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Community pharmacists’ views of using a screening tool to structure medicines use reviews for older people: findings from qualitative interviews.

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journal contribution
posted on 20.11.2020, 09:36 by Karen Cardwell, Carmel M. Hughes, Cristin Ryan

Background The Medicines use review (MUR) service, provided by community pharmacists, seeks to optimise patients' use of medicines. There is limited evidence on the clinical effectiveness of this service. Structuring MURs to include an assessment of prescribing appropriateness, facilitated by a validated prescribing screening tool, has the capacity to enhance this service.

Objective To explore community pharmacists' views on the facilitators and barriers towards the utilisation of a screening tool as a guide to conducting structured MURs. Setting Community Pharmacy, Northern Ireland.

Method Using the 14 domain Theoretical Domains Framework (TDF), semi-structured interviews were conducted with community pharmacists. Interviews were digitally recorded, transcribed verbatim and analysed using the Framework method.

Main Outcome Measure Pharmacists' views towards utilisation of a screening tool as a guide to conducting structured MURs.

Results Based on the analysis of 15 interviews, 11 TDF domains ('Knowledge', 'Skills', 'Social and professional role and identity', 'Beliefs about capabilities', 'Beliefs about consequences', 'Reinforcement', 'Goals', 'Memory, attention and decision process', 'Environmental context and resources', 'Social influences', 'Behavioural regulation') were deemed relevant. Facilitators included: knowledge of patients, clinical knowledge, perceived professional role, patients' clinical outcomes, influence of peers. Barriers included: prioritisation of other clinical activities, inability to access patients' clinical information, perceived alienation from the primary healthcare team and staffing issues.

Conclusions Using the TDF, key facilitators and barriers were identified in the use of a screening tool as a guide to conducting MURs. These findings may assist in further development of MURs as a means to optimise patients' medicines use.


Funding

Department for Employment and Learning (DEL), Northern Ireland.

Harold and Marjorie Moss Trust

History

Comments

The original article is available at https://link.springer.com

Published Citation

Cardwell K, Hughes CM, Ryan C. Community pharmacists' views of using a screening tool to structure medicines use reviews for older people: findings from qualitative interviews. International Journal of Clinical Pharmacy. 2018;40(5):1086-1095.

Publication Date

23 May 2018

PubMed ID

29796962

Department/Unit

  • General Practice
  • HRB Centre for Primary Care Research

Research Area

  • Population Health and Health Services

Publisher

Springer

Version

  • Published Version (Version of Record)