scholarly journals Exploring multi-stakeholder perceptions of practice-related facilitators to optimising the quality of integration of regulated pharmacy technicians in community pharmacy in Ontario: a qualitative study

Author(s):  
Maryam Jetha ◽  
Kenneth K C Man ◽  
Dalya Abdulla ◽  
Zubin Austin

Abstract Objectives The objective of this study was to investigate multi-stakeholder perceptions of practice-related facilitators to optimising the quality of Regulated Pharmacy Technician (RPT) integration into the community workforce in Ontario. Facilitators to incorporating technicians into the workflow and supporting their optimal scope of practice were explored. Methods A qualitative exploratory study comprising a series of one-to-one interviews using a piloted, semi-structured interview guide was conducted with four community pharmacy stakeholder groups; pharmacists, RPTs, pharmacy assistants and pharmacy owners. Interviews were conducted until saturation of themes. Verbatim transcripts were coded inductively using the software, NVivo v12 (QSR International) and general inductive analysis identified key findings. Key findings Twenty-seven interviews were conducted consisting of seven pharmacists, seven RPTs, eight assistants and five pharmacy owners working within community pharmacy and/or academia or hospital. All participants from every stakeholder group acknowledged that the promise of regulation of pharmacy technicians was unfulfilled in practice. Three major themes of practical significance were derived: (i) A viable business plan that incorporates RPT remuneration and ensures sustainability is a facilitator to fuller integration of RPTs, (ii) Planning the pharmacy workflow to support RPTs’ and pharmacists’ evolving scopes is a facilitator to RPT integration and (iii) Schedule planning to incorporate RPTs and appropriate staffing ratios in relation to prescription volume and pharmacy services allows for optimal utilisation of RPT skills and facilitates their integration. Conclusions Achieving integration of RPTs into the business of a community pharmacy has educational, workplace and regulatory implications, requiring the effective engagement of all stakeholders in pharmacy.

Pharmacy ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 95 ◽  
Author(s):  
Maryam Jetha ◽  
Ali Walji ◽  
Paul Gregory ◽  
Dalya Abdulla ◽  
Zubin Austin

Globally, concerns have been expressed regarding the impact of regulation of pharmacy technicians. After more than a decade of experience with technician regulation in Ontario, Canada, uptake of the full scope of practice for technicians has been sporadic at best. The objective of this study was to examine barriers and facilitators to intraprofessional collaboration between pharmacists and pharmacy technicians for the purpose of identifying possible curricular or educational interventions to enhance workplace integration. A qualitative, interview-based study of 24 pharmacists, technicians, educators, pharmacy managers, and owners was undertaken using a semi-structured interview guide. Key findings of this research include: (i) Confirmation of suboptimal utilization of regulated technicians in practice; (ii) identification of crucial knowledge and skills gaps for both pharmacists and technicians; and (iii) proposals for undergraduate education and training, and continuing professional development learning opportunities to address these gaps. In order to achieve the promise and potential of regulation of pharmacy technicians, system-wide change management—beginning with education—will be required and will benefit from multiple stakeholder engagement and involvement.


2013 ◽  
Vol 11 (1) ◽  
Author(s):  
Sarjiwo

Power Management Techniques: A Study In Choreography Single Dance. This study aims to reveal thepower management techniques in a single choreographic works (solo dance). Data collection techniques used byobservation and interviews. Observations made by looking at and following the staging of activities undertakenby informants/interviewers. While, the interviews were conducted in a structured interview guide that has beenprepared to crawl processed data so that it can be more focused and directed. Collected data were analyzed byqualitative descriptive analysis techniques with management approach. According to this research it can beconcluded that, in order to make good quality of choreography character and good quality of dancer characteristicrequired planning process by conducting exercises diligently. Exercise is necessary for organisms of the body to becapable to performing its function as a medium for optimal expression of dance. The pattern of organization ormotion compotition could not be separated from the planning process that has been made. Each choreographerhas a different way with each other. Activities of implementation related to the power management at the timechoreography displayed, related to the ability of the dancers on the power control, regulate breathing pattern byplacing a breathing pattern as part of the choreography, and management of emotions that are not easily infl uencedby the presence of spectators. Evaluation is required at the time of the cultivation process and after the choreographyform was displayed. Evaluation is needed so that the creation that has been produced not quit on the spot.


