Aston Pharmacy School, College of Health and Life Sciences, Aston University, Birmingham, UK.
Pharmacy Department, United Christian Hospital, Kwun Tong, Kowloon, Hong Kong.
Int J Pharm Pract. 2022 Nov 4;30(5):466-471. doi: 10.1093/ijpp/riac058.
To identify barriers and facilitators that influenced the implementation of paediatric clinical pharmacy service (CPS) in Hong Kong's public hospitals from clinical pharmacists' perspective.
A qualitative study based on semi-structured interviews of clinical pharmacists who practiced in paediatrics in public hospitals in Hong Kong. Interview schedule was designed based on determined themes identified in previous research and pilot testing was performed. The coding process was performed by two researchers with the resulting topics organised by thematic analysis. Consensus was reached amongst the researchers for the identification of themes that emerged during the interviews. The Consolidated Criteria for Reporting Qualitative Research guideline was followed to ensure the complete and transparent reporting of this research. Ethical approval for this study was obtained from the research ethics committee of the relevant institutions.
Of the 32 clinical pharmacists from across the study sites, 12 were interviewed. Five barriers and three facilitators were identified as main themes. The barriers that were identified which hindered service implementation include the service penetration into the healthcare system, practice environment constraints, lack of affirmation from the administrative stakeholders, governance of the profession and partnership with universities. The facilitators that were identified which enabled service implementation include other healthcare professionals' trust and confidence in the service, the support from the pharmacy management team and clinical pharmacists' self-efficacy.
Clinical pharmacists interviewed reported that the successful implementation of CPS in paediatrics in public hospitals in Hong Kong is an area of continued development with several key barriers identified.
从临床药师的角度出发，确定影响香港公立医院儿科临床药学服务（CPS）实施的障碍和促进因素。
这是一项基于对在香港公立医院从事儿科临床药师的半结构式访谈的定性研究。访谈大纲是根据先前研究中确定的主题和试点测试设计的。两位研究人员对编码过程进行了操作，通过主题分析对得出的主题进行了组织。研究人员达成共识，确定了访谈中出现的主题。本研究遵循《定性研究报告的统一标准》，以确保本研究的完整和透明报告。相关机构的研究伦理委员会已批准本研究。
在来自各个研究地点的 32 位临床药师中，有 12 位接受了采访。确定了五个障碍和三个促进因素作为主要主题。阻碍服务实施的障碍包括服务渗透到医疗保健系统、实践环境限制、行政利益相关者缺乏认可、专业管理以及与大学的合作。促进服务实施的因素包括其他医疗保健专业人员对服务的信任和信心、药剂科管理团队的支持以及临床药师的自我效能。
接受采访的临床药师报告称，香港公立医院儿科 CPS 的成功实施是一个持续发展的领域，确定了几个关键障碍。
