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医生对药剂师作为跨专业急诊科团队新成员的体验:一项定性研究。

Physicians' experiences with pharmacists as new members of the interprofessional emergency department team. A qualitative study.

作者信息

Johnsgård Tine, Elenjord Renate, Zahl-Holmstad Birgitte, Svendsen Kristian, Lehnbom Elin C, Ofstad Eirik H, Risør Torsten, Garcia Beate H

机构信息

Hospital Pharmacy of North Norway Trust, Tromsø, Norway.

Department of Pharmacy, Faculty of Health Sciences, UiT the Arctic University of Norway, Tromsø, Norway.

出版信息

PLoS One. 2025 Jan 13;20(1):e0317298. doi: 10.1371/journal.pone.0317298. eCollection 2025.

Abstract

Pharmacists in emergency departments (EDs) can alleviate physicians' workload by handling medication-related tasks and offer valuable contributions in interprofessional teams. We aimed to explore physicians' experiences working with pharmacists in EDs, and their perspectives on future permanent collaboration. We conducted semi-structured interviews with twenty physicians from two EDs and analyzed the data using thematic analysis. Four main themes emerged, comprising twelve subthemes that highlighted both challenges and motivations. Theme 1: time addressed physicians' time constraints, and the potential for time reallocation with assistance from pharmacists. Theme 2: various roles of pharmacists focused on the diverse roles of pharmacists who supported patient care and junior physicians, but faced challenges like availability and space constraints. Theme 3: teamwork concerned how pharmacists were trusted, brought valuable insights, and enhanced patient safety, yet there were ambiguous views on responsibility and cultural differences. Theme 4: future perspectives focused on how physicians favored a permanent inclusion of pharmacists in the ED, suggesting that they could independently conduct MedRec. Our findings suggest that pharmacists should be permanently integrated in ED teams. However, there is a need to address challenges related to space and legal regulations to enhance interprofessional collaboration.

摘要

急诊科的药剂师可以通过处理与药物相关的任务来减轻医生的工作量,并在跨专业团队中做出宝贵贡献。我们旨在探讨医生在急诊科与药剂师合作的经历,以及他们对未来长期合作的看法。我们对来自两个急诊科的20名医生进行了半结构化访谈,并使用主题分析法对数据进行了分析。出现了四个主要主题,包括十二个次主题,突出了挑战和动机。主题1:时间解决了医生的时间限制,以及在药剂师协助下重新分配时间的可能性。主题2:药剂师的各种角色关注的是支持患者护理和初级医生的药剂师的不同角色,但面临着诸如可用性和空间限制等挑战。主题3:团队合作涉及药剂师如何获得信任、带来宝贵见解并提高患者安全,但在责任和文化差异方面存在模糊观点。主题4:未来展望关注医生如何支持在急诊科长期纳入药剂师,表明他们可以独立进行药物记录。我们的研究结果表明,药剂师应长期融入急诊科团队。然而,需要应对与空间和法律法规相关的挑战,以加强跨专业合作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b932/11729929/a25cac68af27/pone.0317298.g001.jpg

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