Quality Use of Medicines and Pharmacy Research Centre, Clinical and Health Sciences, University of South Australia, Adelaide, Australia.
SA Pharmacy, SA Health, Adelaide, SA, Australia.
Int J Pharm Pract. 2023 Jun 30;31(4):409-416. doi: 10.1093/ijpp/riad028.
The inclusion of clinical pharmacists in ward rounds (WRs) can reduce adverse drug events, improve communication and enable collaborative decision-making. The aim of this study is to investigate the level of and factors that influence WR participation by clinical pharmacists in Australia.
An online administered, anonymous survey of clinical pharmacists in Australia was conducted. The survey was open to pharmacists aged ≥18 years, who had worked in an Australian hospital in a clinical role in the previous two weeks. It was distributed via The Society of Hospital Pharmacists of Australia and on pharmacist-specific social media threads. Survey questions related to the extent of WR participation and factors that influence WR participation. Cross-tabulation analysis was conducted to determine whether there was an association between WR participation and factors that influence WR participation.
Ninety-nine responses were included. The level of WR participation by clinical pharmacists in Australian hospitals was low, with only 26/67 (39%) pharmacists who had a WR in their clinical unit actually attending the WR in the previous 2 weeks. Factors that influenced WR participation included having recognition of the role of the clinical pharmacist within the WR team, support from pharmacy management and the broader interprofessional team, and having adequate time and expectation from pharmacy management and colleagues to participate in WRs.
This study highlights the need for ongoing interventions such as restructuring workflows and increasing the awareness of the role of a clinical pharmacist in WR to increase participation of pharmacists in this interprofessional activity.
临床药师参与病房查房（WR）可以减少药物不良事件，改善沟通并促进协作决策。本研究旨在调查澳大利亚临床药师参与 WR 的程度和影响因素。
对澳大利亚的临床药师进行了在线匿名调查。该调查面向年龄≥18 岁、在过去两周内在澳大利亚医院以临床角色工作的药师。它通过澳大利亚医院药剂师协会和药剂师特定的社交媒体帖子进行分发。调查问题涉及 WR 参与程度以及影响 WR 参与的因素。交叉表分析用于确定 WR 参与程度与影响 WR 参与的因素之间是否存在关联。
共纳入 99 份回复。澳大利亚医院临床药师参与 WR 的程度较低，在过去两周内，仅 67 名临床科室药师中有 26 名（39%）实际参加了 WR。影响 WR 参与的因素包括在 WR 团队中得到临床药师角色的认可、得到药房管理和更广泛的跨专业团队的支持，以及得到药房管理和同事的充分参与 WR 的时间和期望。
本研究强调需要持续干预，例如重构工作流程和提高对临床药师在 WR 中的作用的认识，以增加药师对这种跨专业活动的参与。
