Personality Traits of Hospital Pharmacists: Toward a Better Understanding of Factors Influencing Pharmacy Practice Change

Hall, Jill; Rosenthal, Meagen; Family, Hannah; Sutton, Jane; Hall, Kevin; Tsuyuki, Ross T.

doi:10.4212/cjhp.v66i5.1285

Cited by 16 publications

(36 citation statements)

References 30 publications

(46 reference statements)

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“…The structure of these questions was based on a survey used in a previous study. 38 Section 2 contained questions from the Big Five Inventory, and section 3 contained questions from the Organizational Culture Profile. A member of the research team translated the demographic questions, the practice-setting questions, and the Organizational Culture Profile questions into French for use in Quebec.…”

Section: Methodsmentioning

confidence: 99%

Professional Culture and Personality Traits of Hospital Pharmacists across Canada: A Fundamental First Step in Developing Effective Knowledge Translation Strategies

Rosenthal

Hall

Bussières

et al. 2015

CJHP

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Background: Evidence for the value of pharmacists' interventions in the care of patients is strong and continues to grow, but the rate at which these new practice opportunities are being integrated into daily practice has not kept pace. The knowledge translation literature suggests that before effective change strategies can be implemented, a better understanding of the current environment must be obtained. Two important factors within the practice environment are the professional culture and personality traits of group members. Objective: To gain insight, at a national level, into the culture of hospital pharmacy, using the Organizational Culture Profile, and into hospital pharmacists' personality traits, using the Big Five Inventory. Methods: A cross-sectional survey of hospital pharmacists from across Canada was conducted intermittently over the period August 2012 to September 2013. The online survey contained questions about demographic characteristics and practice setting, as well as questions from the Organizational Culture Profile and Big Five Inventory. The survey link was distributed directly to hospital pharmacists or made available through provincial monthly newsletters. All data were analyzed descriptively and inferentially. Results: In total, 401 surveys were returned. Descriptive analyses from the Organizational Culture Profile revealed that most respondents perceived value in the factors of supportiveness, competitiveness, and stability. Descriptive analyses from the Big Five Inventory revealed that respondents may have been more likely to exhibit behaviours in line with the trait of conscientiousness. Several significant subgroup differences were noted in relation to levels of education, regions of practice within Canada, years in practice, and proportion of time spent conducting clinical duties. Conclusions:The results from this survey provide preliminary insight into the professional culture and personality traits of Canadian hospital pharmacists. It will be important to explore these findings in more depth to maximize the success of any future practice change initiatives.

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Section: Methodsmentioning

confidence: 99%

Professional Culture and Personality Traits of Hospital Pharmacists across Canada: A Fundamental First Step in Developing Effective Knowledge Translation Strategies

Rosenthal

Hall

Bussières

et al. 2015

CJHP

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“…This seems to be the biggest barrier for a change in pharmacists' practices. This is happening when pharmacists are being asked to change the health-care systems, when their impact on patients' outcomes are being questioned and when it is expected they will be substituted by pharmacy technicians in the near future [34,35]. Even though resistance in such a context can be seen as natural due to anxiety, insecurity and fear, reflections on this moment pointed to the need to manage this conflict to overcome it.…”

Section: Discussionmentioning

confidence: 99%

Implementation and Systematization of a Comprehensive Medication Management (Cmm) Service Delivered to Women With Breast Cancer

Ribeiro

Mendonça

Filardi

et al. 2018

Asian J Pharm Clin Res

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Objective: The aim of the present study was to describe the process of implementation and systematization of a comprehensive medication management (CMM) service, from the perspective of the participants involved, in a high complexity service that cares for women with breast cancer in Brazil. Methods:A qualitative study that utilized action research that followed the procedures proposed by Kurt Lewin and the ethical and clinical principles of pharmaceutical care practice. Data collection techniques were participant observation between August 2014 and December 2016, semi-structured interviews with eight pharmacists and pharmacy residents, field notes, and analysis of documents.Results: Six major themes emerged in four cycles of the action research process: (1) Resistance is human; the management of conflict is necessary; (2) insecurity with being a clinician; (3) management of change supported by driving forces; (4) pharmaceutical care fostering professionals' selfefficacy; (5) documentation as the conducting wire of the practice; and (6) the advantages of a systematized practice. Conclusion:The study offered an understanding of the process of implementation of CMM services from the perspective of pharmacists. It produced knowledge on the experiences of pharmacists as they lived through the process of transformation of their professional practice to offer a patientcentered and systematized service. The framework of Lewin supported the introduction of a new work path for pharmacists, which could be operationalized as an innovative technology for the Brazilian health-care system: CMM services.

