Sin Conor Ming-Ho, Huynh Chi, Maidment Ian D
Aston Pharmacy School, College of Health and Life Sciences, Aston University, Birmingham, UK
Pharmacy Department, United Christian Hospital, Kwun Tong, Kowloon, Hong Kong.
Eur J Hosp Pharm. 2023 Aug 4. doi: 10.1136/ejhpharm-2023-003796.
To identify barriers and facilitators that influence the implementation of paediatric clinical pharmacy services in Hong Kong public hospitals from physicians' and nurses' perspectives.
A qualitative study was conducted based on semistructured interviews of physicians and nurses who worked in the field of paediatrics in four public hospitals in Hong Kong. Interviews were held via telephone conversations using spoken Cantonese which were audio recorded, then translated and transcribed directly into English by the research team. Thematic analysis was used for data analysis and reflexivity was engaged through member checking, making field notes and reporting using the Consolidated Criteria for Reporting Qualitative Studies checklist.
A total of six barriers and five facilitators were identified from interviewing 17 participants, which included 7 physicians and 10 nurses. The barriers identified were the public's lack of understanding and recognition of clinical pharmacists, a culture of medical dominance, lack of resources and heavy workload, the need for a more transparent and defined role of clinical pharmacist at the institutional level, lack of proactive approach and involvement in direct patient care activities. The facilitators identified were the belief in the improvement of patient outcomes and the overall pharmaceutical service efficiency, trust and confidence in clinical pharmacy services, filling the clinical gap as a medicine information provider, and direct and coherent communication as a multidisciplinary team member.
Physicians and nurses reported that the implementation of paediatric clinical pharmacy services was adequate, but several key barriers were identified at both the external and internal levels.
从医生和护士的角度，确定影响香港公立医院儿科临床药学服务实施的障碍和促进因素。
基于对香港四家公立医院儿科领域医生和护士的半结构化访谈开展了一项定性研究。访谈通过粤语电话交谈进行，谈话进行了录音，然后由研究团队直接翻译成英文并转录。采用主题分析法进行数据分析，并通过成员核对、做现场笔记以及使用《定性研究报告统一标准》清单进行报告来实现反思性。
在对17名参与者（包括7名医生和10名护士）进行访谈后，共确定了六个障碍和五个促进因素。确定的障碍包括公众对临床药师缺乏理解和认可、医学主导文化、资源匮乏和工作量大、临床药师在机构层面需要更透明和明确的角色、缺乏积极主动的态度以及参与直接的患者护理活动。确定的促进因素包括对改善患者结局和整体药学服务效率的信念、对临床药学服务的信任和信心、作为药物信息提供者填补临床空白，以及作为多学科团队成员进行直接和连贯的沟通。
医生和护士报告称，儿科临床药学服务的实施是充分的，但在外部和内部层面都确定了几个关键障碍。
