Learning and Networking: Utilization of a Primary Care Listserv by Pharmacists

Trinacty, Melanie; Farrell, Barbara; Schindel, Theresa J.; Sunstrum, Lisa; Dolovich, Lisa; Kennie, Natalie; Russell, Grant; Waite, Nancy

doi:10.4212/cjhp.v67i5.1388

Cited by 9 publications

(14 citation statements)

References 23 publications

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“…Research from the existing Primary Care Pharmacy Specialty Network (PC-PSN) in Canada also demonstrated that listservs can act as key channels for PCT pharmacists to connect to share information, identify solutions for complex patients and care, and provide mentorship opportunities [ 61 ]. Further research demonstrates that pharmacists identified key competencies for working in primary care, which include a focus on communication, collaboration, and professionalism, and consider how these relate to pharmacists and other healthcare professionals in understanding the evolving roles of PCT pharmacists in order to establish performance indicators to support professional education [ 62 ].…”

Section: Evolving Pharmacy Education and Practicementioning

confidence: 99%

The Evolving Role and Impact of Integrating Pharmacists into Primary Care Teams: Experience from Ontario, Canada

et al. 2020

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The movement to integrate pharmacists into primary care team-based settings is growing in countries such as Canada, the United States, the United Kingdom, and Australia. In the province of Ontario in Canada, almost 200 pharmacists have positions within interdisciplinary primary care team settings, including Family Health Teams and Community Health Centers. This article provides a narrative review of the evolving roles of pharmacists working in primary care teams, with a focus on evidence from Ontario, as well as drawing from other jurisdictions around the world. Pharmacists within primary care teams are uniquely positioned to facilitate the expansion of the pharmacist’s scope of practice, through a collaborative care model that leverages, integrates, and transforms the medication expertise of pharmacists into a reliable asset and resource for physicians, as well as improves the health outcomes for patients and optimizes healthcare utilization.

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Section: Evolving Pharmacy Education and Practicementioning

confidence: 99%

The Evolving Role and Impact of Integrating Pharmacists into Primary Care Teams: Experience from Ontario, Canada

et al. 2020

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“…This discussion thread model illustrated collective knowledge creation, as various VC members worked together to solve a knowledge need or local problem presented by the first poster. These conversations, discussions and potential difference of opinion that occur online are a key attribute of a VCoP (Barnett et al, ; Chang et al, ), enabling development of professional knowledge for individual members and the collective practice knowledge of the community, leading to potential improvements in practice and innovation (Kurtz‐Rossi et al, ; Trinacty et al, ; Wenger, ).…”

Section: Discussionmentioning

confidence: 99%

“…Critically, knowledge exchanges were cordial and professional, reinforcing acceptable online behaviours to all members, and especially to new members. Collegial disagreement is a critical characteristic of online discussions as it promotes participation and retention of members (Trinacty et al, ), Role modelling of appropriate intra‐ and inter‐professional communications also facilitates development of a shared understanding of knowledge and roles within the multi‐disciplinary team (Dias & Escoval, ).…”

Section: Discussionmentioning

confidence: 99%

“…The dialogical interactions within the discussion thread illustrated how members were able to reach out to colleagues for key knowledge, to vicariously experience innovations and importantly gain varying perspectives on practice; this emphasises the social construction of knowledge in health (Murad et al, 2017). This is illustrated by the finding that the primary reason for members requesting help was to compare or benchmark local practices, previously noted as an essential benefit of VC membership (Kurtz-Rossi et al, 2017;Trinacty et al, 2014).…”

Section: An Emergent Virtual Community Of Practicementioning

confidence: 99%

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Intensive care nurses on social media: An exploration of knowledge exchange on an intensive care virtual community of practice

