ArticleBMJ open2016
When procedures meet practice in community pharmacies: qualitative insights from pharmacists and pharmacy support staff.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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Who cites it
15 citing papers in PubMed.
- An Exploratory Study of Over-the-Counter Medication Counseling Topics in Community Pharmacies and Alignment with Counseling Frameworks.Pharmacy (Basel, Switzerland) · 2026Article
- Protocols versus practice: unravelling clinical checking variations in community pharmacies in England-a multi-method study.International journal of clinical pharmacy · 2024Article
- Indonesian Pharmacists' Application of Beyond-Use Date Interventions to Patients and Its Contributing Factors: A Cross-Sectional Study.Hospital pharmacy · 2023Article
- Stocking Practices of Anti-Tuberculosis Medications among Community Pharmacists and Patent Proprietary Medicine Vendors in Two States in Nigeria.Healthcare (Basel, Switzerland) · 2023Article
- Considerations of Australian community pharmacists in the provision and implementation of cognitive pharmacy services: a qualitative study.BMC health services research · 2021Article
- Rapid realist review of the role of community pharmacy in the public health response to COVID-19.BMJ open · 2021Review
- 'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy.BMJ open · 2021Article
- Pharmacy ethical reasoning: a comparison of Australian pharmacists and interns.International journal of clinical pharmacy · 2019Article
- Moral dilemmas reflect professional core values of pharmacists in community pharmacy.The International journal of pharmacy practice · 2019Article
- Care Coordination as Imagined, Care Coordination as Done: Findings from a Cross-national Mental Health Systems Study.International journal of integrated care · 2018Article
- Understanding procedural violations using Safety-I and Safety-II: The case of community pharmacies.Safety science · 2018Article
- Thinking in Pharmacy Practice: A Study of Community Pharmacists' Clinical Reasoning in Medication Supply Using the Think-Aloud Method.Pharmacy (Basel, Switzerland) · 2017Article
- "Go Make Your Face Known": Collaborative Working through the Lens of Personal Relationships.International journal of integrated care · 2017Article
- Assessment of pharmacists' knowledge, attitude and practice in chain community pharmacies towards their current function and performance in Indonesia.Pharmacy practiceArticle
- Impact of a Policy Change on Pharmacists' Reporting of Adverse Drug Reactions.The Canadian journal of hospital pharmacyArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesOur aim was to explore how members of community pharmacy staff perceive and experience the role of procedures within the workplace in community pharmacies.
settingCommunity pharmacies in England and Wales.
participants24 community pharmacy staff including pharmacists and pharmacy support staff were interviewed regarding their view of procedures in community pharmacy. Transcripts were analysed using thematic analysis.
results3 main themes were identified. According to the 'dissemination and creation of standard operating procedures' theme, community pharmacy staff were required to follow a large amount of procedures as part of their work. At times, complying with all procedures was not possible. According to the 'complying with procedures' theme, there are several factors that influenced compliance with procedures, including work demands, the high workload and the social norm within the pharmacy. Lack of staff, pressure to hit targets and poor communication also affected how able staff felt to follow procedures. The third theme 'procedural compliance versus using professional judgement' highlighted tensions between the standardisation of practice and the professional autonomy of pharmacists. Pharmacists feared being unsupported by their employer for working outside of procedures, even when acting for patient benefit. Some support staff believed that strictly following procedures would keep patients and themselves safe. Dispensers described following the guidance of the pharmacist which sometimes meant working outside of procedures, but occasionally felt unable to voice concerns about not working to rule.
conclusionsOrganisational resilience in community pharmacy was apparent and findings from this study should help to inform policymakers and practitioners regarding factors likely to influence the implementation of procedures in community pharmacy settings. Future research should focus on exploring community pharmacy employees' intentions and attitudes towards rule-breaking behaviour and the impact this may have on patient safety.
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