Download or read book Exploring the Interprofessional Relationships Between Community Pharmacists and General Practitioners Undertaking a Collaborative Medicines Management Service written by Stacey Claire Sadler and published by . This book was released on 2006 with total page 806 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Interprofessional Teamwork for Health and Social Care written by Scott Reeves and published by John Wiley & Sons. This book was released on 2011-06-09 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: PROMOTING PARTNERSHIP FOR HEALTH This book forms part of a series entitled Promoting Partnership for Health publishedin association with the UK Centre for the Advancement of Interprofessional Education (CAIPE). The series explores partnership for health from policy, practice and educational perspectives. Whilst strongly advocating the imperative driving collaboration in healthcare, it adopts a pragmatic approach. Far from accepting established ideas and approaches, the series alerts readers to the pitfalls and ways to avoid them. DESCRIPTION Interprofessional Teamwork for Health and Social Care is an invaluable guide for clinicians, academics, managers and policymakers who need to understand, implement and evaluate interprofessional teamwork. It will give them a fuller understanding of how teams function, of the issues relating to the evaluation of teamwork, and of approaches to creating and implementing interventions (e.g. team training, quality improvement initiatives) within health and social care settings. It will also raise awareness of the wide range of theories that can inform interprofessional teamwork. The book is divided into nine chapters. The first 'sets the scene' by outlining some common issues which underpin interprofessional teamwork, while the second discusses current teamwork developments around the globe. Chapter 3 explores a range of team concepts, and Chapter 4 offers a new framework for understanding interprofessional teamwork. The next three chapters discuss how a range of range of social science theories, interventions and evaluation approaches can be employed to advance this field. Chapter 8 presents a synthesis of research into teams the authors have undertaken in Canada, South Africa and the UK, while the final chapter draws together key threads and offers ideas for future of teamwork. The book also provides a range of resources for designing, implementing and evaluating interprofessional teamwork activities.

Download or read book Leading Research and Evaluation in Interprofessional Education and Collaborative Practice written by Dawn Forman and published by Springer. This book was released on 2016-08-26 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Expanding upon Leadership Development for Interprofessional Education and Collaborative Practice and Leadership and Collaboration, the third installment to this original and innovative collection of books considers a variety of research models and theories. Emphasizing research and evaluation in leadership aspects, Leading Research and Evaluation in Interprofessional Education and Collaborative Practice showcases examples from around the globe in various multicultural contexts. Crucial for academics and researchers in this field, the book includes studies on traditionally under-represented countries and aims to prompt new ideas for future research and policy structures in Interprofessional education and practice.

Download or read book Exploring Interactions Between General Practitioners and Community Pharmacists written by Fay Bradley and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Increasing collaborative working between GPs and community pharmacists has recently become a high priority for the NHS. Previous research suggests that interaction is limited and problematic between the two professions, forming a barrier to service provision. This PhD aimed to explore the level, nature and process of interaction between GPs and community pharmacists, using a social network analysis approach. The study focused on four geographically different case study areas and 90 GPs and community pharmacists participated in total. A two-stage design was adopted. Firstly data were collected through a network questionnaire and analysed using social network analysis. Secondly, qualitative interviews were conducted to provide narrative to the network findings and analysed using the framework approach. The nature of contact was characterised as mostly indirect through brokers, de-personalised and non-reciprocal and seemingly at odds with collaborative behaviour. A misalignment in responses pointed to asymmetry in the relationship, representing little commonality, knowing and understanding of each other. Through social network analysis, individuals and dyads in possession of strong ties were identified. Strong ties were not the norm and were characterised by more personalised forms of reciprocal contact. Qualitative interviews provided insight into the processes of interaction between the two professional groups. An approach to the interaction, which involved pharmacists tactically managing the potential conflict in the interaction through use of deferential and sometimes subservient behaviour, was conceptualised as the 'pharmacist-GP game'. Those pharmacists with strong ties to GPs also, at times, adopted aspects of this approach but also attempted to set themselves apart from other pharmacists in order to develop and maintain their strong ties with GPs. However, possession of strong ties did not always lead to capitalisation, and the benefits of possessing these were often viewed as efficiency and convenience gains rather than anything more wide-reaching. Often, more isolated GPs and pharmacists did not view strong ties as a necessity, with the benefits of these not considered rewarding enough for the time and effort required to achieve them. This effort-reward conflict was identified as an important constraint faced by GPs and pharmacists in relation to transforming these loose connections into more integrated networks. Other micro and macro level constraints were also identified and a series of accompanying recommendations made for future practice and research.

