ArticleBMC health services research2016
A qualitative study of hospital pharmacists and antibiotic governance: negotiating interprofessional responsibilities, expertise and resource constraints.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Supporting medicines management for older people at care transitions - a theory-based analysis of a systematic review of 24 interventions.BMC health services research · 2021Pooled it
- Prevalence, pandemic, preventions and policies to overcome antimicrobial resistance.Saudi journal of biological sciences · 2024Review
- Health system barriers to the implementation of the national action plan to combat antimicrobial resistance in Vietnam: a scoping review.Antimicrobial resistance and infection control · 2024Article
- Generic Substitutions and Therapeutic Interchanges in Hospital Pharmacies: A Qualitative Study from Western Saudi Arabia.Healthcare (Basel, Switzerland) · 2023Article
- Pharmacist gender and physician acceptance of antibiotic stewardship recommendations: An analysis of the reducing overuse of antibiotics at discharge home intervention.Infection control and hospital epidemiology · 2023Article
- Factors that influence pharmacists' efforts in addressing substance use in Nigeria: An exploratory study.Exploratory research in clinical and social pharmacy · 2022Article
- Hospital Pharmacists and Antimicrobial Stewardship: A Qualitative Analysis.Antibiotics (Basel, Switzerland) · 2021Article
- Harnessing the wisdom of crowds can improve guideline compliance of antibiotic prescribers and support antimicrobial stewardship.Scientific reports · 2020Article
- Public Hospital Pharmacists' Perceptions and Knowledge of Antibiotic Use and Resistance: A Multicenter Survey.Antibiotics (Basel, Switzerland) · 2020Article
- Evaluation of a successful fluoroquinolone restriction intervention among high-risk patients: A mixed-methods study.PloS one · 2020Article
- Exploring the gaps between education and pharmacy practice on antimicrobial stewardship: a qualitative study among pharmacists in Qatar.Advances in medical education and practice · 2019Article
- Improving antibiotic prescribing by general practitioners: a protocol for a systematic review of interventions involving pharmacists.BMJ open · 2018Article
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Authors and funding
5 authors.
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Abstract
backgroundAntibiotic treatment options for common infections are diminishing due to the proliferation of antimicrobial resistance (AMR). The impact of Antimicrobial Stewardship (AMS) programs seeking to preserve viable antibiotic drugs by governing their use in hospitals has hitherto been limited. Pharmacists have been delegated a critical role in antibiotic governance in AMS teams within hospitals but the experience of pharmacists in influencing antibiotic use has received limited attention. In this study we explore the experiences of pharmacists in antibiotic decision-making in two Australian hospitals.
methodsWe conducted 19 semi-structured interviews to explore hospital-based pharmacists' perceptions and experiences of antibiotic use and governance. The analysis was conducted with NVivo10 software, utilising the framework approach.
resultsThree major themes emerged in the pharmacist interviews including (1) the responsibilities of pharmacy in optimising antibiotic use and the interprofessional challenges therein; (2) the importance of antibiotic streamlining and the constraints placed on pharmacists in achieving this; and (3) the potential, but often under-utilised expertise, pharmacists bring to antibiotic optimisation.
conclusionsPharmacists have a critical role in AMS teams but their capacity to enact change is limited by entrenched interprofessional dynamics. Identifying how hospital pharmacy's antibiotic gatekeeping is embedded in the interprofessional nature of clinical decision-making and limited by organisational environment has important implications for the implementation of hospital policies seeking to streamline antibiotic use. Resource constraints (i.e. time limitation and task prioritisation) in particular limit the capacity of pharmacists to overcome the interprofessional barriers through development of stronger collaborative relationships. The results of this study suggest that to enact change in antibiotic use in hospitals, pharmacists must be supported in their negotiations with doctors, have increased presence on hospital wards, and must be given opportunities to pass on specialist knowledge within multidisciplinary clinical teams.
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