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从身份认同到模糊性:探索澳大利亚农村和偏远地区药剂师的跨专业合作机会。

From Identity to Ambugity: Exploring Interprofessional Collaboration Opportunities for Pharmacists in Rural and Remote Australia.

作者信息

Taylor Selina, Franich Alannah, Jones Sophie, Glass Beverley D

机构信息

Pharmacy, College of Medicine and Dentistry, James Cook University, Townsville, QLD 4811, Australia.

Murtupuni Mount Isa Centre for Rural and Remote Health, Mount Isa, QLD 4825, Australia.

出版信息

Pharmacy (Basel). 2023 Apr 20;11(2):77. doi: 10.3390/pharmacy11020077.

Abstract

Rural and remote populations are predisposed to poorer health outcomes, largely associated with limited access to health services and health professionals. This disparity provides an opportunity for health professionals to work collaboratively in interdisciplinary teams to deliver improved health outcomes for rural and remote communities. This study aims to explore exercise physiologist and podiatrist perceptions of interprofessional practice opportunities with pharmacists. Role theory provided a framework for this qualitative study. Interviews were conducted, recorded, transcribed, and thematically analysed according to the constructs of role theory (role identity, role sufficiency, role overload, role conflict, and role ambiguity). The perceptions of participants varied, largely due to the lack of understanding of the role and scope of the practice of a pharmacist. Participants acknowledged and adopted a flexible approach to the way in which they delivered health services to meet the needs of the community. They also described a more "generalist" approach to care, owing to the high prevalence of disease and disease complexity, along with a lack of staffing and resources. The potential for increased interprofessional collaboration was supported and identified as a strategy to manage significant workloads and provide improved patient healthcare. The application of role theory to this qualitative study provides insight into perceptions of interprofessional practice that may inform future development of remote practice models of care.

摘要

农村和偏远地区的人群更容易出现较差的健康状况,这在很大程度上与获得医疗服务和医疗专业人员的机会有限有关。这种差距为医疗专业人员提供了一个机会,使他们能够在跨学科团队中合作,为农村和偏远社区带来更好的健康结果。本研究旨在探讨运动生理学家和足病医生对与药剂师进行跨专业实践机会的看法。角色理论为这项定性研究提供了一个框架。研究人员进行了访谈、录音、转录,并根据角色理论的结构(角色认同、角色充足性、角色过载、角色冲突和角色模糊)进行了主题分析。参与者的看法各不相同,主要是因为对药剂师的角色和执业范围缺乏了解。参与者认可并采用了一种灵活的方式来提供医疗服务,以满足社区的需求。他们还描述了一种更具“通才”性质的护理方式,这是由于疾病的高发性和复杂性,以及人员配备和资源的缺乏。跨专业合作增加的可能性得到了支持,并被确定为一种管理繁重工作量和改善患者医疗保健的策略。将角色理论应用于这项定性研究,有助于深入了解对跨专业实践的看法,这可能为未来远程护理实践模式的发展提供参考。

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Compounding medications in a rural setting: an interprofessional perspective.农村地区的药物配制:跨专业视角
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