scholarly journals Prescribers’ perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Colin Whaley ◽  
Ashley Bancsi ◽  
Joanne Man-Wai Ho ◽  
Catherine M. Burns ◽  
Kelly Grindrod
Keyword(s):  
Patient Adherence ◽  
Interprofessional Collaboration ◽  
Qualitative Interviews ◽  
Structured Interview ◽  
Qualitative Thematic Analysis ◽  
Interview Guide ◽  
Trained Interviewer ◽  
Circle Of Care ◽  
The Impact ◽  
Future Practice

Abstract Background The indication for prescribing a particular medication, or its reason for use (RFU) is a crucial piece of information for all those involved in the circle of care. Research has shown that sharing RFU information with physicians, pharmacists and patients improves patient safety and patient adherence, however RFU is rarely added on prescriptions by prescribers or on medication labels for patients to reference. Methods Qualitative interviews were conducted with 20 prescribers in Southern Ontario, Canada, to learn prescribers’ current attitudes on the addition of RFU on prescriptions and medication labels. A trained interviewer used a semi-structured interview guide for each interview. The interviews explored how the sharing of RFU information would impact prescribers’ workflows and practices. Interviews were recorded, transcribed and thematically coded. Results The analysis yielded four main themes: Current Practice, Future Practice, Changing Culture, and Collaboration. Most of the prescribers interviewed do not currently add RFU to prescriptions. Prescribers were open to sharing RFU with colleagues via a regional database but wanted the ability to provide context for the prescribed medication within the system. Many prescribers were wary of the impact of adding RFU on their workflow but felt it could save time by avoiding clarifying questions from pharmacists. Increased interprofessional collaboration, increased patient understanding of prescribed medications, avoiding guesswork when determining indications and decreased misinterpretation regarding RFU were cited by most prescribers as benefits to including RFU information. Conclusions Prescribers were generally open to sharing RFU and clearly identified the benefits to pharmacists and patients if added. Critically, they also identified benefits to their own practices. These results can be used to guide the implementation of future initiatives to promote the sharing of RFU in healthcare teams.

Optimizing patient adherence to stroke rehabilitation: A mixed method telerehabilitation trial (Preprint)

2021 ◽  
Author(s):  
Isabelle Gaboury ◽  
Michel Tousignant ◽  
Hélène Corriveau ◽  
Matthew Menear ◽  
Guylaine Le Dorze ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Stroke Rehabilitation ◽  
Patient Adherence ◽  
Interprofessional Collaboration ◽  
Interdisciplinary Collaboration ◽  
Control Group ◽  
Shared Decision ◽  
The Impact

BACKGROUND Strong evidence supports beginning stroke rehabilitation as soon as the patient’s medical status has stabilized and continuing following discharge from acute care. However, adherence to rehabilitation treatments over the rehabilitation phase has been shown to be suboptimal. OBJECTIVE Objective: The aim of this study is to assess the impact of a telerehabilitation platform on stroke patients’ adherence to a rehabilitation plan and on their level of reintegration to normal social activities, in comparison with usual care. The primary outcome is patient adherence to stroke rehabilitation (up to 12 weeks), which is hypothesized to influence reintegration to normal living. Secondary outcomes for patients include functional recovery and independence, depression, adverse events related to telerehabilitation, use of services (up to 6 months), perception of interprofessional shared decision making, and quality of services received. Interprofessional collaboration as well as quality of interprofessional shared decision making will be measured on clinicians. METHODS In this interrupted time series with a convergent qualitative component, rehabilitation teams will be trained to develop rehabilitation treatment plans that engage the patient and family, while taking advantage of a telerehabilitation platform to deliver the treatment. The intervention will entail 220 patients to receive stroke telerehabilitation with an interdisciplinary group of clinicians (telerehabilitation) versus face-to-face, standard of care (n = 110 patients). RESULTS Results: Our Research Ethics Board has approved the study in June 2020. Data collection for the control group is underway, with another year planned before we begin the intervention phase. CONCLUSIONS This study will contribute to minimize both knowledge and practice gaps, while producing robust, in-depth data on the factors related to the effectiveness of telerehabilitation in a stroke rehabilitation continuum. Findings will inform best practices guidelines regarding telecare services and the provision of telerehabilitation, including recommendations regarding effective interdisciplinary collaboration regarding stroke rehabilitation. CLINICALTRIAL ClinicalTrials.gov NCT04440215

scholarly journals Pharmacist—Pharmacy Technician Intraprofessional Collaboration and Workplace Integration: Implications for Educators

Pharmacy ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 95 ◽  
Author(s):  
Maryam Jetha ◽  
Ali Walji ◽  
Paul Gregory ◽  
Dalya Abdulla ◽  
Zubin Austin
Keyword(s):  
Continuing Professional Development ◽  
Educational Interventions ◽  
Structured Interview ◽  
Learning Opportunities ◽  
Multiple Stakeholder ◽  
Interview Guide ◽  
Pharmacy Technicians ◽  
Intraprofessional Collaboration ◽  
The Impact ◽  
And Training

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.

