Preparing hospital pharmacists to prescribe: stakeholders’ views of postgraduate courses

Kamarudin, Gritta; Penm, Jonathan; Chaar, Betty; Moles, Rebekah

doi:10.1111/ijpp.12000

Cited by 11 publications

(15 citation statements)

References 31 publications

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“…Firstly, although the pharmacists in this study received formal training on disease state management of asthma, the focus of such training was not on prescribing. This highlights the importance and need for further training and credentialing of Australian community pharmacists to ensure competent and appropriate prescribing is achieved 24,25,26,27,39,40,41. Secondly, pharmacists were not told in this study that their interventions would be assessed according to therapeutic guidelines, and interventions may therefore be reflective of common practice rather than evidence based practice.…”

Section: Discussionmentioning

confidence: 99%

“…To date, much of the Australian research has focused on exploring the practice landscape to ascertain its readiness for pharmacist prescribing, including: exploring views of pharmacists19,20,21,22, general practitioners23, and clients15; identifying needs and preferences for training and skill development24; surveying pharmacists’ experiences of training opportunities25,26; and developing frameworks for the implementation of pharmacist prescribing 27…”

Section: Introductionmentioning

confidence: 99%

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Using scenarios to test the appropriateness of pharmacist prescribing in asthma management

Hanna

Bajorek

LeMay

et al. 2014

Pharmacy Practice (Internet)

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ObjectiveTo explore the potential for community pharmacist prescribing in terms of usefulness, pharmacists’ confidence, and appropriateness, in the context of asthma management. MethodsTwenty community pharmacists were recruited using convenience sampling from a group of trained practitioners who had already delivered asthma services. These pharmacists were asked to complete a scenario-based questionnaire (9 scenarios) modelled on information from real patients. Pharmacist interventions were independently reviewed and rated on their appropriateness according to the Respiratory Therapeutic Guidelines (TG) by three expert researchers.ResultsIn seven of nine scenarios (78%), the most common prescribing intervention made by pharmacists agreed with TG recommendations. Although the prescribing intervention was appropriate in the majority of cases, the execution of such interventions was not in line with guidelines (i.e. dosage or frequency) in the majority of scenarios. Due to this, only 47% (76/162) of the interventions overall were considered appropriate. However, pharmacists were deemed to be often following common clinical practice for asthma prescribing. Therefore 81% (132/162) of prescribing interventions were consistent with clinical practice, which is often not guideline driven, indicating a need for specific training in prescribing according to guidelines. Pharmacists reported that they were confident in making prescribing interventions and that this would be very useful in their management of the patients in the scenarios.ConclusionsCommunity pharmacists may be able to prescribe asthma medications appropriately to help achieve good outcomes for their patients. However, further training in the guidelines for prescribing are required if pharmacists are to support asthma management in this way.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Using scenarios to test the appropriateness of pharmacist prescribing in asthma management

Hanna

Bajorek

LeMay

et al. 2014

Pharmacy Practice (Internet)

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“…53 Recent initiatives in Australia have allowed "medication continuance" by pharmacists for lipid lowering agents and contraceptive medicines, without a written prescription, in specified circumstances. 54 However, this initiative is more akin to continued dispensing to ensure no break in supply, rather than formal repeat prescribing.…”

Section: 13 52mentioning

confidence: 99%

Preferences for the delivery of community pharmacy services to help manage chronic conditions

Whitty

Kendall

Sav

et al. 2015

Research in Social and Administrative Pharmacy

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“…The requirements for pharmacists to be qualified as prescribers are not the same in all countries. Pharmacists in the United Kingdom follow a specific course designed by clinicians and pharmacists leading to qualification as prescribers and pharmacists in New Zealand and Australia must complete a postgraduate course in clinical pharmacy to be authorised to prescribe . In the proposed framework, it was recommended that pharmacists should be in possession of a specialised Masters or Doctorate level degree (clinical‐oriented PharmD or PhD) in addition to their first degree in pharmacy (MPharm), with a certificate of specialisation in one or more of the three scenarios studied.…”

Section: Discussionmentioning

confidence: 99%

Preparing for pharmacist prescribing in Maltese hospitals

Aquilina

Wirth

Pizzuto

et al. 2018

J Pharm Health Serv Res

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Objectives To develop and evaluate a framework for pharmacist prescribing in a hospital setting, assess differences between pharmacist and physician prescribing and analyse pharmacist perceptions on pharmacist prescribing. Methods A framework for pharmacist prescribing in hospital based on a collaborative drug therapy management approach was developed. Guidelines on three therapeutic scenarios, namely oral anticoagulation therapy, hypertension and diabetes mellitus, were compiled as part of the framework. The framework was validated by an expert panel consisting of five pharmacists and four physicians. A self‐administered questionnaire was developed and distributed to the expert panel to evaluate the framework. A case study relating to each therapeutic scenario identified was designed and given to the expert panel to assess differences between pharmacist and physician prescribing. The framework and the questionnaire were disseminated to all 62 pharmacists practicing in local public hospitals to evaluate the framework and their perceptions on pharmacist prescribing. Key findings All nine expert panel members strongly agreed or agreed that the proposed framework is well‐presented, clear and comprehensive, and seven strongly agreed or agreed upon its practicality for use in the hospital setting. Results of the case studies showed that pharmacists and physicians prescribed similar treatment when the correct diagnosis was established. Of the 31 pharmacists who completed the questionnaire, more pharmacists were willing to prescribe antihypertensive (n = 27) and antidiabetic medications (n = 27) compared to oral anticoagulation therapy (n = 20). Twenty‐seven pharmacists recommended further education to a specialised Masters or Doctorate level for pharmacist prescribing. Conclusions The proposed framework puts forward a well‐presented, comprehensive and practical system to prepare pharmacists for pharmacist prescribing in a hospital setting within a multidisciplinary team practice for chronic conditions.

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Preparing hospital pharmacists to prescribe: stakeholders’ views of postgraduate courses

Cited by 11 publications

References 31 publications

Using scenarios to test the appropriateness of pharmacist prescribing in asthma management

Using scenarios to test the appropriateness of pharmacist prescribing in asthma management

Preferences for the delivery of community pharmacy services to help manage chronic conditions

Preparing for pharmacist prescribing in Maltese hospitals

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