Download or read book Interprofessional Collaboration Between Community Pharmacists and General Practitioners in Medication Regimen Review written by Timothy F. Chen and published by . This book was released on 2002 with total page 1000 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Index to Theses with Abstracts Accepted for Higher Degrees by the Universities of Great Britain and Ireland and the Council for National Academic Awards written by and published by . This book was released on 2007 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Nature and Extent of Communication and Collaboration Between Community Pharmacists and General Medical Practitioners written by Emily Kennedy and published by . This book was released on 1993 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Inter Healthcare Professions Collaboration Educational and Practical Aspects and New Developments written by Lon J. Van Winkle and published by Frontiers Media SA. This book was released on 2016-10-19 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: Settings, such as patient-centered medical homes, can serve as ideal places to promote interprofessional collaboration among healthcare providers (Fjortoft et al., 2016). Furthermore, work together by teams of interprofessional healthcare students (Van Winkle, 2015) and even practitioners (Stringer et al., 2013) can help to foster interdisciplinary collaboration. This result occurs, in part, by mitigating negative biases toward other healthcare professions (Stringer et al., 2013; Van Winkle 2016). Such changes undoubtedly require increased empathy for other professions and patients themselves (Tamayo et al., 2016). Nevertheless, there is still much work to be done to foster efforts to promote interprofessional collaboration (Wang and Zorek, 2016). This work should begin with undergraduate education and continue throughout the careers of all healthcare professionals.

Download or read book Community Pharmacists and General Practitioners Perceptions of the Role of the Community Pharmacist in 2012 written by Jo Maney and published by . This book was released on 2013 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background Primary healthcare is inherently in a state of flux due to increased demand for services countered by limited resources. Consequently primary healthcare professionals have had to adapt and redefine their roles. Recognition of the under-utilisation of the community pharmacists' expertise has resulted in a role shift from shopkeeper/product seller to cognitive services provider/seller. Successful implementation of new roles such as medicines management by community pharmacists requires identification of perceived barriers so that strategies which enable enhanced inter-professional collaboration can be adopted for the ultimate result of positive benefits for the patient. Aims/Objectives To identify the perceptions of community pharmacists and general practitioners regarding the community pharmacist's role; to examine any barriers to community pharmacist involvement in medicines management and to compare results of this study (2012) with those obtained in 1998 and 2002 respectively for any changes over time. Methods Two profession specific postal surveys modelled on the two previous studies were sent to 600 randomly selected community pharmacists and general practitioners respectively. Quantitative data was obtained using a Likert scale and analysed via SPSS v20. An analysis of trends was used for comparative analysis of the results obtained from the three studies. Analysis of qualitative data was undertaken via thematic analysis. Results The 2012 results revealed general acceptance of traditional community pharmacist roles but with general practitioners showing less acceptance for cognitive roles. Of more importance were the changes in agreement for these roles observed over the three studies. Whilst community pharmacists showed consistent agreement for involvement in medicines management barriers including a perceived lack of mandate, legitimacy, adequacy and effectiveness were identified by both groups; nonetheless more noteworthy were the changes in perception over time. Conclusion Comparative analysis of the three studies showed gradual but important shifts in perceptions, particularly by general practitioners with regard to acceptance of the provision of cognitive services by community pharmacists. Although the barriers to increased community pharmacist involvement in medicines management remained of note were the changes in attitude toward improved inter-professional collaboration over time, particularly from general practitioners.

