Exploring example models of cross-sector, sessional employment of pharmacists to improve medication management and pharmacy support in rural hospitals.

作者: L. M. Emmerton , A. C. W. Tan , A. La Caze , Laetitia L. Hattingh

DOI: 10.22605/RRH3441

关键词: NursingFamily medicineScope of practiceMedicinePharmacyQuality use of medicinesHospital pharmacyClinical pharmacyMedication therapy managementPharmacistPharmacy practice

摘要: Many rural hospitals in Australia are not large enough to sustain employment of a full-time pharmacist, or unable recruit retain pharmacist. The absence pharmacist may result hospital nurses undertaking medication-related roles outside their scope practice. A potential solution address hospitals' medication management needs is contracted part-time ('sessional') local external the ('cross-sector'). aim this study was explore and experiences pharmacists provision sessional services with no on-site how these could potentially shortfalls hospitals. qualitative conducted models who had provided hospital. semi-structured interview guide informed by literature review, preliminary research stakeholder consultation. Participants were recruited via advertisement personal contacts. Consenting interviewed between August 2012 January 2013 telephone Skype for 40-55 minutes. Thirteen previous ongoing contracts communities across New Zealand participated. Most commonly, weekly All believed model practical increase access pharmacist-mediated support gaps. Roles perceived promote quality use medicines inpatient consultation services, information/education staff, assistance accreditation matters system reviews, input into pharmaceutical distribution activities. This first concept undertaken Zealand. Insights from participants revealed that increased contracting arrangements be evaluated adapted other

参考文章(20)
A. McKeon, D. Hegney, A. Plank, J. Watson, L. Raith, The administration and supply of controlled and restricted medications by Queensland rural and remote nurses Centre for Rural and Remote Area Health, University of Southern Queensland. pp. 1- 121 ,(2003)
Rosaline S. Barbour Ma, The role of qualitative research in broadening the ‘evidence base’ for clinical practice. Journal of Evaluation in Clinical Practice. ,vol. 6, pp. 155- 163 ,(2000) , 10.1046/J.1365-2753.2000.00213.X
John S Humphreys, John Wakerman, Robert Wells, Pim Kuipers, Judith A Jones, Phil Entwistle, Beyond workforce : a systemic solution for health service provision in small rural and remote communities The Medical Journal of Australia. ,vol. 188, ,(2008) , 10.5694/J.1326-5377.2008.TB01751.X
Amy C.W. Tan, Lynne M. Emmerton, H. Laetitia Hattingh, Issues with medication supply and management in a rural community in Queensland. Australian Journal of Rural Health. ,vol. 20, pp. 138- 143 ,(2012) , 10.1111/J.1440-1584.2012.01269.X
Michael J. Dooley, Karen M. Allen, Christopher J. Doecke, Kirsten J. Galbraith, George R. Taylor, Jennifer Bright, Dianne L. Carey, A prospective multicentre study of pharmacist initiated changes to drug therapy and patient management in acute care government funded hospitals British Journal of Clinical Pharmacology. ,vol. 57, pp. 513- 521 ,(2004) , 10.1046/J.1365-2125.2003.02029.X
Gabrielle Couch, Sean Minn Quah, Yee Ching Ng, Alice McKellar, Continuity of Medication Supply and Provision of Patient Information on Discharge: Development of a Survey Tool Journal of pharmacy practice and research. ,vol. 37, pp. 210- 213 ,(2007) , 10.1002/J.2055-2335.2007.TB00746.X
Amy Chen Wee Tan, Lynne Emmerton, Laetitia Hattingh, Victoria Jarvis, Medication supply and management in rural Queensland: Views of key informants in health service provision Research in Social & Administrative Pharmacy. ,vol. 8, pp. 420- 432 ,(2012) , 10.1016/J.SAPHARM.2011.11.001
Steven Fiore, Sanam Souzani, Rita D'Amore, Kieran Behan, Christopher Cutts, Adam La Caze, Support needs of supply nurses in rural and remote Queensland Australian Journal of Rural Health. ,vol. 13, pp. 10- 13 ,(2005) , 10.1111/J.1440-1854.2004.00639.X
V Bruce Sunderland, Suzanne D Burrows, Andrew W Joyce, A comparative evaluation of pharmacy services in single and no pharmacy towns Australia and New Zealand Health Policy. ,vol. 3, pp. 8- 17 ,(2006) , 10.1186/1743-8462-3-8