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Integrating into family practice: the experiences of pharmacists in Ontario, Canada

机译:融入家庭实践:加拿大安大略省药剂师的经验

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Aims and objectives This research examines the experiences of pharmacists as they integratedand adapted to meet the drug-related needs of family practice settings.Setting: This research took place in physician-led group family medicine practices in Ontario,Canada. Each practice was in the process of integrating an on-site pharmacist.Methods Qualitative design using monthly pharmacist narrative reports (over the first 4months ofpharmacist integration) and N-VIVO qualitative analysis software. Four independent researcherswith varied professional backgrounds used descriptive thematic editing analysis to determine processand content themes. The analysis team created a draft of themes and received written feedback fromeach pharmacist.Key findings Four key themes emerged describing how pharmacists experienced the first severalmonths working in family practice: (1) feelings: emotional challenges and victories; (2) establishingand building relationships: positive and negative experiences with physicians and staff; (3) learningnew skills to contribute effectively and efficiently to patient care; and (4) strategies for integration:including practical demonstration of potential value to physicians to facilitate integration process.In addition, they identified a number of supports and constraints for integration.Conclusion The pharmacists' narratives demonstrate the challenges and rewards of the integrationprocess. Adaptability and practical demonstration of potential utilization and benefit were crucialin physician acceptance of the pharmacist program. This description of the pharmacists' journey willbe helpful for pharmacists, managers, policy-makers, researchers and educators as more pharmacistsenter this type of primary care practice.
机译:目的和目标本研究考察了药剂师在整合和适应以满足家庭实践环境中与药物相关的需求方面的经验。背景:这项研究是在加拿大安大略省由医生领导的小组家庭医学实践中进行的。每种实践都在整合一名现场药剂师的过程中。方法使用药剂师每月的叙事报告(药剂师整合后的头4个月)和N-VIVO定性分析软件进行定性设计。四名具有不同专业背景的独立研究人员使用描述性主题编辑分析来确定过程和内容主题。分析团队制定了主题草案,并收到了每个药剂师的书面反馈。主要发现出现了四个关键主题,描述了药剂师在家庭实践中最初几个月的经历:(1)感觉:情感上的挑战和胜利; (2)建立和建立关系:与医生和工作人员的正面和负面经验; (3)学习新技能,以有效和高效地为患者护理做出贡献; (4)整合策略:包括向医生实际证明潜在价值,以促进整合过程。此外,他们确定了整合的许多支持和约束。结论药剂师的叙述证明了整合过程的挑战和回报。适应性和潜在利用和效益的实际证明对医师接受药剂师计划至关重要。随着更多的药剂师进入这种初级保健实践,这种对药剂师旅程的描述将对药剂师,经理,政策制定者,研究人员和教育者有所帮助。

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