Evidence map›Paper›PMID 33691758›Full record

ArticleJournal of foot and ankle research2021

Barriers to and facilitators of endorsement for scheduled medicines in podiatry: a qualitative descriptive study.

Kristin Graham, Helen A Banwell, Ryan S Causby, Saravana Kumar, Esther Jie Tian, Lisa Nissen

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Article in Journal of foot and ankle research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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0cells of the map it votes in
6citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kristin GrahamAllied Health & Human Performance, The University of South Australia, North Terrace, Adelaide, SA, 5000, Australia. kristin.graham@unisa.edu.au.ORCID http://orcid.org/0000-0002-1864-1856
Helen A BanwellAllied Health & Human Performance, The University of South Australia, North Terrace, Adelaide, SA, 5000, Australia.
Ryan S CausbyAllied Health & Human Performance, The University of South Australia, North Terrace, Adelaide, SA, 5000, Australia.
Saravana KumarAllied Health & Human Performance, The University of South Australia, North Terrace, Adelaide, SA, 5000, Australia.
Esther Jie TianAllied Health & Human Performance, The University of South Australia, North Terrace, Adelaide, SA, 5000, Australia.
Lisa NissenFaculty of Health, School, Clinical Sciences, Queensland University of Technology, Brisbane, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAustralian podiatrists and podiatric surgeons who have successfully completed the requirements for endorsement for scheduled medicines, as directed by the Podiatry Board of Australia, are eligible to prescribe a limited amount of schedule 2, 3, 4 or 8 medications. Registration to become endorsed for scheduled medicines has been available to podiatrists for over 10 years, yet the uptake of training has remained low (approximately 2% of registered podiatrists/podiatry surgeons). This study aimed to explore barriers to and facilitators of engagement with endorsement for scheduled medicines by podiatrists.

methodsQualitative descriptive methodology informed this research. A purposive maximum variation sampling strategy was used to recruit 13 registered podiatrists and a podiatric surgeon who were either endorsed for scheduled medicines, in training or not endorsed. Semi-structured interviews were employed to collate the data which were analysed using thematic analysis.

resultsThree overarching super-ordinate themes were identified which encompassed both barriers and facilitators: (1) competence and autonomy, (2) social and workplace influences, and (3) extrinsic motivators. Within these, several prominent sub-themes emerged of importance to the participants including workplace and social networks role in modelling behaviours, identifying mentors, and access to supervised training opportunities. Stage of life and career often influenced engagement. Additionally, a lack of financial incentive, cost and time involved in training, and lack of knowledge of training requirements were influential barriers. Rural podiatrists encountered a considerable number of barriers in most of the identified areas.

conclusionA multitude of barriers and facilitators exist for podiatrists as part of the endorsement for scheduled medicines. The findings suggest that a lack of engagement with endorsement for scheduled medicines training may be assisted by a more structured training process and increasing the number of podiatrists who are endorsed to increase the numbers of role models, mentors, and supervision opportunities. Recommendations are provided for approaches as means of achieving, and sustaining, these outcomes.

Indexed as

AdultAustraliaClinical CompetenceCredentialingDrug PrescriptionsFemaleHumansMalePhysiciansPodiatryQualitative ResearchBarriersEndorsement for scheduled medicinesFacilitatorsNon-medical prescriberPodiatristsPodiatryQualitativeScope of practice

Identifiers

PMID33691758
PMCPMC7944244

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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.