To be or not to be: The identity work of pharmacists as clinicians

McDermott, Imelda; Astbury, Jayne; Jacobs, Sally; Willis, Sarah; Hindi, Ali; Seston, Elizabeth; Schafheutle, Ellen

doi:10.1111/1467-9566.13605

Cited by 6 publications

(3 citation statements)

References 103 publications

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“…Based on the limited literature and the reported Norwegian experience, we can highlight the importance of expanding the roles of pharmacists beyond traditional medication dispensing in order to encompass broader healthcare services [ 34 ], including social prescribing. Pharmacists in other countries could similarly determine their potential, advocate for involvement in social prescribing initiatives, and leverage their accessibility, expertise, and established patient relationships to address social determinants of health [ 35 ]. The successful implementation of social prescribing in Norway requires close collaboration between pharmacists, physicians, and other healthcare professionals, emphasizing the importance of interdisciplinary teamwork [ 36 ] in delivering holistic care.…”

Section: Discussionmentioning

confidence: 99%

Social Prescribing Competence among Community Pharmacists and Pharmacy Students in Norway

Gabeyre,

Hussein,

Salih

et al. 2024

Pharmacy

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Background and aim: Social prescribing, which links patients to non-clinical services and involves general physicians, has been gaining traction. Community pharmacists, who are integral to primary healthcare, have untapped potential in social prescribing. This study explores social prescribing competence among Norwegian community pharmacists and pharmacy students. Method: A cross-sectional study utilizing an anonymous online questionnaire to collect quantitative data was conducted. Inspired by the limited relevant literature, the questionnaire was constructed, pilot-tested, and distributed in a one-week window within a Facebook group for Norwegian pharmacists. The questionnaire comprised 23 questions categorized into demographic details and competence assessment, covering general knowledge, attitude, and barriers/facilitators related to social prescribing. Statistical analyses were employed to determine the competence of the participants. Results: The online questionnaire collected data from 96 participants, primarily females (79.2%), aged 25–34 (40.6%), who were identified as community pharmacists (49.0%). Most (91.7%) worked in community pharmacies, with 31.3% having over 10 years of experience. Despite positive client relationships (93.8%), statistical analysis revealed no significant associations between competence and variables such as work experience, education, or gender. The custom scoring system yielded an average competence score of 1.98 on a 5-point scale, with attitudes and perceptions of participants scoring 3.82. Overall competence was calculated at 3.4, indicating a moderate level. Conclusions: The findings of this study reveal that the participants had limited knowledge regarding social prescribing, emphasizing the need for education. However, the participants showed strong enthusiasm for competence development. This groundwork paves the way for future investigations centered on pilot-testing strategies to boost social prescribing knowledge and engagement among Norwegian community pharmacists and pharmacy students.

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Section: Discussionmentioning

confidence: 99%

Social Prescribing Competence among Community Pharmacists and Pharmacy Students in Norway

Gabeyre,

Hussein,

Salih

et al. 2024

Pharmacy

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“…Ce contexte intense a toutefois aussi révélé la frustration des officinaux face à un sentiment de global de manque de reconnaissance de leur travail [26]. D'autres travaux indiquent que les rôles des pharmaciens officinaux sont en évolution et que ces professionnels de santé deviennent un pilier de la relation de soin réclamée par les patients et leurs proches [29,30]. Cette relation de soin mise en place par les officinaux peut être une source de valorisation pour ces professionnels, d'autant plus si elle est reconnue par l'ensemble des acteurs du soin et de la société.…”

Section: Discussionunclassified

Rôles et vécus des pharmaciens d’officine dans les soins palliatifs à domicile en France

