How does pharmacist prescribing fit with family physicians' practice in Alberta? - Developing knowledge translation strategy
Canadian Pharmacists Conference ePoster Library. Faruquee C. Jun 25, 2016; 132127
Mrs. Chowdhury Faruquee
Mrs. Chowdhury Faruquee
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Abstract
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OBJECTIVES: Albertan family physicians are seeing patients with an increasing number of chronic diseases and complex medication regimens. Pharmacists are medication experts with prescribing authority who can help both physicians and patients to manage medications. However, literature and anecdotes suggest physicians have low level of understanding and speculative beliefs about pharmacist prescribing. Our objective is to develop knowledge translation strategy to address family physicians' gap in understanding of pharmacist prescribing.,METHODS: Qualitative interviews were used to explore Albertan family physicians understanding and experience with pharmacist prescribing. We used purposeful sampling method with semi structured face to face or telephone interviews. We planned to interview 12 to 15 Albertan family physicians having experience of pharmacist prescribing in their practice as well as pharmacists who are working with these physicians. Gaps in physicians' understanding were identified and will be used to develop info-graphics to communicate pharmacists' roles in prescribing medications.,RESULTS: To date we have interviewed 11 physicians and one pharmacist. Often, family physicians first learnt of pharmacist prescribing after receiving notification that a patient received this service or from the pharmacists they work as team. Preliminary themes include- inter-professional hierarchy, assorted acceptability, building trust, and shared goals. Gaps include- knowledge about pharmacist expertise and pharmacist prescribing authority, and communication strategies to foster collaboration. We will create info-graphics, as educational tools, addressing the gaps. We will develop a usability testing survey to test its usability and will refine the educational tools using feedbacks. We will disseminate our info-graphics to both physicians and pharmacists through Alberta PCN leads, professional associations, and encourage pharmacists to use it with individual physicians.,CONCLUSIONS: We confirmed that some Albertan family physicians have limited understanding of pharmacist prescribing resulting in lack of trust. Future research should evaluate the effectiveness of this knowledge translation strategy in the Alberta context.
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