You are viewing the site in preview mode

Skip to main content

Advertisement

Table 2 Perception of pharmacists and managers regarding the implementation of Clinical Pharmacy services in a high-complexity public hospital. Categories of “Perception of the current situation”, “Expectations of clinical pharmacy implementation”, “Barriers to the implementation” and “Facilitators for the implementation”. Aracaju, 2016

From: Perceptions of a group of hospital pharmacists and other professionals of the implementation of clinical pharmacy at a high complexity public hospital in Brazil

Category Registration Unit
Perception of the current situation Pharmacists Managers
  Profession in Brazil does not renovate / it is outdated Dissatisfaction with work Exclusively distributive assignments Job satisfaction when there is interprofessional collaboration Incipient pharmaceutical education in the clinical area Hospital without work process focused on patient safety There is no record of clinical interventions carried out by the pharmacists Lack of support from pharmacy teams to clinical services Fragmented view of the medical staff on patients Lack of clinical pharmacy services in the hospital Some pharmacists of the team prefer distributive assignments Management support to activities related to patient safety
Expectations Pharmacists Managers
  Professional practice focusing on clinical services Researchers’ support and guidance Positive impact of the services for patients and healthcare team Services sustainability The new services will make pharmacists more visible for directors Improvement in the medication use process Positive impact for patients Reducing costs and damage caused by misuse of drugs Improvement of the communication process among the healthcare team Appreciation of pharmacist’s clinical performance at the hospital Pharmacist’s qualification Recruitment of new pharmacists
Barriers Pharmacists Managers
Subcategory External factors Failures of the public health system in Brazil Resistance of some healthcare professionals to clinical pharmacy services Lack of proactive attitude and collaboration among pharmacists Changes in the hospital board of directors may hinder the process of Clinical Pharmacy implementation Unawareness of pharmacists’ clinical activities by healthcare team and managers Resistance of some healthcare professionals to clinical pharmacy services
Structure and organization Insufficient pharmacists to distributive and clinical tasks Lack of adequate working facilities to develop clinical pharmacy Drug shortage in the hospital Manager pressure on pharmaceutical distributive tasks Poor workforce management Lack of standardization of pharmaceutical work process Insufficient number of pharmacists and pharmacy assistants to assist the hospital’s patients Pharmacists have to deal with clinical and distributive tasks High rotation of physicians in the hospital Lack of standardization of distributive activities Lack of standardization of pharmaceutical work process Lack of integration (collaborative practices) in the healthcare team work processes
Barriers Pharmacists Managers
Subcategory Structure and organization Lack of training of pharmacy assistants on distributive assignments Lack of experience and training of pharmacists on clinical practice  
Attitudes of pharmacists and relationship with healthcare team Pharmacist’s insecurity by poor qualification and experience on clinical practice Lack of pharmacist autonomy at work Difficulties in interacting with the healthcare team Unawareness of pharmacists’ clinical activities by healthcare team and managers Uncertainty regarding the sustainability of Clinical Pharmacy services Absence of communication with the healthcare team
Facilitators Pharmacists Managers
Subcategory Structure and organization Lack of training of pharmacy assistants on distributive assignments Lack of experience and training of pharmacists on clinical practice  
  Part of the pharmacist’s team has experience in Clinical Pharmacy Prior knowledge of other healthcare professionals on clinical pharmacy services Support of medical residents Existence of a Drug Information Service at the hospital Part of the pharmacists’ team has clinical experience Interest of the majority of pharmacists to provide clinical services Good relationship between pharmacists and some healthcare professionals Management support to activities related to patient safety program Support of pharmaceutical and medical residents Organization of the healthcare team work processes Support of healthcare team, managers and pharmacy team Training of pharmacists and pharmacy assistants for clinical practice Adequacy of the physical structure for service Pharmacist participation in the multidisciplinary activities of the hospital Registration of clinical and economic impacts of the Clinical Pharmacy services