Rolls

Hansen

Jackson

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To explore the nature of knowledge exchange on a multi‐disciplinary Australasian intensive care virtual community of practice, “ICUConnect.” Background Current organisational structures and cultures constrain the social networks of healthcare professionals, limiting access to contemporary best practice knowledge. While virtual communities can facilitate knowledge and clinical expertise exchange in professional networks, their effectiveness has not been established. Design A sequential mixed‐methods design with a quantitative core and qualitative supplementary component was used to explore the content of discussions from an intensive care virtual community. SRQR has been used to report this study. Methods Email archives of an intensive care listserv (2003–2013) were mined using a two‐stage sampling technique to identify discussion threads (with >2 posts) concerning ventilator or airway practices (cluster) and two sets of 20 threads (stratified across years). Summative content analysis was used to examine both manifest and latent content. Results Forty threads containing 326 emails posted by 133 individuals from 80 organisations were analysed. Nurses contributed 68% (55% were in clinical leadership roles) and physicians 27%. Three subject areas were identified: clinical practices (71%); equipment (23%); and clinical governance (6%). “Knowledge‐requested” and “knowledge‐supplied” posts were categorised as follows: experiential and explicit (33% and 16%, respectively); experiential (27% and 35%); or explicit (40% and 17%). Knowledge supplied was also categorised as “know‐how” (20%); “know‐why” (5%) or “no knowledge” exchanged (6%). The central construct of virtual community work was identified with six elements that facilitated participation and knowledge exchange including: (a) the discussion thread; (b) sharing of artefacts; (c) community; (d) cordiality; (e) maven work; and (f) promotion of the VC. Members asked questions to benchmark their practice, while those who answered were focused on ensuring that best practices were delivered. Conclusions ICUConnect reflected characteristics of a virtual community of practice, enabling key benefits for members and the broader Australasian intensive care community, especially access to best practice knowledge from clinical experts. Relevance to clinical practice This study demonstrated that a practice‐based VC can function effectively as a VCoP to establish an effective professional network where members have access to up‐to‐date best practice knowledge. Healthcare organisations could leverage VCs to support the professional development of HCPs and ensure that local clinical practices are based on contemporaneous knowledge. Participation by nurses in these communities facilitates individual professional development and access to important clinical knowledge and expertise, and ultimately reinforcing the unique position of nursing in delivering effective, consistent high‐quality patient care.

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“…The use of online social networks is an important method for facilitating information sharing as well as providing and receiving support among patients and health care professionals [ 15 , 16 ]. Online communities offer patients access to both emotional support and information about disease management that are not always available or easily accessible [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

A Moderated e-Forum for Adults With Cardiovascular Disease: Usability Study

Tanaka¹,

Banerjee²,

Surikova³

et al. 2018

JMIR Hum Factors

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BackgroundSelf-care behaviors are commonly prescribed to manage both cardiovascular disease and hypertension to reduce modifiable risk factors and improve quality of life. Nevertheless, long-term adherence to self-care recommendations for cardiac patients has been problematic. In cardiac patients, moderated online forums have been found to be particularly useful in supporting maintenance of heart-healthy diet and fewer hospital visits. As such, we developed the e-Forum, a Web-based moderated forum designed to promote continued user engagement and long-term self-care adherence.ObjectiveThe objective of this study was to assess the usability of the user interface for the newly designed e-Forum. In addition to overall user satisfaction, we obtained feedback from our target users on the key features of this newly developed interface.MethodsAn iterative design tested the usability of the e-Forum. On the basis of the user feedback, adjustments were made to the design of our e-Forum, and these changes were then tested in the succeeding group. Participants were recruited from the Heart Function Clinic at the Peter Munk Cardiac Center, University Health Network. After consenting to participate in our study, patients were asked to complete a set of goal-oriented tasks and a feedback interview for the e-Forum. A content analysis of the transcripts from the set of goal-oriented tasks and feedback interviews identified several themes, including general feedback and comments regarding 3 key areas of the e-Forum: layout, navigation, and content.ResultsOverall, 13 cardiac patients (aged 32-81 years) participated in 3 rounds of testing. Participants across all 3 rounds were highly satisfied with our e-Forum and indicated that they would find such a forum useful in managing their health. Expressions of overall satisfaction with the e-Forum and positive comments regarding layout increased between the initial and the final round. As improvements were made to the e-Forum based on participant feedback, potential barriers, negative comments related to the content, and the number of navigation errors decreased between rounds 1 and 3.ConclusionsWe found evidence to support the usability of the user interface for our e-Forum. These results indicate that the e-Forum will likely be a successful tool to support an online community of cardiac patients in their efforts to sustain long-term lifestyle behavior change.

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Learning and Networking: Utilization of a Primary Care Listserv by Pharmacists

Cited by 9 publications

References 23 publications

The Evolving Role and Impact of Integrating Pharmacists into Primary Care Teams: Experience from Ontario, Canada

The Evolving Role and Impact of Integrating Pharmacists into Primary Care Teams: Experience from Ontario, Canada

Intensive care nurses on social media: An exploration of knowledge exchange on an intensive care virtual community of practice

A Moderated e-Forum for Adults With Cardiovascular Disease: Usability Study

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