TY - JOUR

T1 - 'Illuminating determinants of implementation of non-dispensing pharmacist services in home care

T2 - a qualitative interview study'

AU - Bo, Karl-Erik

AU - Halvorsen, Kjell H. H.

AU - Risor, Torsten

AU - Lehnbom, Elin C. C.

PY - 2023

Y1 - 2023

N2 - 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.

AB - 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.

KW - Clinical pharmacists

KW - implementation science

KW - patient care management

KW - Norway

KW - home care services

KW - qualitative research

KW - DRUG-USE

KW - BARRIERS

KW - IMPACT

U2 - 10.1080/02813432.2023.2164840

DO - 10.1080/02813432.2023.2164840

M3 - Journal article

C2 - 36637874

VL - 41

SP - 43

EP - 51

JO - Scandinavian Journal of Primary Health Care

JF - Scandinavian Journal of Primary Health Care

SN - 0281-3432

IS - 1

ER -