supervision in community pharmacy final report to ?· supervision in community pharmacy final...

Download Supervision in Community Pharmacy Final Report to ?· Supervision in Community Pharmacy Final Report…

Post on 26-Apr-2019

212 views

Category:

Documents

0 download

Embed Size (px)

TRANSCRIPT

1

Supervision in Community Pharmacy Final Report

to Pharmacy Research UK

submitted February 2013 revised July 2013

Dr Fay Bradley Research Associate Dr Ellen I Schafheutle Senior Lecturer in Law & Professionalism in Pharmacy Dr Sarah C Willis Lecturer in Social Pharmacy Prof Peter R Noyce Professor of Pharmacy Practice Centre for Pharmacy Workforce Studies, Manchester Pharmacy School The University of Manchester, Oxford Road, Manchester M13 9PT

2

CONTENTS

NB. An executive summary has been published separately

LIST OF TABLES ........................................................................................................................................ 5

LIST OF FIGURES ...................................................................................................................................... 5

LIST OF BOXES ......................................................................................................................................... 5

LIST OF APPENDICES ............................................................................................................................... 6

ABBREVIATIONS ...................................................................................................................................... 7

1 Introduction .................................................................................................................................... 8

1.1 Background ............................................................................................................................. 8

1.2 Aims and objectives .............................................................................................................. 11

1.3 Structure of report ................................................................................................................ 11

2 Nominal group discussion and interview findings ........................................................................ 12

2.1 Introduction .......................................................................................................................... 12

2.2 Method ................................................................................................................................. 12

2.2.1 Nominal group discussions with pharmacists and pharmacy support staff ................. 13

2.2.2 NGT procedure .............................................................................................................. 14

2.2.3 Interviews with Superintendent Pharmacists ............................................................... 14

2.3 Findings ................................................................................................................................. 15

2.3.1 NGT: Pharmacy activities .............................................................................................. 15

2.3.1.1 Can be safely performed ........................................................................................... 16

2.3.1.2 Cannot be safely performed ..................................................................................... 20

2.3.2 NGT: Overarching themes ............................................................................................. 20

2.3.2.1 Taking professional responsibility ............................................................................. 21

2.3.2.2 Knowing the team ..................................................................................................... 23

2.3.2.3 Pharmacist presence and relinquishing control ....................................................... 24

2.3.3 Superintendent views ................................................................................................... 26

2.3.3.1 The case for change .................................................................................................. 26

2.3.3.2 What change should look like ................................................................................... 26

2.3.3.3 The role of pharmacy technicians ............................................................................. 27

2.3.3.4 Clarity on responsibilities .......................................................................................... 28

2.4 Discussion .............................................................................................................................. 29

3

3 Pharmacist and pharmacy technician survey ............................................................................... 29

3.1 Introduction .......................................................................................................................... 29

3.2 Method ................................................................................................................................. 30

3.2.1 Questionnaire design .................................................................................................... 30

3.2.2 Sample selection ........................................................................................................... 31

3.2.3 Questionnaire distribution ............................................................................................ 32

3.2.4 Analysis ......................................................................................................................... 33

3.3 Findings ................................................................................................................................. 34

3.3.1 Response rate ............................................................................................................... 34

3.3.2 Respondent demographics ........................................................................................... 34

3.3.2.1 All respondents ......................................................................................................... 34

3.3.2.2 Community pharmacy respondents.......................................................................... 35

3.3.2.3 Hospital pharmacy respondents ............................................................................... 37

3.3.3 Categorisation of activities............................................................................................ 38

3.3.4 Safe activities .............................................................................................................. 42

3.3.4.1 Safe activities Perceptions of risk ......................................................................... 42

3.3.4.2 Safe activities Differences between professional groups .................................... 42

3.3.4.3 Safe activities Key points ...................................................................................... 44

3.3.5 Borderline activities .................................................................................................... 45

3.3.5.1 Borderline activities Perceptions of risk .............................................................. 45

3.3.5.2 Borderline activities Differences between professional groups .......................... 45

3.3.5.3 Borderline activities - Key points ............................................................................. 47

3.3.6 Unsafe activities .......................................................................................................... 47

3.3.6.1 Unsafe activities Perceptions of risk .................................................................... 48

3.3.6.2 Unsafe activities Differences between professional groups ................................ 48

3.3.6.3 Unsafe activities - Key points .................................................................................. 49

3.3.7 Perceptions statements about supervision .................................................................. 49

3.3.7.1 Differences between professional groups ................................................................ 50

3.3.7.2 Views on supervision & accountability Key points ................................................ 52

3.3.8 Impact of demographics and pharmacy characteristics (e.g. workload & environment)

on community pharmacy respondents ......................................................................................... 53

3.3.8.1 Community pharmacists ........................................................................................... 53

3.3.8.2 Community pharmacy technicians............................................................................ 57

3.3.8.3 Impact of pharmacy and pharmacist/PT characteristics Key points ...................... 59

4

3.3.9 Qualitative analysis of open comments ........................................................................ 60

3.3.9.1 Can/ cannot activities............................................................................................ 60

3.3.9.2 Views on supervision ................................................................................................ 60

3.3.9.3 Competent staff ........................................................................................................ 63

3.3.9.4 Who decides? ............................................................................................................ 64

3.3.9.5 Who is r

Recommended

View more >