Download or read book A Team Approach to Optimising Medication Outcomes in Primary Care written by Edwin Chin Kang Tan and published by . This book was released on 2013 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Practice pharmacists often work in general and family practice clinics overseas, undertaking a variety of roles aimed at improving quality use of medicines by staff and patients. In Australia, the presence of pharmacists within general practice is uncommon and collaboration between general practitioners (GPs) and pharmacists in primary care remains low. There is currently limited Australian research evaluating the practice pharmacist role and stakeholder experiences with these services. Given that medication-related problems (MRPs) continue to be of concern in Australia, and quality use of medicines has been identified as an important quality indicator in general practice, the integration of pharmacists into Australian general practice warrants further investigation.The overall aim of the PhD project was to develop and evaluate the role of a practice pharmacist within Australian general practice.Methods:Firstly, a systematic review and meta-analyses of randomised controlled trials was undertaken to evaluate the effectiveness of pharmacist services delivered in general practice clinics on a variety of outcomes.Secondly, semi-structured interviews with a purposive sample of GPs and pharmacists was undertaken to explore their views on the integration of pharmacists into the general practice setting.Thirdly, a prospective, before-after study (the Pharmacists in Practice Study [PIPS]) was conducted at two primary healthcare clinics in Melbourne, Australia. The intervention consisted of a multi-faceted, collaborative service involving a part-time practice pharmacist co-located in each of the study clinics for six months. The practice pharmacists provided long and short patient consultations, drug information and education services, and quality improvement activities (a drug use evaluation [DUE] program for osteoporosis management). The main outcome measures were MRPs, medication adherence, quality of prescribing osteoporosis medicines, and experiences of staff and patients (explored both quantitatively and qualitatively using surveys, interviews, focus groups and narrative reports).Key findings:The systematic review included 38 studies, and found that pharmacists co-located in general practice clinics delivered a variety of interventions, with favourable results seen in certain areas of chronic disease management and quality use of medicines. Seventeen studies were included in meta-analyses and found significant reductions in systolic blood pressure (-5.72 mmHg [95% CI, -7.05 to -4.39, p

Download or read book Collaborative Drug Therapy Management Handbook written by Sarah A. Tracy and published by ASHP. This book was released on 2007 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed as a starting point for establishing collaborative practice, Collaborative Drug Therapy Management is intended for any pharmacist or administrator seeking to initiate, improve or expand CDTM services in their organization.

