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评估与照护转接相关的药学学科内沟通。

Assessing intradisciplinary pharmacy communication related to transitions of care.

作者信息

Warunek Letitia N, Gruver Brenda, Bartko Liam, Blair Jaycee

机构信息

Wilkes University, Nesbitt School of Pharmacy, 84 W. South Street, Wilkes-Barre, PA 18766, United States of America.

出版信息

Explor Res Clin Soc Pharm. 2024 Apr 4;14:100438. doi: 10.1016/j.rcsop.2024.100438. eCollection 2024 Jun.

Abstract

BACKGROUND

Pharmacists play an important role in transitions of care, where successful communication is vital. The primary objective of this study was to assess the extent of intradisciplinary communication between pharmacists during patient transitions of care. Secondary objectives were to evaluate pharmacist communication practices and to explore the potential barriers and facilitators to effective health communications.

METHODS

A twenty item online survey was administered by email to all pharmacists practicing within a multisite regional healthcare system in central and northeastern Pennsylvania. Statistical analysis consisted of descriptive statistics for multiple choice, select all that apply, and Likert-type questions. Themes were summarized for open ended questions.

RESULTS

A total of 132 (32%) pharmacists responded to the survey of which 90 responses were included in the analysis. The majority of pharmacists felt either extremely comfortable (53.3%) or somewhat comfortable (33.3%) reaching out to another pharmacist within the same health system. However, most contacted other pharmacy disciplines within the health system ≤25% of their work week. The ability to reach the pharmacist was the most important factor to pharmacist comfort (extremely important  = 56, somewhat important  = 27). Not knowing who to contact was the biggest barrier (44.8%). The electronic messaging systems Microsoft Teams (almost always  = 33, often  = 25) and TigerText (almost always  = 17, often  = 23) were the forms of communication utilized most often.

CONCLUSIONS

Pharmacists feel comfortable communicating with pharmacists across different entities within the health system, however, intradisciplinary communication related to transitions of care activities is limited. Improving awareness of system-wide pharmacist directories (34.2%) and distribution of pharmacist schedules (18.4%) were identified as tools that may improve communication.

摘要

背景

药剂师在医疗护理转接过程中发挥着重要作用,而成功的沟通至关重要。本研究的主要目的是评估患者医疗护理转接期间药剂师内部学科间的沟通程度。次要目的是评估药剂师的沟通实践,并探索有效健康沟通的潜在障碍和促进因素。

方法

通过电子邮件向宾夕法尼亚州中部和东北部多地点区域医疗系统内执业的所有药剂师进行了一项包含20个条目的在线调查。统计分析包括对多项选择题、多选所有适用项以及李克特式问题的描述性统计。对开放式问题的主题进行了总结。

结果

共有132名(32%)药剂师回复了调查,其中90份回复纳入分析。大多数药剂师(53.3%)觉得在同一医疗系统内与另一名药剂师联系时非常自在,或(33.3%)有点自在。然而,大多数人在工作周内与医疗系统内其他药学学科联系的时间≤25%。能够联系到药剂师是让药剂师感到自在的最重要因素(极其重要 = 56,有些重要 = 27)。不知道该联系谁是最大的障碍(44.8%)。电子通讯系统Microsoft Teams(几乎总是 = 33,经常 = 25)和TigerText(几乎总是 = 1,7,经常 = 23)是最常使用的沟通形式。

结论

药剂师对在医疗系统内不同实体间与药剂师沟通感到自在,然而,与医疗护理转接活动相关的学科内沟通有限。提高全系统药剂师名录的知晓度(34.2%)和药剂师排班表的分发(18.4%)被确定为可能改善沟通的工具。

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