Evidence map›Paper›PMID 32616943›Full record

ArticleThe Canadian journal of hospital pharmacy

Barriers to and Enablers of Implementation of High-Value Interventions by Renal Pharmacists: A Qualitative Study Informed by the Theoretical Domains Framework.

William Nevers, Alice Ratcheva, Kate Boutin, Sean K Gorman, Richard Slavik, Natalie Lesko

Open access · bronzeAbstract read
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Article in The Canadian journal of hospital pharmacy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 90% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

William Nevers, BSc(Pharm), ACPR, PharmD, is a Clinical Pharmacy Specialist - Critical Care and Emergency Medicine, Kelowna General Hospital, Kelowna, British Columbia.
Alice Ratcheva, BSc(Pharm), is a Pharmacy Practice Resident, Interior Health Pharmacy Practice Residency Program, Kelowna General Hospital, Kelowna, British Columbia.
Kate Boutin, BSc, BSc(Pharm), ACPR, is a Clinical Pharmacist, Pharmacy Services, Kelowna General Hospital, Kelowna, British Columbia.
Sean K Gorman, BSc(Pharm), ACPR, PharmD, is Regional Coordinator - Clinical Quality and Research and Pharmacotherapeutic Specialist - Critical Care, Kelowna General Hospital, Kelowna, British Columbia; and is also a Clinical Associate Professor, Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, British Columbia.
Richard Slavik, BSc(Pharm), ACPR, PharmD, FCSHP, is Regional Manager, Pharmacy Professional Practice, and Pharmacotherapeutic Specialist - Critical Care, Kelowna General Hospital, Kelowna, British Columbia; and is also a Clinical Professor, Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, British Columbia.
Natalie Lesko, BSc(Pharm), ACPR, PharmD, is a Clinical Pharmacy Specialist - Nephrology, Kelowna General Hospital, Kelowna, British Columbia.
Kelowna General Hospital · CAUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have shown that patients with chronic kidney disease who are followed by a renal clinical pharmacist have improved clinical outcomes. In 2016, a consensus list of quality indicator drug therapy problems (QI-DTPs) was developed by renal clinical pharmacists to help prioritize which renal patients should receive interventions. Before QI-DTP interventions can be implemented in clinical practice, barriers to and enablers of their use need to be identified, to allow development of strategies to overcome the barriers and apply the enablers.

objectiveTo identify modifiable barriers to and enablers of implementation of renal QI-DTP interventions by renal clinical pharmacists.

methodsIn this exploratory qualitative descriptive study, one-on-one, semistructured, audio-recorded telephone interviews were conducted with renal clinical pharmacists to identify the barriers to and enablers of implementation of renal QI-DTP interventions. The interviews consisted of questions developed according to the Theoretical Domains Framework.

resultsInterviews were conducted with 13 renal pharmacists from across Canada. The main barriers to implementation of renal QI-DTP interventions that participants identified were knowledge gaps, prioritization, and nephrologist acceptance. The main enablers identified were training, colleague support, and better patient care.

conclusionThree barriers to and three enablers of implementation of renal QI-DTP interventions were identified. These barriers and enablers can be used to help with pharmacist education and to optimize the care that pharmacists provide to renal patients.

Indexed as

barrierbehaviour changeenablerquality indicator drug therapy problemsrenal pharmacist

Identifiers

PMID32616943
PMCPMC7308154
OpenAlexW3039621320

What OpenQuestion holds

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Registered trials

None linked

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.