A qualitative exploration of the role of a palliative care pharmacist providing home-based care in the rural setting, from the perspective of health care professionals

被引:0
|
作者
Downing, Natasha J. [1 ]
Skaczkowski, Gemma [1 ]
Hughes-Barton, Donna [1 ]
Stone, Helen [2 ]
Robinson, Leah [3 ]
Gunn, Kate M. [1 ]
机构
[1] Univ South Australia, Dept Rural Hlth Allied Hlth & Human Performance, IIMPACT Hlth, Adelaide, SA, Australia
[2] Pharmaceut Soc Australia, Adelaide, SA, Australia
[3] Pharmaceut Soc Australia, Sydney, NSW, Australia
关键词
end of life; health professional; home; medication burden; palliative; pharmacist; MEDICINES;
D O I
10.1111/ajr.13115
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
IntroductionPharmacists are often not recognised as a core part of palliative care teams, despite their ideal placement to assist with the burden of medication management.ObjectiveThis study explored the role of pharmacists working in the rural palliative care team, in the home-based setting.DesignHealth care professionals working with palliative care patients in rural South Australia participated in semi-structured interviews. Data were analysed using thematic analysis.FindingsData from 20 participants identified 10 themes. Theme 1: This model of care gives patients a choice. Theme 2: The pharmacist is a trusted source of support and information. Theme 3: Patient, carer and family distress is reduced. Theme 4: Enables patients to stay at home by improving medication knowledge and decreasing burden; 4.1-Patient, carer and family's understanding about medication management is improved, 4.2-Patient, carer and family travel is decreased, 4.3-Burden associated with getting to the doctor is decreased. Theme 5: Communication between all parties is enhanced; 5.1-Enhanced communication between the patient and health care team, 5.2-Enhanced communication within the health care team. Theme 6: Patient, carer and family burden of coordinating prescriptions and medications is reduced. Theme 7: Benefits health care professionals by improving medication knowledge, reducing workload and stress; 7.1-Understanding about medications and their management is improved, 7.2-Workload is reduced, 7.3-Work-related stress is reduced. Theme 8: The disparity of care between rural and urban patients is reduced. Theme 9: Helps to address rural workforce shortages. Theme 10: Challenges of this model of care; 10.1-A need for greater pharmacist capacity to meet demand, 10.2-A need for increased and sustained funding for the pharmacist role, 10.3-Large amount of travel to get to patients.ConclusionRural health care professionals are supportive of pharmacists working as part of the palliative care team in home-based settings and identified many benefits of this model of care.
引用
收藏
页码:510 / 520
页数:11
相关论文
共 50 条
  • [1] Health-Care Professionals' Perspective on Hope in the Palliative Care Setting
    Mok, Esther
    Lau, Ka-po
    Lam, Wai-man
    Chan, Lai-ngor
    Ng, Jeffrey
    Chan, Kin-sang
    [J]. JOURNAL OF PALLIATIVE MEDICINE, 2010, 13 (07) : 877 - 883
  • [2] Moral distress experienced by health care professionals who provide home-based palliative care
    Brazil, Kevin
    Kassalainen, Sharon
    Ploeg, Jenny
    Marshall, Denise
    [J]. SOCIAL SCIENCE & MEDICINE, 2010, 71 (09) : 1687 - 1691
  • [3] Population Health and Tailored Medical Care in the Home: the Roles of Home-Based Primary Care and Home-Based Palliative Care
    Ritchie, Christine S.
    Leff, Bruce
    [J]. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2018, 55 (03) : 1041 - 1046
  • [4] Medication management for community palliative care patients and the role of a specialist palliative care pharmacist: A qualitative exploration of consumer and health care professional perspectives
    Kuruvilla, Lisha
    Weeks, Greg
    Eastman, Peter
    George, Johnson
    [J]. PALLIATIVE MEDICINE, 2018, 32 (08) : 1369 - 1377
  • [5] Health Care Professionals' Experiences and Perspectives on Using Telehealth for Home-based Palliative Care: Scoping Review
    Lundereng, Elias David
    Nes, Andrea Aparecida Goncalves
    Holmen, Heidi
    Winger, Anette
    Thygesen, Hilde
    Joranson, Nina
    Borge, Christine Raheim
    Dajani, Olav
    Mariussen, Kari L.
    Steindal, Simen A.
    [J]. JOURNAL OF MEDICAL INTERNET RESEARCH, 2023, 25
  • [6] Home-based palliative care
    Reymond, Liz
    Parker, Greg
    Gilles, Louisa
    Cooper, Karen
    [J]. AUSTRALIAN JOURNAL OF GENERAL PRACTICE, 2018, 47 (11) : 747 - 752
  • [7] Home-based Palliative Care
    Kahveci, Kadriye
    Koc, Orhan
    Aksakal, Hurisah
    [J]. BEZMIALEM SCIENCE, 2020, 8 (01): : 73 - 80
  • [8] Experiences of palliative care nurses in providing home-based care for patient with advanced cancer
    Sijabat, Marlon
    Dahlia, Debie
    Waluyo, Agung
    [J]. ENFERMERIA CLINICA, 2019, 29 : 413 - 417
  • [9] Experiences of nurses practising home-based palliative care in a rural South African setting
    Campbell, Laura Mary
    [J]. INTERNATIONAL JOURNAL OF PALLIATIVE NURSING, 2011, 17 (12) : 593 - 598
  • [10] Nurses' experience of providing home-based palliative care in the country setting: An integrated literature review
    Rabbetts, Lyn
    Harrington, Ann
    Breaden, Katrina
    [J]. INTERNATIONAL JOURNAL OF NURSING PRACTICE, 2020, 26 (01)