Background: This study sought to identify the differences between training models for pharmacist prescribing across three countries according to the funding, model of prescribing the pharmacist will practice after training, training course framework, method of delivery, assessment, continuing professional development, and barriers and facilitators to enrolment. Methods: An online quantitative/qualitative snapshot survey was sent to academics of pharmacist prescribing courses and Deans of different pharmacy schools in the UK (n=49), Australia (n=12), and Canada (n=10). A narrative analysis was undertaken. Results: Seventeen pharmacy schools responded (24% response rate). The UK provides postgraduate training courses funded by the government. Canada incorporates prescribing competencies into entry-t- practice courses. Australia does not provide courses yet. Conclusion: Pharmacist prescribing is still under-utilised in many countries. Standardisation would reduce variation and improve uptake in countries implementing pharmacist prescribing roles. However, there is currently no international unified system or curriculum for pharmacists' prescribing courses.
Introduction New Zealand pharmacists must complete a joint prescribing course offered by Otago and Auckland universities only, to be qualified as pharmacist prescribers. Aim To identify knowledge and perceptions of New Zealand registered pharmacists, who are not pharmacist prescribers, on: pharmacist prescribing roles, courses and perceived barriers and facilitators to course uptake. Methods Participants comprised registered practising New Zealand pharmacists (n = 4025), across all New Zealand regions. Invitations to participate in a questionnaire survey were sent in March 2021. Data were analysed using thematic analysis and descriptive statistics. Results The response rate was 12% (482/4025), with 94% community pharmacists. Almost two-thirds (65%) had over 10 years of working experience. Nearly all (95%) agreed that pharmacist prescribing would improve healthcare delivery in New Zealand. Most reported that barriers to pharmacist prescribing course uptake were funding, lack of institutional support, up-to-date pharmacological/pharmaceutical knowledge, and 2 years of experience in collaborative health team prerequisites for enrolment, finding medical supervisors, and lack of remuneration for prescribing roles. Discussion Pharmacist prescribing in New Zealand is still in its growing phase. Optimising uptake of prescribing courses and role requires a multi-level approach including all stakeholders. Government/policymakers should consider pharmacist prescribing training and remuneration in their funding plans. Employing institutions should provide required time and human resources (staff backfills). Training providers should consider methods of course delivery and assessment that are suitable for trainees in full-time employment.
AimThis study sought to determine the factors influencing successful implementation of non‐medical prescribing (NMP).Data sourcesEMBASE, Medline, CINAHL and reference lists were searched from January 2010 to November 2020.Study SelectionUmbrella review and narrative synthesis of results were utilised. The retrieved reviews underwent title screening, abstract review, full‐text screening and assessment for inclusion. To guarantee the precision of the search results, Participants, Intervention, Control, and Outcomes (PICO) elements were recorded for each study. Studies were included if they were systematic reviews, published in English, published from January 2010 to November 2020, and discussed barriers and/or facilitators to NMP implementation.ResultsOf the 193 studies identified, eight were eligible for inclusion. Most of the reviews (62%) were published in 2017–2018. The majority of the reviews (62%) were focused on the United Kingdom. Three reviews discussed nurse prescribing, two reviews focused on pharmacist prescribing, and three reviews investigated NMP generally. Data were compiled into the Consolidated Framework for Implementation Research to evaluate the factors that influence the success or failure of NMP implementation.ConclusionImplementation of NMP is a complex process which requires fulfilment of all its elements. The success of NMP can be directly related to the extent of the whole system engagement and support, and available funding.
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