Association of pharmaceutical care barriers and role ambiguity and role conflict of clinical pharmacists

Abstract

Objectives: This study aimed to understand current status of pharmaceutical care barriers and explore the impact of them on the role ambiguity and role conflict of clinical pharmacists in secondary and tertiary hospitals in mainland China.Methods: The Chinese version of Role Conflict and Role Ambiguity Scale was used to measure clinical pharmacists’ role ambiguity and role conflict. A questionnaire for clinical pharmacists’ pharmaceutical care barriers was established to determine whether clinical pharmacists encounter barriers. Multiple linear regression model was used to analyze the influence of various pharmaceutical care barriers on the role ambiguity and role conflict of clinical pharmacists.Results: 1,300 clinical pharmacists from 31 provinces were eventually included. The results revealed that commonly perceived barriers to pharmaceutical care by clinical pharmacists include the lack of financial compensation and dedicated time for pharmaceutical care. Barriers such as clinical pharmacists’ unawareness of the importance of pharmaceutical care increase the degree of clinical pharmacists’ role conflict. And the lack of financial compensation for pharmaceutical care decreases the degree of role ambiguity, while barriers such as the lack of dedicated time for pharmaceutical care, the failure to standardize the service procedures and contents of related documents in healthcare institutions increase the degree of role ambiguity.Conclusion: Increased focus on enhancing financial compensation, responsibility cognition, education and training, and greater consideration of institutional factors could help clinical pharmacists better manage their work environments and provide higher-quality pharmaceutical care.

Building a Hospital Pharmacist Workforce by a Diversified and Position-Oriented Learning System

“…Role ambiguity, insufficient training and understaffing of pharmacists are considered to have a negative impact on pharmaceutical services in China. 8 Our position-oriented learning system seemed to be able to compensate for this shortcoming. The strengthening of the pharmacy team at the hospital had significant improved various pharmaceutical care metrics of SAHZU.…”

“…However, pharmacists are increasingly expected to use their expertise and skills to optimize patient health outcomes and minimize medical expenses. 4,[6][7][8] Many medical university-affiliated hospitals also function as premier teaching institutions, there is a pressing need for highly skilled pharmaceutical professionals capable of providing value-added care. 4,9 Hospitals face significant challenges in staffing and training pharmacists to meet these evolving demands.…”

Outcomes of Community Pharmacy Interventions on Patients with Medicines Under Additional Monitoring

“…In spite of the promising results reported in the present work, CP usually encounter several barriers that hinder their participation in this type of services, such as, lack of specific training and knowledge, time required to perform the service or non-remuneration. 43 , 44 Studies like this would help to break down barriers so that community pharmacies would be more involved in providing pharmaceutical care services to their patients.…”

Current situation and influencing factors of high-level role conflict among clinical teachers: A cross-sectional study

“…[ 9 – 11 ] The latest research has found that insufficient communication skills and failure to standardize the service procedures and contents of related documents in healthcare institutions significantly impact clinical teachers’ role conflict. [ 12 ] Pediatric medical teachers identify the difficulty in balancing their medical education and clinical roles and indicate that achieving this is easier with dedicated educational time and administrative support. [ 13 ]…”