Health Research Institute, University of Canberra, Bruce, ACT 2617, Australia.
School of Nursing and Health, Avondale University, Wahroonga, NSW 2076, Australia.
Age Ageing. 2023 Aug 1;52(8). doi: 10.1093/ageing/afad143.
A new on-site pharmacist (OSP) intervention within residential aged care facilities (RACFs) is being investigated to help improve medication management. Interprofessional collaboration amongst prescribers, nursing staff and pharmacists is critical to improving RACF medication management.
To explore the extent of interprofessional collaboration and the nature of the working relationships between OSPs and prescribers, managers and nursing staff.
A mixed-methods study was undertaken within the context of a 12-month cluster randomised controlled trial. Semi-structured interviews were conducted with data analysed using framework analysis, and a survey based upon the Physician-Pharmacist Collaboration Index (PPCI) was distributed at two time points (T1 at 3 months and T2 at 9 months after OSP commencement) across seven intervention RACFs.
The qualitative data (n = 33 interviews) findings related to the processes supportive of these relationships e.g. on-site proximity, OSP personality and perceived (or beneficial) benefits of OSPs working with health care team members (such as OSPs being trusted and providing reassurance to RACF health care team members). The PPCI survey mean scores at T1 (n = 33) and T2 (n = 19) suggested that OSPs were able to establish positive working relationships at 3 months and that positive relationships also existed at 9 months. The integrated findings suggested that the working relationships between OSPs and health care team members were generally positive.
This study is the first to explore interprofessional collaboration between OSPs and health-care team members in RACFs. The findings suggest that OSPs can positively contribute to interprofessional collaborative care within RACFs.
正在研究在养老院（RACF）内设立新的驻场药剂师（OSP）干预措施，以帮助改善药物管理。处方医生、护理人员和药剂师之间的跨专业合作对于改善 RACF 的药物管理至关重要。
探索 OSP 与处方医生、管理人员和护理人员之间的合作程度以及工作关系的性质。
在为期 12 个月的群组随机对照试验的背景下进行了一项混合方法研究。对 33 名受访者进行了半结构化访谈，使用框架分析对数据进行了分析，并在 7 个干预 RACF 中在两个时间点（OSP 开始后 3 个月的 T1 和 9 个月的 T2）分发了基于医师-药剂师合作指数（PPCI）的调查。
定性数据（n=33 次访谈）结果涉及支持这些关系的过程，例如现场接近度、OSP 个性以及 OSP 与医疗保健团队成员合作的感知（或有益）益处（例如，OSP 值得信赖并为 RACF 医疗保健团队成员提供保证）。T1（n=33）和 T2（n=19）的 PPCI 调查平均得分表明，OSP 在 3 个月时能够建立积极的工作关系，并且在 9 个月时也存在积极的关系。综合发现表明，OSP 与医疗保健团队成员之间的工作关系总体上是积极的。
这项研究首次探讨了 RACF 中 OSP 与医疗保健团队成员之间的跨专业合作。研究结果表明，OSP 可以为 RACF 内的跨专业协作护理做出积极贡献。
