22 research outputs found
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How do pharmacists in English general practices identify their impact? An exploratory qualitative study of measurement problems
Background: In England, there is an ongoing national pilot to expand pharmacists’ presence in general practice. Evaluation of the pilot includes numerical and survey-based Key Performance Indicators (KPIs) and requires pharmacists to electronically record their activities, possibly by using activity codes. At the time of the study (2016), no national evaluation of pharmacists’ impact in this environment had been formally announced. The aim of this qualitative study was to identify problems that English pharmacists face when
measuring and recording their impact in general practice.
Methods: All pharmacists, general practitioners (GPs) and practice managers working
across two West London pilot sites were invited, via e-mail, to participate in a focus group study. Appropriately trained facilitators conducted two audio-recorded, semi-structured
focus groups, each lasting approximately one hour, to explore experiences and
perceptions associated with the KPIs. Audio-recordings were transcribed verbatim and
the data analysed thematically. Results: In total, 13 pharmacists, one GP and one practice manager took part in the study. Four major themes were discerned: inappropriateness of the numerical national KPIs (“whether or not we actually have positive impact on KPIs is beyond our control”); depth and breadth of pharmacists’ activity (“we see a huge plethora of different patients and go through this holistic approach - everything is looked at”); awareness of practice based pharmacists’ roles (“I think the really important [thing] is that everyone knows what pharmacists in general practice are doing”); and central evaluation versus local initiatives (“the KPIs will be measured by National Health Service England regardless of what we think” versus “what I think is more pertinent, are there some local things we’re going to measure?”). Conclusions: Measures that will effectively capture pharmacists’ impact in general practice should be developed, along with a set of codes reflecting the whole spectrum of pharmacists’ activities. Our study also points out the significance of a transparent, robust national evaluation, including exploring the needs/expectations of practice staff and patients regarding pharmacists’ presence in general practice
A preliminary insight into the role and importance of management skills in the prevention of occupational derailment: An exploratory analysis of UK and Spanish pharmacists
YesThe aim of this study was to examine the prevalence and importance of management skills in the pharmacy profession and pharmacists’ ability to respond to current and future challenges in healthcare provision. As service professionals, pharmacists are engaged based on their expertise and skills, and are noted for their contribution to the knowledge-based economy and control over the application of their knowledge (Abbott, 1991). The same premise would apply to other professionals e.g. healthcare (nurses, doctors and psychologists); legal (lawyers, solicitors and barristers); consultancy; accountancy; banking and architecture (von Nordenflycht, 2010). An exploratory analysis of UK and Spanish pharmacists’ roles and their adoption of management skills was thus undertaken. Both healthcare systems are very similar and likewise the clinical training and role of pharmacists, professional standards and regulations are similar but there are subtle differences. Data were collected using semi-structured online surveys; two thirds of the data were collected from a UK audience and the final third from Spanish pharmacists. The data collection was planned and iterative in the first two stages (stage one influencing stage two) (UK) and the final stage (Spain) offered an opportunistic comparator study. The results demonstrated that there was overwhelming support for management skills to be part of undergraduate studies. The outputs of this study identify the most important management skills pharmacists need to perform effectively. Consideration was also given to the impact of inability to perform in their role, and hence the possibility of occupational derailment (leaving their role or being demoted). These findings offer important learning to support workforce development in all professional services