ArticleInternational journal of clinical pharmacy2022
General practice pharmacists' implementation of advanced clinical assessment skills: a qualitative study of behavioural determinants.
Article in International journal of clinical pharmacy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Developing pharmacist practice through a pilot family practice preceptorship programme: a prospective quantitative pre-post evaluation.International journal of clinical pharmacy · 2026Article
- Feasibility of a pilot preceptorship programme for pharmacists working towards the advanced career stage in Scotland: a mixed-methods study.International journal of clinical pharmacy · 2026Article
- Poly-skilling and advanced practice roles in perioperative care: protocol for a realist synthesis of evidence.BMJ open · 2025Article
- Grade Point Average as a Predictor of Work Performance Among Healthcare Professionals: A Systematic Review.Advances in medical education and practice · 2025Review
- Implementation and evaluation of pharmacist-led heart failure diagnostic and guideline directed medication therapies clinic.International journal of clinical pharmacy · 2024Article
- Barriers and facilitators of pharmacists' integration in a multidisciplinary home care team: a qualitative interview study based on the normalization process theory.BMC health services research · 2024Article
- Investigating physicians' views on non-formulary prescribing: a qualitative study using the theoretical domains framework.International journal of clinical pharmacy · 2023Article
- The development and validation of a global advanced development framework for the pharmacy workforce: a four-stage multi-methods approach.International journal of clinical pharmacy · 2023Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe role of General Practice Clinical Pharmacists is becoming more clinically complex. Some are undertaking courses to develop their skillsets.
aimTo explore potential behavioural determinants influencing the implementation of skills gained from Advanced Clinical Examination and Assessment courses by General Practice Clinical Pharmacists.
methodThis study used a qualitative methodology with theoretical underpinning. General Practice Clinical Pharmacists in the Scottish National Health Service, having completed an Advanced Clinical Examination and Assessment course, were invited for online dyadic (paired) interviews. Informed written consent was obtained. The interview schedule was developed using the Theoretical Domains Framework and piloted. Interviews were recorded, transcribed verbatim and analysed using a framework analysis. Ethics approval was obtained.
resultsSeven dyadic interviews were conducted. These included fourteen pharmacist participants from eight Health Boards. Three main themes were identified: 1. Factors influencing implementation of advanced clinical skills by pharmacists; 2. Social and environmental influences affecting opportunities for pharmacists in advanced clinical roles; 3. Perceptions of pharmacist professional identity for advanced practice roles. Nine sub-themes provided a depth of insight including; participants reporting courses allowed clinically autonomous practice; participants shared frustration around social and environmental factors limiting implementation opportunities; participants expressed a need for clarification of professional identify/roles within current contractual mechanisms to allow them to fully implement the skills gained.
conclusionThis work identified numerous behavioural determinants related to implementation of advanced clinical skills by pharmacists in general practice. Policy, and review of implementation strategies are urgently required to best utilise pharmacists with these skills.
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