Download or read book An Exploration of the Development and Effect of Collaboration Between Community Pharmacists and General Practitioners written by Marianna Liaskou and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Evaluating Interprofessional Collaboration Normalisation and Implementation Fidelity of an On site Pharmacist Intervention Within Australian Residential Aged Care Facilities written by Miranda Batten and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Australian population is ageing with residents living in residential aged care facilities (RACFs) continuing to be at higher risk of, and more likely to experience medication-related harm. Reducing medication-related harm in older people is an important health priority internationally and in Australia. RACF medication management is complex and current efforts to improve medication management are inadequate. There have been recently accelerated efforts to improve RACF medication management with one suggested approach relating to integrated pharmacists working within Australian RACFs i.e. an on-site pharmacist (OSP) intervention. This research was undertaken to evaluate interprofessional collaboration, normalisation and implementation fidelity of an OSP intervention within Australian RACFs. Evaluation of these key components of the OSP intervention have supported an expanded knowledge and understanding of the OSP role as well as the perceived (or potential) benefits of OSPs working within RACFs to help improve medication management. This research was nested within the Pharmacists in Residential Aged Care Facilities (PiRACF) study wherein a part-time OSP was directly employed by a RACF to improve medication management. The PiRACF study was conducted as a cluster randomised controlled trial which commenced in 2020. The first study of this thesis was a scoping review which explored the evaluation approaches, tools and aspects of implementation employed in the current Australian and international evaluated peer-reviewed pharmacist RACF intervention literature. This scoping review identified potential gaps in the current literature which informed this thesis's subsequent research questions and overall aim. The second study was a mixed methods study which was underpinned by an existing collaboration model (McDonough and Doucette's conceptual model for the development of pharmacist-physician collaborative working relationship). It explored the extent and nature of interprofessional collaborative relationships between OSPs and prescribers, managers and nursing staff (health care team members). The third study was a mixed method study which was underpinned by an existing theory (Normalisation process theory). It evaluated the extent to which OSPs became part of routine practice (i.e. normalised) from the perspective of health care team members, OSPs, residents and family members. The final mixed methods study was underpinned by an existing framework (Hasson's conceptual framework for implementation fidelity). It also assessed the implementation fidelity of OSP intervention delivery and identified moderating factors which influenced delivery of the intervention. The scoping review identified three potential research gaps, namely, limited evaluation of interprofessional collaboration, sparse use of theory to guide evaluation and limited consideration of implementation fidelity in the current evaluated peer-reviewed pharmacist intervention in RACF literature. The OSP role is relatively new in Australia and this thesis contains the first studies that have evaluated interprofessional collaboration, normalisation and implementation fidelity of an OSP intervention within Australian RACFs. The second study concluded that OSPs were able to establish and maintain positive interprofessional collaborative relationships with health care team members based on the findings of semi-structured interviews (n=33) and an adapted survey which was distributed at two time points (T1: n=33; T2: n=19). These promising findings suggested that further exploration of the OSP intervention was warranted. The third study indicated that OSPs were generally considered to be part of routine practice within their respective RACFs based on the findings of semi-structured interviews (n=47) and an adapted survey (n=16). The findings of this study could help inform the future role of OSPs working within RACFs, particularly in relation to supporting residents and their family members to have increased medication knowledge and thereby feel more confident and empowered when discussing medication management decisions with health care team members e.g. prescribers. The fourth study evaluated the overall fidelity of each intervention RACF as being of medium fidelity. That is, the OSP intervention was generally delivered as intended based on three quantitative data sets relating to the range of OSP intervention activities delivered, a random sample of medication reviews assessed for quality, and the proportion of residents who received at least one medication review as part of the OSP intervention. A range of moderating factors contributed to the overall medium fidelity across the intervention RACFs with a number of potential barriers and facilitators to optimal delivery of the OSP intervention identified from the semi-structured interviews (n=14). The identified potential barriers and facilitators may help or hinder OSPs working in real-world RACFs, and would likely impact the extent to which the OSP intervention is delivered as intended. Medication-related harm experienced by residents living in Australian RACFs remains a problem. To date, efforts to improve medication management within RACFs have been inadequate. Integrated pharmacists working within RACFs i.e. an OSP intervention, is a recent approach which has been suggested which may help improve RACF medication management. This research found that OSPs can positively contribute to interprofessional collaborative care within RACFs, that OSPs can become part of routine RACF practice and that the OSP intervention can generally be delivered as intended in real-world RACFs. The findings of this research constitute an original contribution to knowledge and are timely. Based upon these promising findings, recommendations for further OSP research have been made. Moreover, this research has identified some important policy and practice implications for the roll out of OSPs within Australian RACFs commencing from 2023.

Download or read book Community Pharmacists Perceptions of Their Collaborative Working Relationships with Physicians for Drug Therapy Management written by Andree Danielle Taylor and published by . This book was released on 2007 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose. To determine community pharmacists' perceptions of their collaborative working relationships (CWRs) with physicians and of factors that contributed to or hindered collaborative drug therapy management (C-DTM). Methods. Ten semi-structured interviews were conducted with medical building pharmacists in Toronto who varied in gender and years of practice experience in Canada. Interpretive content analysis was performed. Results. Pharmacists desired a role in C-DTM to reduce the number of drug therapy problems; however, collaboration was uncommon. Pharmacists' best CWRs were at low, mid, and high levels. Attributes ascribed to CWRs were trust, working together, communication, sharing decisions and patient information, and patient referral. Factors that contributed to or hindered the development of CWRs at the practice and system levels were described. Conclusions. C-DTM is infrequent and does not occur to the extent that participants perceived was necessary to improve prescribing and patient outcomes. McDonough and Doucette's CWR Model (2001) should include third-party (i.e. receptionist) and systemic factors as influences on pharmacist-physician CWRs.