2021 ◽  
Vol 15 (2) ◽  
pp. 536-549
Author(s):  
Cossi Léonard Hinnou ◽  
Vidjannangni Dieudonné Agbotridja ◽  
René Nestor Ahoyo Adjovi

L’agriculture béninoise est tributaire depuis plusieurs années de l’utilisation des outils rudimentaires malgré les efforts consentis par les gouvernants successifs. L’étude a été basée sur une approche participative aux fins d’identifier de concert avec les producteurs et transformateurs, les besoins en mécanisation agricole pré et post-récolte. Elle a été conduite à l’aide d’un guide d’entretien semi-structuré auprès de 129 producteurs et 66 transformateurs au niveau de 13 villages au Bénin. Les résultats ont montré que malgré leur satisfaction, les utilisateurs des matériels et équipements agricoles ont exprimé des besoins pour un renforcement de la mécanisation agricole. Ainsi, les principales opérations pré-récolte à mécaniser étaient la préparation du sol, le labour, l’herbicidage, le désherbage/sarclage et la récolte. Pour les opérations post-récolte, les besoins en équipements concernaient le décorticage/égrenage, l’épluchage, le battage/despathage, le broyage, le pressage et le conditionnement/emballage. Par ailleurs, les prototypes des outils préférés par les producteurs/transformateurs devraient présenter une puissance élevée et être capables de réduire le taux de perte puis d’améliorer la qualité du produit. A cela, doivent s’ajouter le temps de travail par jour avoisinant 5 h, une durée d’amortissement de huit ans et deux opérateurs au plus pour leur fonctionnement.Mots clés : Bénin, opérations pré et post récoltes, préférences, représentation sociale. English Title: Analysis of farming mechanization needs based on the logics of farmers in the Benin agricultural development poles Since years, Benin agriculture has been relying on the utilization of rudimentary equipment despite the efforts made by successive governments. This study was based on a participatory approach to identify with producers and processors, the needs for agricultural mechanization pre- and post-harvest. For this purpose, the study was conducted using a semi-structured interview guide with 129 producers and 66 processors distributed accross thirteen (13) villages of Benin. The results obtained show that despite their satisfaction, the users of agricultural machinery have expressed needs for an enhacement of agricultural mechanization. Thus, the main pre-harvest operations to be mechanized were soil preparation, plowing, herbicidage, weeding / weeding and harvesting. For post-harvest operations, equipment needs include shelling / ginning, peeling, threshing / shucking, grinding, pressing and packing. However, the agricultural equipment and materials desired by the producers and processors must have a high power and a capacity to reduce the rate of loss and improvement of the quality of the final product. Additionally, an average working time of about five (5) hours, an average replacement period of eight (8) years and two (2) operators at most for their functioning.Keywords: Benin, pre and post harvest operations, préférences, social representation.


2021 ◽  
pp. 247553032110669
Author(s):  
Ashley M. Snyder ◽  
Vanina L. Taliercio ◽  
Lisa B. Webber ◽  
Adelheid U. Brandenberger ◽  
Bianca E. Rich ◽  
...  

Background: Patients with psoriasis commonly report experiencing severe sensory symptoms, and the burden of these symptoms can extend beyond unpleasant experiences to impair patients’ health-related quality of life (HRQL). However, the symptom of pain and its consequences are still poorly understood in psoriasis patients. Objective: To understand the quality and intensity of pain associated with psoriasis as well as its interference with daily function in patients with psoriasis. Methods: Three focus groups and four interviews with psoriasis patients were conducted (n = 25). A trained facilitator used a semi-structured interview guide based on a literature review and a theory-driven approach. Two researchers independently coded the narratives and reached a consensus on the major themes using NVivo 12 software. Results: Our analysis produced five main themes regarding pain. (1) Perception of pain was illustrated through intense descriptors. (2) Patients identified pain triggers, including self-inflicted triggers. (3) Patients found coping strategies to deal with pain, including suppression of sensory experience. (4) Emotional suffering was linked primarily to the compulsion to continue scratching despite repeated efforts to stop and the failure of physicians to acknowledge the burden of the pain, which led to inadequate pain management. (5) Pain led to an overt impact on HRQL in these patients through interference with daily activity, intimate relationships, and sleep. Conclusions: Pain can be a significant hardship for patients with psoriasis. We encourage clinicians to inquire about pain separate from pruritus and to consider HRQL impacts of their patients’ pain when determining treatments.


