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药剂师对执行药剂师患者护理流程相关活动的意识和信心。

Pharmacists' awareness and confidence in performing Pharmacists' Patient Care Process-related activities.

出版信息

J Am Pharm Assoc (2003). 2024 Jul-Aug;64(4):102129. doi: 10.1016/j.japh.2024.102129. Epub 2024 May 23.

DOI:10.1016/j.japh.2024.102129
PMID:38796159
Abstract

BACKGROUND

The Pharmacists' Patient Care Process (PPCP) is a 5-step approach for patient-centered evidence-based pharmaceutical care. The PPCP was developed by the Joint Commission of Pharmacy Practitioners in 2014; however, little is known about PPCP terminology and process uptake across the profession.

OBJECTIVES

This study aimed to explore practicing pharmacists' awareness of and confidence in performing PPCP-related activities in various practice settings.

METHODS

This is a cross-sectional observational study of practicing pharmacists using a multiphase quantitative survey research design. A previously validated instrument, the PPCP Self-Efficacy Scale, was revised and distributed. The 28-item instrument addressed activities mapped to each of the 5 PPCP components (Collect, Assess, Plan, Implement, and Follow-Up). The survey was distributed via Qualtrics to an IQVIA pharmacist e-mail listserv in 2021 and to pharmacist state license rosters containing e-mail addresses in 2022.

RESULTS

A total 853 practicing pharmacists completed the survey. Most participants identified as female (62.5%) and white (74.6%). Almost 60% of participants reported practicing for 16 or more years. Forty-four percent practiced in a community pharmacy setting, whereas 23.6% and 15.4% practiced in a health-system setting and ambulatory care setting, respectively. Sixty-two percent indicated they had no previous knowledge of the PPCP, and 12.5% were unsure. Overall participants had relatively high self-efficacy mean scores for each of the PPCP components. Participants working in an ambulatory care setting had the highest mean self-efficacy scores across all PPCP components (P < 0.05). Participants who were affiliated with a college or school of pharmacy (e.g., faculty, preceptor) had higher mean self-efficacy scores than participants who were not affiliated (P < 0.01).

CONCLUSION

Most of practicing pharmacists are unaware of PPCP terminology. Their confidence in performing tasks associated with PPCP components is relatively high and varies based on PPCP component and practice setting.

摘要

背景

药剂师患者护理流程(PPCP)是一种以患者为中心的循证药物治疗的五步方法。该流程由药房执业人员联合委员会于 2014 年开发;然而,对于整个行业对 PPCP 术语和流程的采用情况知之甚少。

目的

本研究旨在探讨不同实践环境中执业药师对 PPCP 相关活动的认识和信心。

方法

这是一项使用多阶段定量调查研究设计的执业药师横断面观察研究。一项先前经过验证的工具,即 PPCP 自我效能量表,经过修订并分发。该 28 项工具涵盖了与 5 个 PPCP 组成部分(收集、评估、计划、实施和随访)相关的活动。该调查于 2021 年通过 Qualtrics 分发给 IQVIA 药剂师电子邮件列表服务,2022 年分发给包含电子邮件地址的州药剂师执照名册。

结果

共有 853 名执业药师完成了调查。大多数参与者为女性(62.5%)和白人(74.6%)。近 60%的参与者报告执业 16 年或以上。44%的人在社区药房环境中执业,而 23.6%和 15.4%的人分别在医疗系统环境和门诊护理环境中执业。62%的人表示他们以前不知道 PPCP,12.5%的人不确定。总体而言,参与者对每个 PPCP 组成部分的自我效能平均得分都相对较高。在所有 PPCP 组成部分中,在门诊护理环境中工作的参与者的自我效能平均得分最高(P < 0.05)。与非附属人员相比,隶属于药学院或学校的参与者(如教员、导师)的自我效能平均得分更高(P < 0.01)。

结论

大多数执业药师都不知道 PPCP 术语。他们对与 PPCP 组成部分相关任务的信心相对较高,并且根据 PPCP 组成部分和实践环境而有所不同。

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