Cuchet,

Dambrun,

Lander

2024

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Les besoins en soins palliatifs à domicile augmentent dans l'ensemble des pays occidentaux. Les pharmaciens d'officine sont des professionnels de proximité dont les rôles dans les soins de fin de vie à domicile restent méconnus. Cette étude vise à comprendre les représentations des pharmaciens d'officine de leurs missions dans les soins de fin de vie à domicile en France et à analyser leurs vécus de ces accompagnements. Un questionnaire en ligne a été diffusé auprès d'officinaux en activité sur le territoire français entre décembre 2022 et mars 2023. Sur 136 répondants au questionnaire, 87% d'entre eux ont accompagné au moins un patient en fin de vie dans les 3 mois précédant l'enquête. L'éducation thérapeutique (88% des répondants), le soutien psychologique aux aidants (85% des répondants), la sécurisation des traitements (82% des répondants) et la surveillance de l'observance thérapeutique (80% des répondants) sont les comportements validés par le plus grand nombre de participants. Ces prises en charge de patients en fin de vie sont vécues de façon globalement positive par la majorité des professionnels interrogés. Ces résultats ouvrent la voie vers un meilleur accompagnement des patients en fin de vie à domicile par les pharmaciens officinaux. MOTS-CLÉSsoins palliatifs ; domicile ; pharmaciens d'officine ; accompagnement de fin de vie

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“…The strategies deployed may include the use of credentials, legal / legislative protection of exclusive rights or titles, or the support of powerful elites [15][16][17]. Given that role boundaries in the UK are seldom immutable, competition for space within a given domain remains a constant challenge for professions [20][21][22][23][24]. Achieving the desired outcome depends upon the degree to which significant others -more powerful professions, the state and the public -can be engaged as resources or persuaded of the case for change [4,14,21].…”

Section: Introductionmentioning

confidence: 99%

Independent prescribing in the UK: insights from the Department of Health Allied Health Professions Medicines Project team

Bristow

Bowen

Wilson

et al. 2023

Journal of Foot and Ankle Research

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Background The UK medicines legislation was amended ten years ago (2013) to allow podiatrists and physiotherapists independent prescribing rights, the first of the allied health professions to do so. Non-medical prescribing formed one part of a broader policy agenda promoting role flexibility in response to the challenge of an ageing population and the need to maintain effective health provision in the face of a contracting workforce. Aim The aim of this study was to outline the experiences of the Department of Health AHP medicines project board team in working towards independent prescribing for podiatry and physiotherapy, with a particular focus on the challenges encountered. Methods In depth, open-ended interviews were conducted with eight of the core members of the project team, drawn from those individuals who served throughout the duration of the project (2010–2013). Included were the former Department of Health Chief and Deputy Chief Allied Health Professions Officers; the Department of Health Engagement and Communications Officer; representatives of the Health and Care Professions Council; the Medicines and Healthcare products Regulatory Agency; the Council of Deans of Health; the Royal College of Podiatry and the Chartered Society of Physiotherapy (The team also included the representative of the Allied Health Professions Federation. However, as that representative is also a researcher in this study, he has recused himself from any role as a participant.). Data were transcribed and subject to a thematic analysis. Results A complex picture of the project emerged revealing a range of obstacles and challenges, including inter-professional role boundary tensions and negative prior assumptions about the two professions. Success hinged upon the adoption of a dual strategy involving submission of a robust case of need focused on patient benefit coupled with the careful management of professional expectations. Underpinning theory from the sociology of the professions offers a supportive explanatory framework for understanding the relationships between the various stakeholders involved. Conclusions Ultimately, success depended upon aligning the project aims with healthcare policy through a clear focus on patient benefit. Balancing competing professional and policy demands through a continual emphasis on improved patient care laid the foundations for future projects by other allied health professions.

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To be or not to be: The identity work of pharmacists as clinicians

Cited by 6 publications

References 103 publications

Social Prescribing Competence among Community Pharmacists and Pharmacy Students in Norway

Social Prescribing Competence among Community Pharmacists and Pharmacy Students in Norway

Rôles et vécus des pharmaciens d’officine dans les soins palliatifs à domicile en France

Independent prescribing in the UK: insights from the Department of Health Allied Health Professions Medicines Project team

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