Nova Scientia ◽  
2020 ◽  
Vol 12 (24) ◽  
Author(s):  
Francisco Gerardo Barroso Tanoira ◽  
Raúl Alberto Santos Valencia ◽  
María Eugenia López Ponce

Introduction: It is important to educate young university students for adapting to social, economic and environmental changes in the world. It is not to prepare them just to be employees, but entrepreneurs who could be leaders in their fields, creating jobs and improving people’s quality of life. For this, there are entrepreneurship programs based on high impact project incubation, but there is still the risk of dropping out. For this, the objective of this study was to identify the factors which positively and negatively affect the entrepreneurship experience in university students, from the perception of young students who have already had an incubated project. Method: The study approach was qualitative, with an exploratory and descriptive type and a non-experimental and transverse design. The participants were twenty students who have already had an incubated project, registered at the Tax Agency and legally constituted as an enterprise, besides of their involvement in entrepreneurship activities along their education process at the institution. All of them were from a private university situated near Mérida city, Yucatán, in the Southeast of México, acknowledged for its entrepreneurship education as well as for its incubation and acceleration processes. A semi-structured interview guide was used, conducted by the researchers.  Results: The factors that positively affect students to become entrepreneurs are personal ones, such as intrinsic motivation and the opportunity to be creative and dedicate to an interesting activity, accepting the risks. This is reinforced by the help of the coach, attendance to events, lectures and workshops, as well as constant feedback from expert panels. The ones which negatively affect the entrepreneurial experience are mainly external, such as the lack of monetary funds for living while the project is incubated, because when there are monetary resources, they are just for the project. There are also other internal factors such as the fear for making mistakes and the lack of experience for starting a business. Conclusions: The factors which prevent the entrepreneurship development depend on each participant more than in the method. The student must have time for the project and to continue his courses without the need to search for a job for making a living along the incubation. Then, there must be strategies to guarantee time and monetary resources so students don’t have distractors which could become entrepreneurship barriers. Besides, university study plans must be improved for enhancing creativity, innovation and entrepreneurship from initial stages. Incubators must be places for enhancing insertion of new enterprises in nets and create university clusters.


2021 ◽  
pp. 1-42
Author(s):  
Kathryn A. Kaiser ◽  
Michelle Urberg ◽  
Maria Johnsson ◽  
Jennifer Kemp ◽  
Alice Meadows ◽  
...  

Abstract The Metadata 2020 initiative is an ongoing effort to bring various scholarly communications stakeholder groups together to promote principles and standards of practice to improve the quality of metadata. To understand the perspectives and practices regarding metadata of the main stakeholder groups (librarians, publishers, researchers and repository managers), we conducted a survey during summer 2019. The survey content was generated by representatives from the stakeholder groups. A link to an online survey (17 or 18 questions depending on the group) was distributed through multiple social media, listserv, and blog outlets. Responses were anonymous, with an optional entry for names and email addresses for those who were willing to be contacted later. Complete responses (N=211; 87 librarians, 27 publishers, 48 repository managers, and 49 researchers) representing 23 countries on four continents were analyzed and summarized for thematic content and ranking of awareness and practices. Across the stakeholder groups, the level of awareness and usage of metadata methods and practices was highly variable. Clear gaps across the groups point to the need for consolidation of schema and practices, as well as broad educational efforts in order to increase knowledge and implementation of metadata in scholarly communications. Peer Review https://publons.com/publon/10.1162/qss_a_00133


