Medicines optimisation requires healthcare professionals to work collaboratively
to meet the medication needs of patients.
A grounded theory was produced which explains how doctors, nurses and
pharmacists work to optimise the use of medicines in acute hospital settings in
Northern Ireland. Seventeen semi-structured, one-to-one interviews were
conducted with doctors, nurses and pharmacists. Concurrent data collection
and analysis was carried out using coding, particular to grounded theory,
adopting a constant comparative approach, writing memos and using theoretical
sampling as described by Strauss and Corbin (1998).
The core category was managing risk. Participants had an implicit
understanding of the need to continually manage risk when working with the
complex and the routine. They used personal and systemic checks and
balances which could be viewed either as duplication of effort or indicative of a
culture of safety. Multi-professional interdependencies and support for new,
professional, non-medical roles were highlighted. Working together was a
further strategy to ensuring each patient gets the right medicine. Establishing an
agreed framework for working with medicines at ward level could support the
safer use of medicines.
It is anticipated that this theory will contribute to the design of systems involved
in medicines use in acute hospitals in Northern Ireland. / Part-funded by:
Northern Ireland Centre for Pharmacy Postgraduate Learning and Development (NICPLD),
Western Health and Social Care Trust
| Identifer | oai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/18664 |
| Date | January 2018 |
| Creators | Friel, Anne B.M. |
| Contributors | Lucas, Beverley J., Blenkinsopp, Alison |
| Publisher | University of Bradford, School of Pharmacy and Medical Sciences, Faculty of Life Sciences |
| Source Sets | Bradford Scholars |
| Language | English |
| Detected Language | English |
| Type | Thesis, doctoral, PharmD |
| Rights | <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><img alt="Creative Commons License" style="border-width:0" src="http://i.creativecommons.org/l/by-nc-nd/3.0/88x31.png" /></a><br />The University of Bradford theses are licenced under a <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/">Creative Commons Licence</a>. |
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