Feasibility of the pharmacist - led pharmaceutical care service at the surgical department of the National Hospital of the Faroe Islands
IntroductionClinical pharmacists are employed at many hospital departments in Denmark where their job is to identify, solve and prevent drug related problems. On the Faroe Islands, this pharmaceutical service is yet to be implemented in the hospitals. The purpose of this study was to investigate the...
Published in: | International Journal of Integrated Care |
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Format: | Article in Journal/Newspaper |
Language: | English |
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Ubiquity Press
2022
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Online Access: | https://www.ijic.org/jms/article/view/6694 https://doi.org/10.5334/ijic.ICIC21131 |
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International Journal of Integrated Care (IJIC) |
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ftjijic |
language |
English |
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IntroductionClinical pharmacists are employed at many hospital departments in Denmark where their job is to identify, solve and prevent drug related problems. On the Faroe Islands, this pharmaceutical service is yet to be implemented in the hospitals. The purpose of this study was to investigate the need for a clinical pharmacist-led pharmaceutical service at the surgical ward at the hospital in Thorshavn and to evaluate the doctors’ interest in an interdisciplinary cooperation and to find out how well the current work standards and systems are qualified for a future implementation of this pharmaceutical service. MethodHospitalised surgical patients were over a period of seven weeks offered a medication review by a clinical pharmacist. Identified drug related problems were classified according to the PCNE model and the level of acceptance of amendments by the department doctors was calculated. This inquiry was supplemented by a qualitative input, with the purpose to evaluate the doctors’ interest and potential challenges regarding the current work standards and systems at the department. Results42 patients were included and a total of 171 drug related problems were identified. The majority of the already manifested problems were regarding suboptimal effect or absence of drug treatment, while the identified problems regarding the safety of the drug treatment, for the most part, were potential problems. The level of acceptance of amendments by the department doctors was 49.6 %. According to the qualitative input, the interest was greater among the younger doctors. An absence of an indication for ordinations challenged the medication reviews and the pharmacist notations in the electronic health record were not visible enough. DiscussionThe results indicate that a pharmacist could solve many of the problems at the surgical department by focusing on appropriate choice of drug and its dose. The doctors have an interest in the service. Current work standards and systems proved some challenges regarding the implementation of the service. ConclusionThe surgical department in the Thorshavn hospital could benefit from a clinical pharmaceutical service. Lessons learnedFor a future implementation to be successful, it is recommended that a work is made towards a further improvement of the doctors’ interests in an interdisciplinary cooperation, and that an attempt is made to solve the identified challenges regarding current work standards and systems. LimitationsThe project was a pharmacy student master project, thus a limited experience of a clinical pharmacist could be a potential limitation. On the other hand, the master student was especially thorough and careful in conducting medication reviews. Suggestions for future researchSeveral further research directions could be suggested. First, one could do a more systematic process evaluation conducting in depth and focus groups interviews with the department staff and patients. Second, the effects of the service on patients’ outcomes could be explored. Finally, implementation potential and scaling up possibilities in the other hospital departments as well as other hospitals on the Faroe Islands could be investigated. |
format |
Article in Journal/Newspaper |
author |
Jacobsen, Ramune Christiansen, Maria Joensen, Niels |
spellingShingle |
Jacobsen, Ramune Christiansen, Maria Joensen, Niels Feasibility of the pharmacist - led pharmaceutical care service at the surgical department of the National Hospital of the Faroe Islands |
author_facet |
Jacobsen, Ramune Christiansen, Maria Joensen, Niels |
author_sort |
Jacobsen, Ramune |
title |
Feasibility of the pharmacist - led pharmaceutical care service at the surgical department of the National Hospital of the Faroe Islands |
title_short |
Feasibility of the pharmacist - led pharmaceutical care service at the surgical department of the National Hospital of the Faroe Islands |
