J Am Pharm Assoc (2003). 2022 Sep-Oct;62(5):1680-1685.e1. doi: 10.1016/j.japh.2022.05.018. Epub 2022 May 23.
The Flip the Pharmacy (FtP) program aims to transform pharmacy practice to be patient centered and professionally sustainable through hands-on peer coaching, where the peer coaches' roles are to support their teams and provide them with feedback. There is a need to describe the coaches' experiences in transforming pharmacy practice, to better use coaching in future programs.
This study aims to (1) describe peer coaches' experiences in cohort 1 year 1 of the FtP program, (2) identify barriers and facilitators for program implementation, and (3) provide recommendations for future coaches.
A qualitative design used semistructured telephone interviews with all 7 peer coaches at FtP Team Iowa. They were interviewed about their coaching approach, experiences, and perceived facilitators and barriers to FtP program implementation by 30 pharmacies. The transcripts were coded by 2 researchers independently using thematic analysis, the emergent codes were discussed until agreement was reached, and then codes were aggregated and organized.
Coaches' experience contained 3 themes: training received in preparation for the program, role clarity, and pharmacy visits (face to face vs. virtual). Themes also emerged for perceived facilitators and barriers to program implementation. Opportunities and recommendations contained 3 themes: accountability, in which the coach has clear expectations and uses consistent reporting; knowledge sharing, where peer coaches can exchange ideas and experiences; and training, where coaches can receive technical and interpersonal training.
Consistency and role clarity for the coaches can be increased by training on communication with teams, setting clear expectations, and providing a system for sharing their experiences and knowledge. Peer coaches can help establish service value that can improve contract opportunities and program execution through routinizing workflow. More research should be done about the effects of peer coaches' roles on sustaining practice transformation for successful service execution.
Flip the Pharmacy（FtP）计划旨在通过手把手的同行辅导，使药学实践转变为以患者为中心和专业可持续的模式，其中同行辅导员的角色是支持他们的团队并为他们提供反馈。需要描述辅导员在改变药学实践方面的经验，以便在未来的项目中更好地使用辅导。
本研究旨在：（1）描述 FtP 计划第 1 年第 1 队列中同行辅导员的经验；（2）确定计划实施的障碍和促进因素；（3）为未来的辅导员提供建议。
采用定性设计，对 FtP 爱荷华团队的 7 名同行辅导员进行了半结构式电话访谈，内容涉及他们的辅导方法、经验，以及他们对 30 家药店实施 FtP 计划的促进因素和障碍的看法。两名研究人员独立对访谈记录进行编码，使用主题分析，直到达成一致意见为止。然后汇总和组织出现的代码。
辅导员的经验包括 3 个主题：为该计划接受的培训；角色明确；以及药房访问（面对面与虚拟）。还出现了计划实施的促进因素和障碍的主题。机会和建议包括 3 个主题：问责制，其中辅导员对团队有明确的期望，并使用一致的报告；知识共享，同行辅导员可以交流想法和经验；以及培训，辅导员可以接受技术和人际交往方面的培训。
通过培训团队沟通、设定明确的期望以及提供分享经验和知识的系统，可以提高辅导员的一致性和角色清晰度。同行辅导员可以通过常规工作流程来帮助建立服务价值，从而改善合同机会和计划执行。应该对同行辅导员的角色对成功实施服务执行以维持实践转变的影响进行更多研究。