The Impact of Donor-funded Community Empowerment Projects on Poverty Alleviation in Zimbabwe

2014 ◽  
Vol 13 (4) ◽  
pp. 465-480 ◽  
Author(s):  
Pius T. Tanga ◽  
Mulwaini Mundau
Keyword(s):  
Community Involvement ◽  
Poverty Alleviation ◽  
Structured Interview ◽  
Community Empowerment ◽  
Primary Data ◽  
Poverty Eradication ◽  
Interview Guide ◽  
Community Projects ◽  
The Impact ◽  
And Training

The aim of this paper is to assess the impact of donor-funded community empowerment projects on poverty alleviation in Zimbabwe. The primary data were collected from a questionnaire survey from 52 project members who were from two local ngos that were selected randomly. A semi-structured interview guide designed for two officials of the selected ngos implementing the projects was also used. The findings show that there is heavy dependence on outside funding, no adherence to the principles of the empowerment approach and a failure to positively impact the lives of the project members. This therefore calls for ngos to adopt better empowerment practices: community involvement in decision making, project ownership, and clear lines of communication with the ngos. However the findings also show the strength of linking project members with relevant institutions and training in order to ensure sustainability of community projects that may foster community empowerment towards poverty eradication.

scholarly journals the Phenomenology Study: Post-Flood and Landslide Farmers Resilience Experiences in Klungkung Village, Sukorambi District, Jember Regency

2020 ◽  
Vol 9 (2) ◽  
pp. 50-59
Author(s):  
FITRIO DEVIANTONY
Keyword(s):  
Research Design ◽  
Health Workers ◽  
Structured Interview ◽  
Unusual Event ◽  
Qualitative Research Design ◽  
Family Economy ◽  
Interview Guide ◽  
The Impact ◽  
Depth Interviews

Floods and landslides are disasters that can cause a lot of damage related to the material and of course fatalities, as well as the amount of damage from the environment that occurs, and other impacts will undoubtedly affect the psychology of the communities that changed by the disaster. The psychological effect of this unusual event will undoubtedly lead to trauma or it called posttraumatic stress disorder (PTSD). This study aims to explore the experiences of farmers who experience floods and landslides directly, the research design used is a qualitative research design using an interpretative phenomenology approach. The technique of collecting data used in-depth interviews with a semi-structured interview guide involving five participants and analyzed using interpretative analysis of phenomenology. This study produced six themes including disasters that occur due to humans, accepting the existing reality, getting closer to God, having the desire to farm again, recovering the family economy, keeping the environment around and improving themselves. The role of health workers is important because the impact caused by this condition can be worse so that health workers need to provide services so that farmers can understand, live and be able to accept and adapt to the conditions that occur

scholarly journals How do I keep myself safe? Patient perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Colin Whaley ◽  
Ashley Bancsi ◽  
Joanne Man-Wai Ho ◽  
Catherine M. Burns ◽  
Kelly Grindrod
Keyword(s):  
Patient Adherence ◽  
Patient Centered Care ◽  
Modern Medicine ◽  
Structured Interviews ◽  
Patient Centered ◽  
Patient Decision Making ◽  
Qualitative Thematic Analysis ◽  
Patient Decision ◽  
Interview Guide ◽  
Centered Care

Abstract Background Medications are crucial for maintaining patient wellness and improving health in modern medicine, but their use comes with risks. Helping patients to understand why they are taking medications is important for patient-centered care and facilitates patient adherence to prescribed medications. One strategy involves enhancing communication between patients, physicians, and pharmacists through the sharing of reason for use (RFU) information or the indication for medications. Methods Semi-structured interviews were conducted with 20 patients in Ontario, Canada, to gain perspectives on how patients currently store their medication information and benefits and disadvantages of adding RFU to prescriptions and medication labels. An interview guide was used by the two interviewers, and the interviews were recorded, transcribed, and thematically coded. Results The analysis yielded three main themes: patient decision making with RFU, RFU in modern, patient-centered care, and logistical aspects of communicating RFU. The patients that were interviewed expressed the value of having RFU when deciding if a medication was effective or to stop taking the medication. Patients felt comfortable with RFU being added to prescriptions and acknowledged the value in adding RFU to medication labels, helping patients and others identify and distinguish medications. Patients generally expressed interest in having RFU written in lay language and identified strengths and weaknesses of having access to RFU via a website or app. Conclusions Patients rated the importance of knowing RFU very highly, identified the value in sharing RFU with pharmacists on prescriptions, and in having RFU on medication labels. These results can be used to inform policy on the addition of RFU on prescriptions and medication labels and support improved communication between patients, pharmacists, and physicians about RFU.

