The national consultation skills for pharmacy practice program in England

Jee, Samuel D.; Grimes, Lesley; Desborough, James; Cutts, Christopher

doi:10.1016/j.cptl.2016.02.020

Cited by 7 publications

(7 citation statements)

References 18 publications

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“… 43 This holistic approach aligned with professional ambitions for pharmacists to adopt consultations based upon a shared care approach. 33 Despite resources being available to improve pharmacists’ consultation skills, 44 the challenge remains to what extent pharmacists are able to internalize and adopt a patient-centered approach within consultations (see “Domain 4: characteristics of stakeholders” section for further details).…”

Section: Mur Challengesmentioning

confidence: 99%

“… 42 It, therefore, remains to be seen to what extent pharmacists take the opportunity to uncover, identify, and address such complex health beliefs with the organizational constraints of MUR consultations. Despite initiatives to improve pharmacist consultation skills, 44 further improvements are needed as it has been found that many adherence intervention studies continue to fail to report tailoring the intervention to patient needs, adopting a shared care assessment or a concordant patient-centered approach. 79…”

Section: Mur Challengesmentioning

confidence: 99%

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Community pharmacy Medicines Use Review: current challenges

Latif¹

2018

IPRP

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With a growing aging population, the appropriate, effective, and safe use of medicines is a global health policy priority. One concern is patients’ non-adherence to medicines, which is estimated to be up to 50%. Policymakers seek to reconfigure medicine management services and consider community pharmacy as especially well-placed to improve medicine use. In England and Wales, a commissioned medication review service called “Medicines Use Reviews (MURs)” was made available in through the National Health Service (NHS) in 2005. This involves a patient–pharmacist consultation to improve patients’ knowledge and the use of medicines and to help reduce avoidable waste. However, over a decade since their introduction, questions remain over the extent to which the MUR policy has successfully been embedded in practice and translated into more effective use of medicines. The MUR intervention continues to hold many challenges ranging from poor public awareness and acceptance of MURs, organizational constraints, and issues over interprofessional collaboration. Many of these challenges are not exclusive to the MUR service, or even to the community pharmacy setting. Nevertheless, by identifying and exposing such challenges, an opportunity exists for policymakers and commissioners to seek to improve this service to patients. This narrative review explores the current challenges that face MURs. Damschroder et al’s consolidated framework for implementation research is employed to help organize these challenges from patient and professional perspectives across multiple contexts. Over the past decade, MUR policy and practice has continued to evolve, being shaped by research, organizational and professional influences, and policy. Reforms to the service suggest that the MURs are becoming more responsive to patients’ need and preferences. It is intended that this review will create impetus and scope for further debate, service reconfiguration, and ultimately service improvement.

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Section: Mur Challengesmentioning

confidence: 99%

Section: Mur Challengesmentioning

confidence: 99%

Community pharmacy Medicines Use Review: current challenges

Latif¹

2018

IPRP

View full text Add to dashboard Cite

show abstract

“…Effective communication is essential in ensuring positive health outcomes and best patient care. An increased emphasis has been put onto pharmacists' consultation skills, which are likely to become even more important with the advancement of a pharmacists' role in the coming years [4,30]. Research has found that after undergraduate education, medical graduates' communication abilities may deteriorate as a result of non-continuous training in this area [31].…”

Section: Discussionmentioning

confidence: 99%

Virtual patients as a tool for training pre-registration pharmacists and increasing their preparedness to practice: A qualitative study

2020

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Virtual patients are an active learning pedagogical tool which simulate clinical scenarios in a three-dimensional environment. Their use in pharmacy education is under-researched in comparison to other healthcare professions. In the United Kingdom, pre-registration training refers to a year of workplace based training which pharmacy graduates must complete prior to professional registration as pharmacists. This study aimed to evaluate preregistration pharmacists' perceptions on the integration, usefulness and enjoyment of completing virtual patient simulations or non-interactive case studies as part of their training. Pre-registration trainees completed three virtual patient simulations or three noninteractive case studies on the topics of: emergency hormonal contraception, renal function and childhood illnesses. Telephone interviews were conducted with twenty pre-registration pharmacists, exploring their perspectives on the use of the virtual patient or noninteractive case studies. Data was analysed using the five-stage framework approach. Four main themes emerged from the data: case study design; usefulness of the case studies as a training tool; support in pre-registration training; utility of the learning tools. Trainees also identified technical issues they had experienced while completing the virtual patient simulations, specifically with keyword recognition. Pre-registration trainees who used the virtual patients provided comments relating to the novelty, realism and enjoyment in completing them. Trainees in both groups reported developing knowledge and skills from completing the case studies; those who used the virtual patient commented on the development of communication skills and an increase in confidence for practice and those who used the non-interactive cases focused on knowledge acquisition and numeracy. Participants were enthusiastic about virtual patients as a novel training tool which provided an opportunity for learners to practice realistic scenarios in a safe environment. Virtual patients offer the potential to 'bridge the gap' in pharmacist pre-registration sectorrelated training variation, promote learning through reflection on doing and increase overall preparedness for practice.

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“…CPs delivering MUR and NMS are required to be accredited in patient-centred consultation skills ( Jee et al, 2016 ). Distance learning has been available via the Centre for Pharmacy Postgraduate Education (CPPE) since 2014 ( CPPE, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

Using qualitative process evaluation in the development of a complex intervention to advance person-centred practice by pharmacists: The Medicines and Alcohol Consultation (MAC)

Madden

Morris

Stewart

et al. 2021

SSM - Qualitative Research in Health

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In order to effectively evaluate complex interventions, there have been calls for the further integration of qualitative methods. Qualitative process studies of brief alcohol interventions and medicines reviews are notably lacking. This article provides a grounded example through the presentation of findings from an embedded qualitative process evaluation of a multi-site, pilot cluster RCT of a new intervention: the Medicines and Alcohol Consultation (MAC). MAC is designed to increase the capacity of community pharmacists (CPs) to conduct person-centred medicines reviews in which the subject of alcohol consumption is raised in connection with medications and associated health conditions. Participant-focused qualitative studies (interviews, observations, recorded consultations) sought to understand how CPs engaged with and implemented MAC in context. This article documents effects of the intervention on developing person-centred consultation practice and highlights how qualitative process studies can be used formatively to develop middle range programme theory and to optimise intervention design for testing in a definitive RCT.

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The national consultation skills for pharmacy practice program in England

Cited by 7 publications

References 18 publications

Community pharmacy Medicines Use Review: current challenges

Community pharmacy Medicines Use Review: current challenges

Virtual patients as a tool for training pre-registration pharmacists and increasing their preparedness to practice: A qualitative study

Using qualitative process evaluation in the development of a complex intervention to advance person-centred practice by pharmacists: The Medicines and Alcohol Consultation (MAC)

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