دورية أكاديمية
Coaching ward pharmacists in antimicrobial stewardship: A pilot study.
| العنوان: | Coaching ward pharmacists in antimicrobial stewardship: A pilot study. |
|---|---|
| المؤلفون: | Khumra S; Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, 381 Royal Parade, Parkville, Victoria 3052, Australia.; Department of Pharmacy, Austin Health, 145 Studley Road, Heidelberg, Victoria 3084, Australia.; Department of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg, Victoria 3084, Australia., Mahony AA; Department of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg, Victoria 3084, Australia.; Department of Medicine, Building 181, University of Melbourne, Grattan St, Melbourne, Victoria 3010, Australia., Stewart K; Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, 381 Royal Parade, Parkville, Victoria 3052, Australia., Bergen PJ; Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, 381 Royal Parade, Parkville, Victoria 3052, Australia., Elliott RA; Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, 381 Royal Parade, Parkville, Victoria 3052, Australia.; Department of Pharmacy, Austin Health, 145 Studley Road, Heidelberg, Victoria 3084, Australia. |
| المصدر: | Exploratory research in clinical and social pharmacy [Explor Res Clin Soc Pharm] 2022 Mar 29; Vol. 5, pp. 100131. Date of Electronic Publication: 2022 Mar 29 (Print Publication: 2022). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Inc Country of Publication: United States NLM ID: 9918266300706676 Publication Model: eCollection Cited Medium: Internet ISSN: 2667-2766 (Electronic) Linking ISSN: 26672766 NLM ISO Abbreviation: Explor Res Clin Soc Pharm Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [New York] : Elsevier Inc., [2021]- |
| مستخلص: | Background: Ward pharmacists are well-positioned to enhance the activities of hospital antimicrobial stewardship (AMS) programs by reviewing the appropriateness of antimicrobials and making recommendations to prescribers. However, recent studies have identified gaps in ward pharmacists' AMS practice, knowledge, skills, and confidence which suggests education and training programs are needed. Objectives: To describe, for the first time, an interactive educational activity - coaching in AMS - targeted at ward pharmacists and explore their perceptions of coaching as a mode of delivering education to improve AMS knowledge, skills, confidence, and practice. A secondary objective was to describe the type, frequency, and acceptance of AMS recommendations made by coached pharmacists. Methods: This was a descriptive pilot study with a qualitative evaluation of pharmacists' perceptions and experiences of coaching. AMS coaching was delivered over 2 months in 2019 to pharmacists providing clinical pharmacy services to general medical and surgical wards. A focus group was conducted one month after the coaching period to elicit pharmacists' perceptions of coaching as a mode of delivering AMS education and how it impacted their AMS knowledge, skills, confidence, and practice. AMS recommendations made by coached pharmacists were prospectively recorded, and the prescriber acceptance rate was determined. Results: Ward pharmacists reported positive experiences with AMS coaching and believed it helped them identify a range of recommendations to improve antimicrobial prescribing and increased their confidence to communicate recommendations to prescribers. Workload issues were identified as the main barrier to implementation. Suggestions were provided to improve coaching implementation feasibility. During coaching, 162 AMS recommendations were identified for a range of antimicrobials, and 69% (113/162) were accepted and implemented. Conclusions: Ward pharmacists believed coaching improved their AMS knowledge, skills, confidence, and practice, including their confidence to discuss recommendations with prescribers. These results can assist with the design and evaluation of future hospital-based AMS educational initiatives. Competing Interests: None. (Crown Copyright © 2022 Published by Elsevier Inc.) |
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| فهرسة مساهمة: | Keywords: Antimicrobial stewardship; Coaching; Education; Feasibility studies; Hospitals; Pharmacists; Pilot projects |
| تواريخ الأحداث: | Date Created: 20220428 Latest Revision: 20220716 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC9031758 |
| DOI: | 10.1016/j.rcsop.2022.100131 |
| PMID: | 35478520 |
| قاعدة البيانات: | MEDLINE |
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