scholarly journals From Interpersonal Violence to Institutionalized Discrimination: Documenting and Assessing the Impact of Islamophobia on Muslim Americans

2021 ◽  
Author(s):  
Naheed Ahmed ◽  
Sandra C Quinn ◽  
Rupali J Limaye ◽  
Suleiman Khan
Keyword(s):  
Interpersonal Violence ◽  
Structured Interview ◽  
Workplace Discrimination ◽  
Muslim Americans ◽  
Data Collection And Analysis ◽  
Interview Guide ◽  
Government Surveillance ◽  
The Impact ◽  
The U.S

Background: Muslims and people perceived as Muslims in the U.S. face Islamophobia, defined as anti-Muslim or anti-Islam sentiments. Reports of hate crimes motivated by Islamophobia have increased, as have other forms of Islamophobia, such as workplace discrimination. This qualitative study examined the impact of Islamophobia on Muslim Americans, ranging from school and workplace discrimination to policies that target Muslims, such as government surveillance. The objectives of this study were: 1) Document the spectrum of Islamophobia in the U.S.; and 2) Assess the impact of Islamophobia on Muslim Americans.Methods: Components of grounded theory guided data collection and analysis. Using a semi-structured interview guide, a total of 40 participants (20 women, 20 men) were interviewed regarding self-reported experiences with Islamophobia and responses to bias incidents. Participants self-identified as Muslim, were at least 18 years of age, and represented various ethnic groups. Interviews were audio recorded, transcribed, and analyzed using Nvivo 12.Results: Findings indicate that Islamophobia and xenophobia are significant sources of long-term stress. Participants discussed physical assaults in public locations, vandalism at their homes, persistent questioning regarding their country of origin, and verbal harassment in the form of derogatory terms.Conclusion: Islamophobia in the U.S. is multifaceted and a significant source of stress for Muslim Americans. Findings from this study and others on this topic highlight the need for interventions to support Muslim Americans.

Perceptions of the Impact of Changes on Employment Status Semi-Structured Interview Guide

2010 ◽  
Author(s):  
Phoebe S.K. Siu ◽  
Hector W.H. Tsang ◽  
Gary R. Bond
Keyword(s):  
Employment Status ◽  
Structured Interview ◽  
Interview Guide ◽  
The Impact

scholarly journals Rural exposure during medical education and student preference for future practice location - a case of Botswana

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Tonya Arscott-Mills ◽  
Poloko Kebaabetswe ◽  
Gothusang Tawana ◽  
Deogratias O. Mbuka ◽  
Orabile Makgabana-Dintwa ◽  
...  
Keyword(s):  
Family Medicine ◽  
Student Perceptions ◽  
Rural Areas ◽  
Structured Interview ◽  
Rural Practice ◽  
Public Institution ◽  
Practice Location ◽  
Rural Training ◽  
The Impact ◽  
Future Practice

Background: Botswana’s medical school graduated its first class in 2014. Given the importance of attracting doctors to rural areas the school incorporated rural exposure throughout its curriculum. Aim: This study explored the impact of rural training on students’ attitudes towards rural practice.Setting: The University of Botswana family medicine rural training sites, Maun and Mahalapye.Methods: The study used a mixed-methods design. After rural family medicine rotations, third- and fifth-year students were invited to complete a questionnaire and semi-structured interview. Data were analysed using descriptive statistics and thematic analysis.Results: The thirty-six participants’ age averaged 23 years and 48.6% were male. Thirtythree desired urban practice in a public institution or university. Rural training did not influence preferred future practice location. Most desired specialty training outside Botswana but planned to practice in Botswana. Professional stagnation, isolation, poorly functioning health facilities, dysfunctional referral systems, and perceived lack of learning opportunities were barriers to rural practice. Lack of recreation and poor infrastructure were personal barriers. Many appreciated the diversity of practice and supportive staff seen in rural practice. Several considered monetary compensation as an enticement for rural practice. Only those with a rural background perceived proximity to family as an incentive to rural practice.Conclusion: The majority of those interviewed plan to practice in urban Botswana, however, they did identify factors that, if addressed, may increase rural practice in the future. Establishing systems to facilitate professional development, strengthening specialists support, and deploying doctors near their home towns are strategies that may improve retention of doctors in rural areas.Keyords: rural health, student perceptions