title_full |
Feasibility of the pharmacist - led pharmaceutical care service at the surgical department of the National Hospital of the Faroe Islands |
title_fullStr |
Feasibility of the pharmacist - led pharmaceutical care service at the surgical department of the National Hospital of the Faroe Islands |
title_full_unstemmed |
Feasibility of the pharmacist - led pharmaceutical care service at the surgical department of the National Hospital of the Faroe Islands |
title_sort |
feasibility of the pharmacist - led pharmaceutical care service at the surgical department of the national hospital of the faroe islands |
publisher |
Ubiquity Press |
publishDate |
2022 |
url |
https://www.ijic.org/jms/article/view/6694 https://doi.org/10.5334/ijic.ICIC21131 |
long_lat |
ENVELOPE(-6.776,-6.776,62.003,62.003) ENVELOPE(71.083,71.083,-68.683,-68.683) |
geographic |
Faroe Islands National hospital of the Faroe Islands Thorshavn |
geographic_facet |
Faroe Islands National hospital of the Faroe Islands Thorshavn |
genre |
Faroe Islands Thorshavn |
genre_facet |
Faroe Islands Thorshavn |
op_source |
International Journal of Integrated Care; Vol 22: ICIC21 Virtual Conference 2021; 80 1568-4156 |
op_relation |
https://www.ijic.org/jms/article/view/6694/7423 10.5334/ijic.ICIC21131 https://www.ijic.org/jms/article/view/6694 doi:10.5334/ijic.ICIC21131 |
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AuthorsStarting in 2009 the International Journal of Integrated Care applies the Creative Commons Attribution 4.0 Internaltional License (CC-by, http://creativecommons.org/licenses/by/4.0/) to all articles, submitted in or after January 2009, that are published in IJIC. Authors retain ownership of the copyright for their articles, but they permit anyone unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. After it has appeared in IJIC authors may republish their text in any way they wish (electronic or print) as long as they clearly acknowledge IJIC as its original publisher with the correct citation details and copyright notice, independent of whether the article is used in whole or in part.Authors of accepted manuscripts assign IJIC the right to publish and distribute their text electronically and to archive it permanently retrievable electronically.Authors retain the copyright of the article. After it has appeared in IJIC authors may republish their text in any way they wish (electronic or print) as long as they clearly acknowledge IJIC as its original publisher with the correct citation details and copyright notice (see below), independent whether the article is used in whole or in part.IJIC may change the appearance of the article, both layout and technical format, to ensure consistency and readability. Under no circumstance will the content of the article be altered.The author warrants to IJIC that the article is original, does not infringe any existing copyright, and does not infringe the rights of any third party. This warrant concerns the entire manuscript, text as well as pictures, sound, video, data sets etc. The author also warrants to us that he has full authority to enter into this agreement and that the rights he is granting to IJIC are done so without breaching any obligations he may have.Acceptation:ReadersStarting 2009 Utrecht the International Journal of Integrated Care applies the Creative |
op_rightsnorm |
CC-BY CC-BY-NC |
op_doi |
https://doi.org/10.5334/ijic.ICIC21131 |
container_title |
International Journal of Integrated Care |
container_volume |
22 |
container_issue |
S1 |
container_start_page |
80 |
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1765995873998733312 |
spelling |
ftjijic:oai:ojs.www.ijic.org:article/6694 2023-05-15T16:10:43+02:00 Feasibility of the pharmacist - led pharmaceutical care service at the surgical department of the National Hospital of the Faroe Islands Jacobsen, Ramune Christiansen, Maria Joensen, Niels 2022-04-08 application/pdf https://www.ijic.org/jms/article/view/6694 https://doi.org/10.5334/ijic.ICIC21131 eng eng Ubiquity Press https://www.ijic.org/jms/article/view/6694/7423 10.5334/ijic.ICIC21131 https://www.ijic.org/jms/article/view/6694 doi:10.5334/ijic.ICIC21131 AuthorsStarting in 2009 the International Journal of Integrated Care applies the Creative Commons Attribution 4.0 Internaltional License (CC-by, http://creativecommons.org/licenses/by/4.0/) to all articles, submitted in or after January 2009, that are published in IJIC. Authors retain ownership of the copyright for their articles, but they permit anyone unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. After it has appeared in IJIC authors may republish their text in any way they wish (electronic or print) as long as they clearly acknowledge IJIC as its original publisher with the correct citation details and copyright notice, independent of whether the article is used in whole or in part.Authors of accepted