Royal Adelaide Hospital, South Australia Pharmacy, South Australia Health, Adelaide, Port Road, South Australia 5000, Australia.
Professor in Allied Health and Human Performance, University of South Australia, Adelaide 5000, South Australia, Australia.
Curr Pharm Teach Learn. 2023 Sep;15(9):808-816. doi: 10.1016/j.cptl.2023.07.015. Epub 2023 Aug 4.
In 2017, a practice-integrated hospital pharmacist foundation residency program, modelling well-established international programs, was made available to all eligible hosting hospital pharmacy service providers in Australia. The South Australian public hospital pharmacy service implemented the nation's first accredited statewide residency model that also incorporates enrolment and completion of a tailored post-graduate qualification. This study aimed to explore stakeholder perspectives pertaining to implementation and adoption of the South Australian public hospital pharmacy statewide residency program.
Eligible participants were recruited via purposeful sampling. Stakeholders overseeing preceptors and residents as well as those with authority to influence decision-making for future program planning were invited to participate in semi-structured interviews. Each interview was audio-recorded, transcribed, and organized using qualitative data analysis software. Reflexive thematic analysis was applied to data synthesis, and findings were discussed through the lens of the PRECEDE logic framework.
Thirty-three participants were consented and de-identified. Three themes were identified: resource capacity for program sustainability; current and expected future impact on workforce development and career progression; and conflicts around uniformity, selectivity, and individual motivations.
Research findings affirmed program benefits to overall workforce development whilst highlighting persisting program sustainability dilemmas. Findings have highlighted the need for a cost benefit analysis of each aspect of the residency program and the importance of tailoring to individual and site differences. Several strategies were recommended to optimize resources for increased capacity, to better support residents and preceptors, and to reduce program intensity.
2017 年，澳大利亚向所有符合条件的托管医院药房服务提供商推出了一项以成熟的国际项目为模型的实践整合型医院药剂师基础住院医师计划。南澳大利亚公立医院药房服务实施了全国第一个经认可的全州住院医师模式，该模式还包括注册和完成定制研究生资格。本研究旨在探讨与南澳大利亚公立医院全州住院医师计划的实施和采用相关的利益相关者观点。
通过有目的的抽样招募合格参与者。邀请监督导师和学员以及有权影响未来计划决策的利益相关者参与半结构化访谈。每次访谈都进行了录音、转录，并使用定性数据分析软件进行组织。采用反思性主题分析对数据进行综合，并通过 PRECEDE 逻辑框架的视角讨论研究结果。
有 33 名参与者同意并进行了身份识别。确定了三个主题：计划可持续性的资源能力；对劳动力发展和职业发展的当前和预期未来影响；以及一致性、选择性和个人动机方面的冲突。
研究结果肯定了该计划对整体劳动力发展的好处，同时强调了计划可持续性的持续困境。研究结果强调了对住院医师计划各个方面进行成本效益分析的必要性，并强调了针对个人和地点差异进行定制的重要性。提出了几项策略来优化资源以增加能力，更好地支持学员和导师，并减少计划强度。
