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'Illuminating determinants of implementation of non-dispensing pharmacist services in home care: a qualitative interview study'
UiT Arctic Univ Tromso, Norway.ORCID iD: 0000-0002-7239-3822
UiT Arctic Univ Tromso, Norway.
UiT Arctic Univ Norway, Norway;Univ Copenhagen, Denmark.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. UiT Arctic Univ Tromso, Norway.ORCID iD: 0000-0003-1428-5476
2023 (English)In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 41, no 1, p. 43-51Article in journal (Refereed) Published
Abstract [en]

ObjectivesMedication errors are leading causes of hospitalization and death in western countries and WHO encourages health care providers to implement non-dispensing pharmacist services in primary care to improve medication work. However, these services struggle to provide any impact on clinical outcomes. We wanted to explore health care professionals' views on medication work to illuminate determinants of the implementation success. The research was designed to inform and adapt implementation strategies for non-dispensing pharmacist services.DesignSemi-structured interview study with nine healthcare professionals.SettingFour Norwegian home care wards.SubjectsNine healthcare professionals working at different wards within one home care unit.Main outcome measuresDeterminants of implementation outcomes.ResultsContextual determinants of the implementation process were mainly related to characteristics of the setting such as poorly designed information systems, work overload, and chaotic work environments. The identified barriers question the innovation's appropriateness related to the setting's needs but also provide possibilities for tailoring pharmacist services to local medication work issues. The observable positive effects and the perceived advantage of the pharmacist services are likely to facilitate the implementation process.ConclusionOur study provided information on contextual elements that influence the implementation process of non-dispensing pharmacist services. Awareness of these factors can help develop strategies to help the organization succeed in in achieving program outcomes.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2023. Vol. 41, no 1, p. 43-51
Keywords [en]
Clinical pharmacists, implementation science, patient care management, Norway, home care services, qualitative research
National Category
Social and Clinical Pharmacy
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-119112DOI: 10.1080/02813432.2023.2164840ISI: 000912893900001PubMedID: 36637874Scopus ID: 2-s2.0-85146794409OAI: oai:DiVA.org:lnu-119112DiVA, id: diva2:1734826
Available from: 2023-02-07 Created: 2023-02-07 Last updated: 2023-09-07Bibliographically approved

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Lehnbom, Elin C.

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