Download or read book Drug Misuse and Community Pharmacy written by Janie Sheridan and published by CRC Press. This book was released on 2002-11-14 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug misuse is a major challenge for health professionals in the 21st century, and community pharmacy holds a key place in the management of prescribed medication, the provision of health education and promotion messages to drug users. Two decades ago there would have been no need for a book to describe such the role of community pharmacy; however, since more people are injecting drugs now and HIV is on the rise, community pharmacists have found their services in higher demand. The quality practice of tomorrow hinges on trained and competent practitioners working in a variety of community pharmacy settings. Drug Misuse and Community Pharmacy explains the historical, research and practical aspects. Experts use a practical and evidence-based approach to educate students of pharmacy, pre-registration pharmacists, community pharmacists working with drug users and anyone involved in developing and managing primary healthcare for drug misusers.

Download or read book How Can Collaboration Between General Practitioners and Community Pharmacists be Improved to Help Chronic Disease Management Reach Its Potential written by Allison Rieck and published by . This book was released on 2010 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: [Truncated abstract] Collaboration in primary healthcare has been acknowledged by Governments and healthcare providers as important to improve continuity of care and chronic disease management (CDM) in the community. Collaboration between primary healthcare professionals has been shown to be a complex and poorly understood process that has not reached its potential. There has been only limited investigation of collaborative CDM in primary healthcare, with scant study of the underutilisation of community pharmacists (CPs) in the delivery of collaborative CDM. This study examined the research question How can collaboration between GPs and CPs be improved to help CDM in primary healthcare reach its potential? A grounded theory methodology was employed to address the question. The substantive theory developed was based on data collected and analysed from semi-structured, one-on-one interviews with GPs (n=22) and CPs (n=22) and four consumer focus groups (n=25). There has been little investigation of the GP/CP relationship, especially in the context of collaborative primary healthcare. In the present study, the GP/CP relationship is presented as the central focus of GP/CP collaboration. The substantive theory of GP/CP collaboration that was produced has as its core phenomenon the need for a shared belief in positive patient outcomes between GPs, CPs and consumers. Crucial to the development of the core phenomenon were three main categories that interact with each other and act as barriers to the development of good GP/CP relationships and thus GP/CP collaboration. The three barriers were found to be power distance, unclear definition of roles and logistical factors unique to the primary healthcare environment. On the basis of this finding, strategies were developed to overcome the barriers and improve the likelihood of the development of a shared belief in the potential for collaborative CDM to achieve positive patient outcomes. The strategies suggested by the professional interviewees (GPs, CPs) to control power distance were raising GP awareness to the improved CP CDM capabilities and skill set through both top-down and bottom-up approaches. CPs believed their skills in managing the patient-centred service model need to be improved, along with their ability to develop strong GP/CP relationships to better engage GPs in collaboration. Finally, a stronger CP/consumer relationship could be further utilised as an avenue for CPs to demonstrate to GPs the benefits CPs offer when they are included in patient management. The professional interviewees believed that improving GP/CP role negotiation to establish firm CDM roles and responsibilities would decrease GP concerns regarding fragmentation of collaborative patient care. Significantly, GP fears around medico-legal culpability and decreased patient benefits need to be minimised. Thus there is a need for CPs to formalise their role as healthcare professionals and not as retailers when collaborating with GPs. Consumers were also largely unaware of CPs CDM expertise, however they responded positively to the prospect of CPs delivering CDM...

Download or read book Physician Readiness to Collaborate with Community Pharmacists on Drug Therapy Management written by Nedzad Pojskic and published by . This book was released on 2007 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the increasing importance of drugs in patients' therapy and the rising drug costs, health policy makers are focusing attention on strategies to enhance the safety, effectiveness and efficiency of drug prescribing and use. The goal of this research was to assess Ontario family physicians' readiness to collaborate with community pharmacists on drug therapy management. A 22-item survey instrument, developed based on the Transtheoretical Model of Behaviour Change, was distributed to a stratified random sample of 848 family physicians across Ontario. The survey response rate was 36%. Eighty four percent of respondents regularly took community pharmacists' phone calls, pertaining to drug therapy management, while 78% sometimes sought pharmacists' recommendations regarding their patients' drug therapy. Only 29% of physicians, however, referred their patients to community pharmacists for medication reviews, with 45% unaware such a service exists. Overall, Ontario physicians were more engaged in lower level collaborative behaviours, than higher level collaborative behaviours, regarding drug therapy management.