manuscripts assign IJIC the right to publish and distribute their text electronically and to archive it permanently retrievable electronically.Authors retain the copyright of the article. After it has appeared in IJIC authors may republish their text in any way they wish (electronic or print) as long as they clearly acknowledge IJIC as its original publisher with the correct citation details and copyright notice (see below), independent whether the article is used in whole or in part.IJIC may change the appearance of the article, both layout and technical format, to ensure consistency and readability. Under no circumstance will the content of the article be altered.The author warrants to IJIC that the article is original, does not infringe any existing copyright, and does not infringe the rights of any third party. This warrant concerns the entire manuscript, text as well as pictures, sound, video, data sets etc. The author also warrants to us that he has full authority to enter into this agreement and that the rights he is granting to IJIC are done so without breaching any obligations he may have.Acceptation:ReadersStarting 2009 Utrecht the International Journal of Integrated Care applies the Creative CC-BY CC-BY-NC International Journal of Integrated Care; Vol 22: ICIC21 Virtual Conference 2021; 80 1568-4156 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2022 ftjijic https://doi.org/10.5334/ijic.ICIC21131 2022-05-09T23:43:38Z IntroductionClinical pharmacists are employed at many hospital departments in Denmark where their job is to identify, solve and prevent drug related problems. On the Faroe Islands, this pharmaceutical service is yet to be implemented in the hospitals. The purpose of this study was to investigate the need for a clinical pharmacist-led pharmaceutical service at the surgical ward at the hospital in Thorshavn and to evaluate the doctors’ interest in an interdisciplinary cooperation and to find out how well the current work standards and systems are qualified for a future implementation of this pharmaceutical service. MethodHospitalised surgical patients were over a period of seven weeks offered a medication review by a clinical pharmacist. Identified drug related problems were classified according to the PCNE model and the level of acceptance of amendments by the department doctors was calculated. This inquiry was supplemented by a qualitative input, with the purpose to evaluate the doctors’ interest and potential challenges regarding the current work standards and systems at the department. Results42 patients were included and a total of 171 drug related problems were identified. The majority of the already manifested problems were regarding suboptimal effect or absence of drug treatment, while the identified problems regarding the safety of the drug treatment, for the most part, were potential problems. The level of acceptance of amendments by the department doctors was 49.6 %. According to the qualitative input, the interest was greater among the younger doctors. An absence of an indication for ordinations challenged the medication reviews and the pharmacist notations in the electronic health record were not visible enough. DiscussionThe results indicate that a pharmacist could solve many of the problems at the surgical department by focusing on appropriate choice of drug and its dose. The doctors have an interest in the service. Current work standards and systems proved some challenges regarding the implementation of the service. ConclusionThe surgical department in the Thorshavn hospital could benefit from a clinical pharmaceutical service. Lessons learnedFor a future implementation to be successful, it is recommended that a work is made towards a further improvement of the doctors’ interests in an interdisciplinary cooperation, and that an attempt is made to solve the identified challenges regarding current work standards and systems. LimitationsThe project was a pharmacy student master project, thus a limited experience of a clinical pharmacist could be a potential limitation. On the other hand, the master student was especially thorough and careful in conducting medication reviews. Suggestions for future researchSeveral further research directions could be suggested. First, one could do a more systematic process evaluation conducting in depth and focus groups interviews with the department staff and patients. Second, the effects of the service on patients’ outcomes could be explored. Finally, implementation potential and scaling up possibilities in the other hospital departments as well as other hospitals on the Faroe Islands could be investigated. Article in Journal/Newspaper Faroe Islands Thorshavn International Journal of Integrated Care (IJIC) Faroe Islands National hospital of the Faroe Islands ENVELOPE(-6.776,-6.776,62.003,62.003) Thorshavn ENVELOPE(71.083,71.083,-68.683,-68.683) International Journal of Integrated Care 22 S1 80 |