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首页> 外文期刊>Integrated Pharmacy Research and Practice >Longitudinal qualitative evaluation of pharmacist integration into the urgent care setting
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Longitudinal qualitative evaluation of pharmacist integration into the urgent care setting

机译：药剂师纳入紧急护理环境的纵向定性评估

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Purpose: To describe the most effective model for managing, educating, and training pharmacist advanced clinical practitioners (ACPs) in the urgent care center (UCC) setting, role evolution and how to measure their effectiveness. Participants and methods: Ethical approval was obtained to perform a qualitative longitudinal cohort study in three sites, with three pharmacists in each trained as ACPs from 2016 to 2017. ACP role, location, management, mentorship, and supervision were locally determined. ACPs attended focus groups (FGs) at 1 and 3 months (sites 1–3), 6 and 12 months (site 1 only), and the UCC staff were interviewed once with a topic guide regarding training, integration, role, and impact. Verbatim transcriptions were analyzed thematically. Results: Eight ACP FGs and 24 stakeholder interviews produced major themes of communication, management, education and training, role, and outcomes. Effective education, training, and integration required communication of role to address concerns regarding salary differentials, supportive management structure, and multi-professional learning. ACPs reported that the model of workplace training, experiential learning, and university-based education was appropriate. Training was better located in the minor injuries and general practitioner areas. Recommended measures of effectiveness included patient satisfaction and workload transfer. Conclusion: The education and training model was appropriate. Communication and management require careful consideration to ensure effective integration and role development. Pharmacists were better located initially in the minor illness rather than major trauma areas. Quality of patient experience resulting from the new role was important in addition to reassurance that the role represented a positive contribution to workload.
机译：目的：描述在急诊中心（UCC）设置，角色演变以及如何衡量其有效性的最有效模型，用于管理，教育和培训药剂师高级临床执业医师（ACP）。参与者和方法：在2016年至2017年期间，获得了伦理学批准，在三个地点进行了定性的纵向队列研究，每个药剂师中有三名药剂师接受了ACP的培训。ACP的角色，位置，管理，指导和监督在当地进行。 ACP在第1个月和第3个月（站点1-3），第6个月和第12个月（仅站点1）参加了焦点小组（FG），并且对UCC工作人员进行了一次访谈，内容涉及培训，整合，作用和影响。逐字记录进行了主题分析。结果：八个ACP FG和24个利益相关者访谈产生了沟通，管理，教育和培训，作用和成果的主要主题。有效的教育，培训和整合要求沟通角色，以解决对薪资差异，支持性管理结构和多专业学习的关注。 ACP报告说，工作场所培训，体验式学习和大学教育模式是合适的。培训最好在轻伤和全科医生领域进行。推荐的有效措施包括患者满意度和工作量转移。结论：教育培训模式是合适的。沟通和管理需要仔细考虑，以确保有效的整合和角色发展。最初，药剂师最好位于轻微疾病而不是主要创伤区域。新角色带来的患者体验质量非常重要，除了可以保证该角色代表了对工作量的积极贡献。

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