Preparing pharmacists to deliver a targeted service in hypertension management: evaluation of an interprofessional training program

BMC Medical Education

Carol L. Armour³  Ines Krass¹  Christopher Roberts⁴  Parker J. Magin⁵  Kate S. Lemay³  Beata V. Bajorek² 

[1]Faculty of Pharmacy, University of Sydney (USyd), Sydney, Australia

[2]Graduate School of Health, University of Technology Sydney (UTS), Sydney, Australia

[3]Woolcock Institute of Medical Research, University of Sydney (USyd), Sydney, Australia

[4]Sydney Medical School - Northern, Hornsby Ku-ring-Gai Hospital, Sydney, Australia

[5]Discipline of General Practice, University of Newcastle (UNewc), Newcastle, Australia

关键词: Adherence;    Interprofessional;    Training;    Prescribing;    Pharmacist;    Hypertension;   

Others  :  1228684
DOI  :  10.1186/s12909-015-0434-y

 received in 2014-10-27, accepted in 2015-09-07,  发布年份 2015

【 摘 要 】

Background

Non-adherence to medicines by patients and suboptimal prescribing by clinicians underpin poor blood pressure (BP) control in hypertension. In this study, a training program was designed to enable community pharmacists to deliver a service in hypertension management targeting therapeutic adjustments and medication adherence. A comprehensive evaluation of the training program was undertaken.

Methods

Tailored training comprising a self-directed pre-work manual, practical workshop (using real patients), and practice scenarios, was developed and delivered by an inter-professional team (pharmacists, GPs). Supported by practical and written assessment, the training focused on the principles of BP management, BP measurement skills, and adherence strategies. Pharmacists’ experience of the training (expectations, content, format, relevance) was evaluated quantitatively and qualitatively. Immediate feedback was obtained via a questionnaire comprising Likert scales (1 = “very well” to 7 = “poor”) and open-ended questions. Further in-depth qualitative evaluation was undertaken via semi-structured interviews several months post-training (and post service implementation).

Results

Seventeen pharmacists were recruited, trained and assessed as competent. All were highly satisfied with the training; other than the ‘amount of information provided’ (median score = 5, “just right”), all aspects of training attained the most positive score of ‘1’. Pharmacists most valued the integrated team-based approach, GP involvement, and inclusion of real patients, as well as the pre-reading manual, BP measurement workshop, and case studies (simulation). Post-implementation the interviews highlighted that comprehensive training increased pharmacists’ confidence in providing the service, however, training of other pharmacy staff and patient recruitment strategies were highlighted as a need in future.

Conclusions

Structured, multi-modal training involving simulated and inter-professional learning is effective in preparing selected community pharmacists for the implementation of new services in the context of hypertension management. This training could be further enhanced to prepare pharmacists for the challenges encountered in implementing and evaluating services in practice.

【 授权许可】

   
2015 Bajorek et al.

【 图 表 】

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