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

Bajorek BV, Lemay KS, Magin PJ, Roberts C, Krass I, Armour CL - BMC Med Educ (2015)

Bottom Line: 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.This training could be further enhanced to prepare pharmacists for the challenges encountered in implementing and evaluating services in practice.

View Article: PubMed Central - PubMed

Affiliation: Graduate School of Health, University of Technology Sydney (UTS), Sydney, Australia. Beata.Bajorek@uts.edu.au.

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus

Flowchart of adherence program based on the Health Collaboration Model (HCM)
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Fig2: Flowchart of adherence program based on the Health Collaboration Model (HCM)

Mentions: A training program was developed for community pharmacists who were recruited to participate in an intervention trial evaluating the impact of a targeted pharmacist-led service in hypertension management (Fig. 1; Fig. 2). The training program was evaluated at the time of training as well as after the service had been implemented (i.e., at conclusion of the intervention trial). Conduct of the study was approved by the University of Sydney Human Research Ethics Committee (Application 14483), as well as from the participating Medicare Locals (divisions of general practice).Fig. 1


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

Bajorek BV, Lemay KS, Magin PJ, Roberts C, Krass I, Armour CL - BMC Med Educ (2015)

Flowchart of adherence program based on the Health Collaboration Model (HCM)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4587878&req=5

Fig2: Flowchart of adherence program based on the Health Collaboration Model (HCM)
Mentions: A training program was developed for community pharmacists who were recruited to participate in an intervention trial evaluating the impact of a targeted pharmacist-led service in hypertension management (Fig. 1; Fig. 2). The training program was evaluated at the time of training as well as after the service had been implemented (i.e., at conclusion of the intervention trial). Conduct of the study was approved by the University of Sydney Human Research Ethics Committee (Application 14483), as well as from the participating Medicare Locals (divisions of general practice).Fig. 1

Bottom Line: 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.This training could be further enhanced to prepare pharmacists for the challenges encountered in implementing and evaluating services in practice.

View Article: PubMed Central - PubMed

Affiliation: Graduate School of Health, University of Technology Sydney (UTS), Sydney, Australia. Beata.Bajorek@uts.edu.au.

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus