Evidence map›Paper›PMID 29387420›Full record

ArticleJournal of pharmaceutical policy and practice2018

Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework.

Alemayehu B Mekonnen, Andrew J McLachlan, Jo-Anne E Brien, Desalew Mekonnen, Zenahebezu Abay

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Article in Journal of pharmaceutical policy and practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

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0cells of the map it votes in
14citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  6. Consensus methodology to investigate the crucial referral criteria to pharmacist-led counseling clinics in Makkah City.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Alemayehu B Mekonnen1Faculty of Pharmacy, University of Sydney, Pharmacy and Bank building (A15), Sydney, NSW 2006 Australia.
Andrew J McLachlan1Faculty of Pharmacy, University of Sydney, Pharmacy and Bank building (A15), Sydney, NSW 2006 Australia.
Jo-Anne E Brien1Faculty of Pharmacy, University of Sydney, Pharmacy and Bank building (A15), Sydney, NSW 2006 Australia.
Desalew Mekonnen3Department of Internal Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Zenahebezu Abay4Department of Internal Medicine, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital pharmacists play a central role in medication safety activities. However, in Ethiopia, this role has been launched recently and little is known regarding the current status of this extended service. Using the Theoretical Domains Framework (TDF), we aimed to identify the barriers and facilitators to hospital pharmacists' engagement in medication safety activities across various public hospitals in the Amhara region of Ethiopia.

methodsEight focus group discussions, using an interview guide that was drawn upon the TDF, were conducted with 44 hospital pharmacists to explore their beliefs regarding their involvement in clinical services. Group discussions were audio-recorded, transcribed verbatim, and analysed using directed content analysis based on the TDF. Relevant domains were identified by applying relevance criteria to each of the domains in the TDF.

resultsContent analysis revealed six domains that influence hospital pharmacists' engagement in medication safety activities. These domains included 'Knowledge', 'Skills', 'Environmental context and resources', 'Motivations and goals', 'Social influences' and 'Social/professional role'. Most hospital pharmacists believed knowledge gap was an issue, as was the lack of training and supportive skills although some expressed as they were competent enough for their skills in identifying medication related problems. Most participants were very much enthusiastic for their extended roles and were positive towards the future of the profession; however, competing priorities along with the lack of remuneration and awareness (of other health care professionals) regarding the profession's role were barriers to service delivery. There were also a number of resource constraints, such as staffing, infrastructure and government funding, and acceptance rate of pharmacist's recommendation that were likely to influence the clinical practice of pharmacists.

conclusionUsing the TDF

Indexed as

EthiopiaMedication-related problemsMedication safetyPatient safetyPharmacists

Identifiers

PMID29387420
PMCPMC5778635

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.