A meta-narrative review of recorded patient–pharmacist interactions: Exploring biomedical or patient-centered communication?

Murad, Muna S.; Chatterley, Trish; Guirguis, Lisa M.

doi:10.1016/j.sapharm.2013.03.002

Cited by 78 publications

(62 citation statements)

References 64 publications

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“…17,[81][82][83][84][85] The authors suggested that pharmacists further develop their patient counselling communication skills to be more effective in their communication with patients and to step into more advanced advisory roles. Pharmacists need to consider ongoing communication training as a one of their essential life-long learning skills required for professional development and licensure.…”

Section: Heavy Pharmacist/pharmacy Technician Workloadmentioning

confidence: 99%

Hospital pharmacists' perceptions of medication counseling: A focus group study

Chevalier

Watson

Barras

et al. 2016

Research in Social and Administrative Pharmacy

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BackgroundMedication counselling sessions are key times for a pharmacist to speak to patients about their medications and the changes made to their therapies during their hospital stay. ObjectivesTo explore hospital pharmacists' perceptions of their roles and goals in patient medication counselling, and perceived barriers and facilitators to achieving their goals. MethodsHospital pharmacist focus groups were held in two tertiary referral hospitals. Eligible pharmacists had provided medication counselling within the previous six months in inpatient and/or outpatient settings. Interested pharmacists attended a focus group designed to elicit their opinions and perceptions of patient medication counselling. Focus groups were audio recorded and transcribed verbatim. Inductive thematic analysis was applied to the data to identify initial patterns (codes) which were then organized into common overarching themes using NVivo ® software. The codes were reviewed for reliability by pharmacists independent of the focus groups. ResultsSix, one-hour focus groups were conducted with a total of 24 pharmacists participating. Saturation of information was determined after four focus groups. Greater than 80% consensus was achieved for reliability of the identified codes. A number of themes emerged from these codes around the goals, roles, and the barriers and facilitators to meeting these goals. Pharmacists' patient-centred goals in medication counselling were to build rapport, to empower patients and to improve patients' experience, health and safety. These goals would be accomplished through specific roles such as being an assessor, educator and problem-solver. Pharmacists frequently cited time pressures caused by systemic (hospital), and pharmacy specific processes as key challenges to achieving their goals. Factors that enabled pharmacists to meet their goals were those related to effective interprofessional collaboration and the quality of professional practice (such as training, expanded roles and advanced planning for discharge). ConclusionsHospital pharmacists emphasised patient-centred goals in medication counselling and outlined the challenges to meet those goals. The findings from this study will be used to develop strategies for effective communication and inform pharmacy practice changes to improve patient care. Key Words Hospital pharmacist Focus group Goal Role Communication M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPTPage 2 of 27 IntroductionDischarge from hospital to community or to other healthcare facilities marks an important transition in care for patients. Discharge and other transitions such as admission to hospital or transfers within a hospital have been identified as particular times when patients may be at risk of experiencing medication errors and adverse events. 1-3 Medication counselling opportunities are key times for pharmacists to speak to patients about their medications and the changes made to their therapies during their hospital stay. 2,[4][5][6][7] Failure by a hospital phar...

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Section: Heavy Pharmacist/pharmacy Technician Workloadmentioning

confidence: 99%

Hospital pharmacists' perceptions of medication counseling: A focus group study

Chevalier

Watson

Barras

et al. 2016

Research in Social and Administrative Pharmacy

View full text Add to dashboard Cite

show abstract

“…34,39,40 However, many studies have identified this as a short coming for pharmacists whose communication with patients tended to involve the transfer of large amounts of information without actively listening to, asking open-ended questions or engaging patients in the conversation. 31,32,35,41,42 Perhaps pharmacists experiencing time pressures related to their workload are compelled to purvey medication information in this unidirectional fashion, because they assume it is the most efficient method to communicate with patients. However, this download of information has been criticised by healthcare researchers as meeting provider's agendas rather than being patient-centred in its focus.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Examining hospital pharmacists' goals for medication counseling within the communication accommodation theoretical framework

Chevalier

Watson

Barras

et al. 2016

Research in Social and Administrative Pharmacy

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“…The ability to provide effective consultations has, however, been shown to be limited. [12][13][14][15][16][17] It is important for pharmacy professionals to possess effective consultation skills as they can help improve medication adherence and also improve patient satisfaction, leading to better outcomes. 9,18,19 Therefore, there is a need for improving pharmacy professionals' consultation skills to enable them to support patients effectively.…”

Section: Introductionmentioning

confidence: 99%

The national consultation skills for pharmacy practice program in England

Jee

Grimes

Desborough

et al. 2016

Currents in Pharmacy Teaching and Learning

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Objective This paper aims to discuss the need to enhance pharmacy professionals' (pharmacists and pharmacy technicians) consultation skills in England and describe the development of a national consultation skills training programme to meet these needs. Methods The Centre for Pharmacy Postgraduate Education led on a project to create a consultation skills training programme for all pharmacy professionals across England. The programme embedded a set of consultation skills practice standards developed by a large task and finish group consisting of pharmacy professionals of varying roles from National Health Service (NHS), private pharmacy organisations and academia. 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

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A meta-narrative review of recorded patient–pharmacist interactions: Exploring biomedical or patient-centered communication?

Cited by 78 publications

References 64 publications

Hospital pharmacists' perceptions of medication counseling: A focus group study

Hospital pharmacists' perceptions of medication counseling: A focus group study

Examining hospital pharmacists' goals for medication counseling within the communication accommodation theoretical framework

The national consultation skills for pharmacy practice program in England

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