Interviews with cancer fatigue patients

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e17577-e17577
Author(s):  
K. E. Lasch ◽  
K. A. Jernigan ◽  
J. A. Scott ◽  
E. Piault-Louis
Keyword(s):  
Cancer Patients ◽  
Negative Impact ◽  
Qualitative Interviews ◽  
Comparison Method ◽  
Small Sample ◽  
Cancer Type ◽  
Interview Guide ◽  
Trained Interviewer ◽  
Qualitative Data Analysis Software ◽  
Small Sample Sizes

e17577 Background: Approximately 90% of patients diagnosed with cancer experience fatigue associated with the effects of treatment and/or cancer itself. Despite its high prevalence and negative impact on patients’ lives, there is no consensus on a clinical definition of cancer-related fatigue (CF). Extant qualitative research has methodological limitations, small sample sizes, and varying results regarding CF. A multi-disciplinary research consortium is developing a conceptual model of CF based on 120 qualitative interviews with cancer patients varying by cancer type and stage. Exploratory interviews were conducted to test questions and suggest sensitising concepts for an unbiased interview guide. Methods: Five cancer patients with self-reported CF were purposively sampled and interviewed between September 2007 and March 2008 by a trained interviewer to discuss their CF experiences. Verbatim transcripts were coded by two researchers using qualitative data analysis software and reviewed for consistency and reliability. Data were analyzed using a constant comparison method. Results: Patients were diagnosed with cancer on average 3.5 years ago among the following primary sites: breast (n = 2), lung, colorectal, and prostate/liver. Patients provided 14 terms to describe CF: “tired” and “lack of energy” were the most commonly reported. Patients described CF as a general lack of ability to do anything, a child-like regression, and indicated that current “tiredness” differed from pre-diagnosis tiredness. Patients also described CF in terms of frequency (i.e., duration, onset, recurrence) and intensity and identified treatment as a trigger of fatigue. Patients understood the word “fatigue,” but rarely mentioned it spontaneously. Additionally, patients mentioned that CF was not relieved by rest and impacted several areas of their lives, including activities of daily living and cognitive and emotional functioning. Conclusions: Patients’ experience with CF differs from pre-diagnosis tiredness in terms of intensity, duration, onset, and impact. These results helped to refine the interview guide and provide insight for future interventions. Further research with patients with different cancer types and stages is needed to develop a comprehensive conceptualization and measurement of CF. [Table: see text]

A qualitative study of patient and clinician attitudes regarding surveillance following resection of pancreatic and periampullary cancer.

2014 ◽  
Vol 32 (3_suppl) ◽  
pp. 339-339
Author(s):  
Raymond Gilbert Deobald ◽  
Eva Cheng ◽  
Yoo-Joung Ko ◽  
Frances Catriona Wright ◽  
Paul Jack Karanicolas
Keyword(s):  
Recurrence Risk ◽  
Structured Interview ◽  
Periampullary Cancer ◽  
Supporting Evidence ◽  
Family Doctors ◽  
Interview Guide ◽  
Impact On Survival ◽  
The Impact ◽  
Clinician Attitudes

339 Background: Pancreatic carcinoma is the fourth leading cause of cancer death in North America. Following surgical resection, most patients will develop recurrence within two years. Intense follow-up is often recommended; however, the impact on survival is unknown. We sought to qualitatively assess patient and clinician attitudes towards follow-up and the perceived benefits and challenges. Methods: The research team developed a semi-structured interview guide. Purposive sampling identified patients who had undergone curative attempt resection and were in active surveillance or had developed recurrence. Clinicians involved in patient care were also interviewed.Themes were derived using standard qualitative methods. Results: Fifteen patients and seven clinicians were interviewed. Patient themes included (1) Limited understanding of disease prognosis; (2) Desire for reassurance through follow-up; (3) Desire to know if and when recurrence occurred; (4) Challenging treatments; (5) Minimal difficulties with the follow-up protocol; and (6) Limited role of family doctors in pancreatic cancer follow-up. Clinician themes included (1) Expectation that patients are aware of recurrence risk; (2) Desire to provide reassurance to patients; (3) Support for intense follow-up protocol despite lack of supporting evidence; (4) Secondary goals for surveillance; (5) Perceived patient challenges in follow-up; (6) Openness to family doctors doing follow-up. Overall, the dominant theme was one of disconnect between patients and clinicians in the understanding of the disease and its prognosis. Conclusions: Patients with pancreatic or periampullary cancer have an intense need for reassurance and obtain this through the follow-up process. Consequently they express few difficulties with follow-up despite the intensity of testing. Oncologists recognize this desire for reassurance and provide it through follow-up despite the lack of evidence to show benefit. There appears to be a disconnect between patients and clinicians in the understanding of the disease and its prognosis suggesting further work is needed to improve patient-physician communication.

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