2018 ◽  
Vol 4 (1) ◽  
pp. 17 ◽  
Author(s):  
Alaa Sadiq Abohaikel ◽  
Huda Hussein Musa ◽  
Kristin Bakke Lysdahl

Abstract: Title: Radiographers’ perception of suboptimal referrals for plain radiography – a qualitative study.Introduction: Adequately filled in radiology requests forms are crucial for the quality of conducting and reporting examinations. Still suboptimal referrals occur. The knowledge of how the referrals are assessed handled in the radiological department is limited, in particular the role of the radiographers. The purpose of this study was to investigate how radiographers understand, experience and act upon suboptimal referrals and how this influence their work.Methods and Materials: A semi-structured interview guide was developed and applied in individual interviews with five radiographers in south-east Norway. The radiographers had different length of employment and experience in performing plain radiographs. The interviews were transcribed and analyzed using a thematic analysis method.Results: Five main categories were identified from the interviews. 1) Scope and type of referral quality problems, where the problem is recognised, mainly due to missing clinical information, which is reported to occur frequently, particularly in referrals for control examinations. 2) Communication experiences and approaches towards patients, experienced colleges or radiologists, when seeking to substitute missing/wrong referral information. 3) Consequences of inappropriate referrals, in shape of unwarranted examinations, waste of time, and reduced job satisfaction. 4) Perceived responsibility for optimisation and justification of examinations. 5) Strategies to overcome the problem, through leadership and co-operation between radiographers, radiologists and referring physicians.Conclusion: Suboptimal referral quality influence the radiographers work. They recognize it as a commonplace problem with implication for quality patient care, own work-situation and -satisfaction and economically for health society. Increased interdisciplinary co-operation may improve the quality of the referrals.


2018 ◽  
Vol 17 (2) ◽  
pp. 59-76
Author(s):  
Francina P X ◽  
Tintu N S ◽  
Venishya Ivan

This study was conducted to assess the psycho-social problems faced by parents with more than one intellectually disabled child in Mangalapuram Panchayath of Trivandrum District, Kerala. The psycho-social elements considered for this qualitative study includes emotional adaptability of parents, the role of support systems and the precautions taken by the family after the birth of the first child. Data were collected from 5 cases selected from the 15 cases identified in Mangalapuram panchayath. The cases were purposively selected from parents having minimum two disabled children. Data were collected using a semi-structured interview guide as a tool. The difficulty faced by the families with two disabled children reveals multiple levels of stress when compared to families with typically developing children. Such families face problems ranging from financial aspects to the physical, psychological and social aspects, which in turn affect their quality of life.


Pharmacy ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 28 ◽  
Author(s):  
Chelsea Renfro ◽  
Davis Coulter ◽  
Lan Ly ◽  
Cindy Fisher ◽  
Lindsay Cardosi ◽  
...  

The objective of this study was to qualitatively explore the role of pharmacy technicians in the implementation of an appointment-based model (ABM) medication synchronization program. The purposeful sampling of technicians working within six different locations of a supermarket chain pharmacy in Mississippi and Tennessee was carried out, and the technicians were interviewed between January and April 2018. A semi-structured interview guide was developed based on the Consolidated Framework for Implementation Research (CFIR). Questions gathered information around pharmacy technician demographics and CFIR domains (process, inner setting, outer setting and intervention characteristics). Interviews were audiotaped and transcribed. Two members of the research team performed thematic content analysis. Six full-time, certified pharmacy technicians with 8.3 ± 2.7 years of experience were interviewed. Findings suggest that including hands-on experience with program software is needed during training to successfully implement ABM. A barrier to implementation was the time needed to complete ABM tasks as compared to other tasks. Although some barriers exist regarding implementation, technicians believe that overall, this program has positive benefits for patients. Results from this study signify that ABM implementation can be challenging. Better ABM portal integration with the pharmacy patient profile and appropriate workforce budgeting are key to continued success.


Sign in / Sign up

Export Citation Format

Share Document