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Care providers' satisfaction with restructured clinical pharmacy services in a tertiary care teaching hospital

机译:护理人员对三级教学医院重组后的临床药房服务的满意度

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Background: At the time this study was undertaken, clinical pharmacy services at the authors' institution, a tertiary care teaching hospital, were largely reactive in nature, with patients and units receiving inconsistent coverage. Objective: To develop an evidence-based model of proactive practice and to evaluate the satisfaction of pharmacists and other stakeholders after restructuring of clinical pharmacy services. Methods: The literature was reviewed to determine a core set of pharmacist services associated with the greatest beneficial impact on patients' health. On the basis of established staffing levels, the work schedule was modified, and pharmacists were assigned to a limited number of patient care teams to proactively and consistently provide these core services. Other patient care teams continued to receive reactive troubleshooting-based services, as directed by staff in the pharmacy dispensary. A satisfaction survey was distributed to all pharmacists, nurses, and physicians 18 months after the restructuring. Results: Of the 26 pharmacists who responded to the survey, all agreed or strongly agreed that the restructuring of services had improved job satisfaction and patient safety and that other health care professionals valued their contribution to patient care. Nurses and physicians from units where pharmacists had been assigned to provide proactive services perceived pharmacist services more favourably than those from units where pharmacist services were reactive. Pharmacists, nurses, and physicians all felt that proactive pharmacist services should be more widely available. Challenges reported by pharmacists included increased expectations for documentation and guilt about "cutting back" services where they had previously been provided. Conclusions: Restructuring clinical pharmacy services in an evidence-based manner improved pharmacists' satisfaction and created demand from other stakeholders to provide this level of service for all patients.
机译:背景:在进行这项研究时,作者机构(一家三级护理教学医院)的临床药学服务本质上是反应性的,患者和单位的承保范围不一致。目的:建立临床实践服务的循证模型,并在重组临床药学服务后评估药剂师和其他利益相关者的满意度。方法:对文献进行回顾,以确定与对患者健康的最大有益影响相关的一组核心药剂师服务。在确定的人员配备水平的基础上,修改了工作时间表,并向有限数量的患者护理团队分配了药剂师,以主动,持续地提供这些核心服务。在药房工作人员的指导下,其他患者护理团队继续接受基于反应性故障排除的服务。重组后18个月,向所有药剂师,护士和医生分发了满意度调查。结果:在接受调查的26位药剂师中,所有人都同意或强烈同意服务的重组提高了工作满意度和患者安全,其他医疗保健专业人员也重视他们对患者护理的贡献。来自分配了药剂师的单位的护士和医生比提供药剂师服务的单位的护士和医生更看好药剂师的服务。药剂师,护士和医生都认为应该更加广泛地提供主动的药剂师服务。药剂师报告的挑战包括人们对文件的期望越来越高,并且对以前曾提供过的“削减”服务感到内。结论:以循证方式重组临床药学服务可提高药剂师的满意度,并引起其他利益相关者的需求,以为所有患者提供这种水平的服务。

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