采用内容分析法进行分析。
临床医生最初对现有的和新的药物管理计划表示出消极的态度，因为他们对与药物相关的现行政策和程序持批评态度，并且对潜在的药物管理变化的相关性和实用性持警惕态度。通过行动研究，实施了改进措施，包括跨专业课程、药剂师主导的干预措施以及制定新的药物管理指南。参与者及其代表以不同程度的参与度参与了所有参与式行动研究阶段。从评估和反思阶段提取的结果表明，通过参与行动研究和实践新的干预措施，临床医生对药物管理的态度得到了改善。
研究结果支持参与式行动研究对增强临床医生积极态度的影响，因为他们参与了规划和实施增强药物管理安全方面的工作。
