The Intersection of Implementation Science and Pharmacy Practice Transformation

Smith, Marie; Blanchard, Carrie; Vuernick, Erika

doi:10.1177/1060028019867253

Cited by 18 publications

(12 citation statements)

References 35 publications

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“…In addition, the PPM has a focus on health promotion, which is a core role for community pharmacists [ 13 ]. For the pharmacy profession, a transformation to meet patient-centred care is occurring and the importance of using a model to ensure interventions can be adopted and integrated into clinical and community settings to improve patient outcomes and benefit population health is vital [ 14 ].…”

Section: Methodsmentioning

confidence: 99%

Developing an Ear Health Intervention for Rural Community Pharmacy: Application of the PRECEDE-PROCEED Model

Taylor

Cairns

Glass

2021

IJERPH

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Unaddressed hearing loss affects an estimated 466 million people worldwide, costing over $750 billion globally, with rural communities being particularly disadvantaged, due to the greater inequity in access to healthcare services. This mixed-methods study aimed to use the PRECEDE-PROCEED model to develop and pilot a rural community pharmacy-based ear health service, LISTEN UP (Locally Integrated Screening and Testing Ear aNd aUral Program). The PRECEDE process involved an assessment of the predisposing, reinforcing and enabling constructs to support practice change through a scoping review, stakeholder surveys and interviews and consultation with governing bodies and regulatory authorities. The PROCEED segment structured the evaluation of the service pilot and informed planned implementation, process, impact and outcome evaluation. The pilot study conducted in February 2021 included 20 participants, with the most common ear complaints presented being pain, pressure or blockage. All these participants reported high levels of satisfaction with the service, would recommend the service to others and would attend the pharmacy first before seeing a GP for future ear complaints. The PRECEDE-PROCEED model provides a comprehensive model to guide the design of the LISTEN UP program, an innovative model, expanding services offered by rural community pharmacies, with preliminary results demonstrating high consumer satisfaction.

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Section: Methodsmentioning

confidence: 99%

Developing an Ear Health Intervention for Rural Community Pharmacy: Application of the PRECEDE-PROCEED Model

Taylor

Cairns

Glass

2021

IJERPH

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“…The classic example is the RE-AIM (reach, effectiveness, adoption, implementation, maintenance), which states that the impact of an intervention is the product of the individual factors comprising the name. 6 The RE-AIM model has been used extensively in the public health sector and provided the springboard for the use of IS in healthcare research. The Implementation Outcomes Framework created a taxonomy to evaluate the implementation itself, as opposed to clinical treatment or healthcare system outcomes.…”

Section: Evaluation Frameworkmentioning

confidence: 99%

“…Implementation science focuses on identifying the most effective approaches to implement a practice change, innovation, or intervention. 6 In its purest form, IS is a scientific domain to guide the research of implementation of change initiatives. 7 Theories have been developed to define and structure the science of implementation.…”

Section: Framework Of Ismentioning

confidence: 99%

Leveraging Implementation Science to Achieve Empirical Outcomes

Kaiser

2022

JONA: The Journal of Nursing Administration

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Organizations are often challenged to demonstrate the evidence of empirical outcomes required for Magnet® application and designation. Theoretically, the application of evidence-based guidelines to the clinical setting leads to empirical outcomes. However, successful integration of guidelines into practice remains problematic. This article explains how organizations can leverage implementation science to promote the effective uptake of best practice standards to achieve the outcomes necessary to improve care and demonstrate Magnet standards.

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“…The first model used was the Theoretical Domain Framework (TDF) to explain the determinants (barriers, facilitators) of the current and desired behavior that will support a newly proposed intervention. [12][13][14] The second model was the Capability, Opportunity, Motivation and Behavior (COM-B) model, a part of the Behavior Change Wheel (BCW). This approach is very common when evaluating approaches to change health care professionals' behavior.…”

Section: Introductionmentioning

confidence: 99%

Development of a Theory-Informed Behavior Change Intervention to Reduce Inappropriate Prescribing of Nephrotoxins and Renally Eliminated Drugs

2021

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Background: Goals of managing patients with acute kidney injury (AKI) are mitigating disease progression and ensuring safety while providing supportive care because no effective treatment exists. One strategy recommended in guidelines to meet these goals is optimizing medication management. Unfortunately, guideline implementation appears to be lacking as observed by the frequent occurrence of medication errors and adverse drug events. Objective: To address this performance gap in the care of hospitalized patients receiving nephrotoxins and renally eliminated drugs, we sought to provide a potential intervention based on theory-informed behavior change. Methods: Formative research with a qualitative analysis identifying what needs to change in patient care was completed by obtaining clinician opinion and expert opinion and reviewing the published literature. Frontline providers, including 8 physicians, 4 pharmacists, and a multiprofessional group of authors, provided insight into possible barriers to appropriate prescribing. Capability, Opportunity, Motivation and Behavior model and Theoretical Domain Framework were applied to characterize behavior change interventions and inform a potential implementation intervention for changing inappropriate prescribing behaviors. Results: Lack of knowledge about appropriate drug management in patients at risk for adverse outcomes was provided as a major barrier. Other reported barriers included a lack of: (1) tools to assist with drug management, (2) motivation to make changes, (3) routinization, and (4) an accountable clinician. Conclusions and Relevance: Assigning a designated clinician to execute a stepwise, routine care process following the checklist provided is a recommended intervention to overcome barriers. The intended impact is behavior change that reduces inappropriate prescribing.

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The Intersection of Implementation Science and Pharmacy Practice Transformation

Cited by 18 publications

References 35 publications

Developing an Ear Health Intervention for Rural Community Pharmacy: Application of the PRECEDE-PROCEED Model

Developing an Ear Health Intervention for Rural Community Pharmacy: Application of the PRECEDE-PROCEED Model

Leveraging Implementation Science to Achieve Empirical Outcomes

Development of a Theory-Informed Behavior Change Intervention to Reduce Inappropriate Prescribing of Nephrotoxins and Renally Eliminated Drugs

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