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“…39 Again, 2 pharmacist surveys showed personality traits as a driving factor of adoption of prescribing, and these studies reported that pharmacists with more extroversion and openness made greater progress on their applications for additional prescribing authority. 15,16 Pharmacist prescribing also affected their workload and collaboration. 17,20,43 Increased service time and labour cost was found in British Columbia due to adaptation services provided by pharmacists.…”

Section: Resultsmentioning

confidence: 99%

“…38 We found 11 studies on practice change that focused on 3 areas: the extent of pharmacist prescribing, factors that influence pharmacists' uptake of prescribing and the impact of prescribing on workload and collaboration (Table 3). [14][15][16][17]19,20,[39][40][41][42][43] The level and extent of prescribing adoption in different settings was analyzed in 2 studies. These studies found greater adoption of advanced prescribing activity in patient-focused pharmacists than in product-focused pharmacists, 40 and there was a greater practice of adjusting ongoing medications than initiating a new prescription by pharmacists with additional prescribing authority.…”

Section: Resultsmentioning

confidence: 99%

A scoping review of research on the prescribing practice of Canadian pharmacists

Faruquee

Guirguis

2015

Can Pharm J

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Background: Pharmacists in Canada have been prescribing since 2007. This review aims to explore the volume, array and nature of research activity on Canadian pharmacist prescribing and to identify gaps in the existing literature. Methods: We conducted a scoping review to examine the literature on prescribing by pharmacists in Canada according to methodological trends, research areas and key findings. We searched for peer-reviewed research articles and abstracts in the Ovid MEDLINE, Ovid EMBASE and International Pharmaceutical Abstracts databases without any date limitations. A standardized form was used to extract information. Results: We identified 156 articles; of these, 26 articles and 12 abstracts met inclusion criteria. One-half of the research studies (20) used quantitative methods, including surveys, trials and experimental designs; 11 studies used qualitative methods and 7 used other methods. Research on pharmacist prescribing demonstrated an improvement in patient outcomes (13 studies), varied stakeholder perceptions (10 studies) and factors that influence this practice change (11 studies). Pharmacist prescribing was adopted when pharmacists practised patient-centred care. Stakeholders held contrasting perceptions of pharmacist prescribing. Discussion: Canadian research has demonstrated the benefit of pharmacist prescribing on patient outcomes, which is not present in the international literature. Future research may consider a meta-analysis addressing the impact on patient health. Gaps in research include comparisons between provinces, effects on physicians’ services, overall patient safety and access to health care systems and economic implications for society. Conclusion: A growing body of research on pharmacist prescribing has captured the early impact of prescribing on patient outcomes, perceptions of practice and practice change. Opportunities exist for pan-Canadian research that examines the system impact.

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Personality Traits of Hospital Pharmacists: Toward a Better Understanding of Factors Influencing Pharmacy Practice Change

Abstract: Background:The profession of pharmacy has adopted a mandate to become more patient-centred; however, significant change in this direction has not been achieved.

Cited by 16 publications

References 30 publications

Professional Culture and Personality Traits of Hospital Pharmacists across Canada: A Fundamental First Step in Developing Effective Knowledge Translation Strategies

Professional Culture and Personality Traits of Hospital Pharmacists across Canada: A Fundamental First Step in Developing Effective Knowledge Translation Strategies

Implementation and Systematization of a Comprehensive Medication Management (Cmm) Service Delivered to Women With Breast Cancer

A scoping review of research on the prescribing practice of Canadian pharmacists

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