Evidence map›Paper›PMID 39205955›Full record

ArticleExploratory research in clinical and social pharmacy2024

Linking Inner Context and Innovation Factors: Examining a pharmacy-based intervention through the eyes of pharmacy staff.

Taylor L Watterson, Jukrin Moon, Jamie A Stone, Aaron M Gilson, Maria E Berbakov, Emily L Hoffins, Jason S Chladek, Elin C Lehnbom, Stephanie M Resendiz, Shiying Mai and 3 more

Abstract read
In one paragraph

Article in Exploratory research in clinical and social pharmacy, 2024. 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
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. Article
  2. Article
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

13 authors.

Taylor L WattersonPharmacy Systems Outcomes and Policy, College of Pharmacy, University of Illinois Chicago, USA.
Jukrin MoonDepartment of Industrial and Systems Engineering, University of Iowa, USA.
Jamie A StoneSocial and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA.
Aaron M GilsonSocial and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA.
Maria E BerbakovSocial and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA.
Emily L HoffinsSocial and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA.
Jason S ChladekSocial and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA.
Elin C LehnbomSocial Pharmacy Group, Department of Pharmacy, Faculty of Pharmacy, Uppsala University, Uppsala, Sweden.
Stephanie M ResendizSocial and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA.
Shiying MaiSocial and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA.
Kenneth D WalkerAurora Pharmacy, Inc, Advocate Healthcare, Menomonee Falls, WI, USA.
Joel D GollhardtAurora Pharmacy, Inc, Advocate Healthcare, Menomonee Falls, WI, USA.
Michelle A ChuiSocial and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison, USA.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Effectiveness and Sustainment of a Tailored Over-the-Counter Medication Safety Intervention in Community PharmaciesR18HS027737 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI CHUI, MICHELLE ANNE · 2020 to 2022
$1.5M
Improving Over-the-Counter Medication Safety for Older AdultsR18HS024490 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI CHUI, MICHELLE ANNE · 2016 to 2018
$1.4M
AHRQ HHS R18 HS024490AHRQ HHS R18 HS027737NCATS NIH HHS UL1 TR002373
6 · The paper itself

Abstract

introductionCommunity pharmacies, as unique and accessible healthcare venues, are ideal locations to implement interventions aiming to improve patient care. However, these interventions may increase workload or disrupt workflow for community pharmacists, technicians, and other staff members, threatening long-term sustainment. There are growing calls from the field of implementation science to design for intervention sustainment and maintenance by maximizing innovation fit. Senior Safe™, an intervention to facilitate safer over-the-counter (OTC) product selection by older adults, serves as a case study to examine the congruence between Innovation Factors and community pharmacy Inner Context constructs and their implications for workload and sustainment.

methodsUsing the Exploration, Preparation, Implementation, Sustainment (EPIS) framework, this qualitative study identified factors surrounding Senior Safe implementation. Semi-structured interviews were conducted with staff from pharmacies where Senior Safe was implemented. Two coders independently analyzed interview transcripts using deductive analysis based on EPIS constructs. Thematic analysis was used to generate three themes that encapsulated innovation fit.

resultsNineteen pharmacy staff members participated, with the majority reporting no significant change in their workload or workflow due to Senior Safe. Interview feedback supported a pre-existing culture of the healthcare system to engage patients, of leadership commitment to patient safety initiatives, and of an amplified role of pharmacy technicians. DISCUSSION AND

conclusionPharmacy staff interviews revealed congruence between Innovation Factors and Inner Context that likely yielded intervention workload neutrality. This study highlighted the importance for researchers to consider maintenance and sustainability when designing and implementing an intervention and the critical influence of culture and leadership support during this process.

Indexed as

Community pharmaciesEPIS frameworkInnovation fitOver-the-counter medicationPharmacy interventionPharmacy staffSystem redesign

Identifiers

PMID39205955
PMCPMC11350256

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.