Work procedures meet in pharmacies ;
high workload, rigid rules, and the conflicting pressures of their employers are leading community pharmacy personnel to deviate from sometimes standard procedures to ensure that patients receive the care they need as a new study from the University of Manchester has found.
The research was funded by the National Institute for Health Research (NHRI) and published in BMJ Open analyzed 24 interviews with practice staff working in a variety of levels in pharmacies. Respondents discussed their views and experiences to fulfill the procedures that had been established either for safety or for other company purposes. Participants came from a variety of pharmacy and a variety of locations across England and Wales.
In this study, funded by the NHRI Greater Manchester PSTRC, some respondents expressed concern that they were asked to follow the rigid procedures that do not allow staff to use their professional judgment in the care of patients. In such circumstances, pharmacists felt they had to do what they considered best for safe patient care rather than follow the procedures in the letter. An additional challenge for pharmacy staff was the need to balance patient care insurance to the achievement of the objectives of the service such as drug use reviews. However, some respondents felt that they were not able to express their concerns about strict adherence to procedures.
The study also noted that during peak hours, the staff was still expected to follow the procedures, but often had many tasks to complete, at the same time, which made it more difficult following procedures. For example, one participant said: “weekend of Easter, the week before Christmas [and] at the end of [a] week [are] usually busy … [then] adhere to the rules becomes in less than a priority. ”
The principal investigator, Ms. Thomas said Cristiano :. “It is clear that pharmacists under pressure do not always follow the procedures exactly in the interest of individual patients, this is not always the worst thing you can do, but the scale, complexity and inefficiency of some of these procedures is to create an environment where staff think it is not realistic to know and follow all procedures to the letter. “
“pharmacy companies should seek to involve their staff in the development of procedures and ensure that they can be used in practice.”
Ms Thomas added: “The study highlights the tension between standardization of practice on the one hand, and the need, sometimes, greater flexibility on the other hand to provide effective patient care.”
“These findings should help inform policy makers and practitioners with respect to other factors that can influence the implementation, or not, of the procedures in community pharmacies.”
This article was originally published on medicalxpress, Read the original article
Posted in: Health