Results of a focus group and questionnaire.

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Presentation transcript:

Results of a focus group and questionnaire. How can community pharmacists deliver pharmaceutical care to patients with cancer? Results of a focus group and questionnaire. Fiona MacLean1, Alexander Mullen2, Richard Lowrie1 and Anne Boyter2 1NHS Greater Glasgow & Clyde; 2University of Strathclyde Results – focus group Five community pharmacists participated in the focus group Data were analysed using content analysis Data were coded as: Challenges IT not joined up No single patient record Context, values and beliefs Scared to make decisions Wanting to provide the best care Solutions Access to clinical information systems One single patient record The pharmacists were asked how clinical data would help them support patients better: Putting research into practice Formal e-referral pathways from hospital to GP practice pharmacists have been requested in NHSGGC e-cancer care plans will be used by NHSGGC GP practice pharmacists to record their interventions enabling 2-way communication Clinical vignettes describing simple toxicity management are being written by cancer care pharmacists for the NHSGGC Community Pharmacy e-bulletin. The first was management of dry eye. Scottish cancer care pharmacists are leading the development of pharmaceutical care bundles to support tiered pharmaceutical care delivered by community pharmacists to patients prescribed SACT. Introduction Innovative models of SACT delivery now involve community pharmacists who require support to deliver specialist pharmaceutical care to their patients. The education and training needs of community pharmacists should be identified and cancer care pharmacists should seek ways to provide clinical support and clinical information to community-based colleagues. Aim To identify availability of patients’ clinical information, preferred methods of receiving information and training needs of community pharmacists and, To explore current and future uptake of e-health technologies to support delivery of pharmaceutical care by community pharmacists to patients with cancer Method An electronic questionnaire with 19 questions was emailed by Community Pharmacy Scotland (CPS) to their members in January 2016 Data were analysed using Qualtrics® software A focus group of community pharmacists who are part of the NHS Greater Glasgow & Clyde (NHSGGC) palliative care network took place in February 2015 Data were analysed using Audacity® and Microsoft NVivo® Results - questionnaire CPS emailed the questionnaire to 1800 members; 46 questionnaires were returned. Years qualified ranged from 2 - 43yrs. No pharmacists received clinical information about patients from secondary care Preferred methods of communication about patients are NHS email or direct access to the hospital electronic record Four pharmacists (11%) felt confident in providing pharmaceutical care to patients prescribed SACT Pharmacists wanted basic training on SACT Figure 3: Word Cloud “how access to clinical data might benefit my patients” No confidence Limited cancer knowledge Doesn’t know patient has cancer Confidence Access to clinical systems Knowledge of SACT Knowledge of the patient Common side effects Drug interactions Contact details Conclusion Suitably trained community pharmacists are ideally placed to support patients prescribed SACT Community pharmacists in Scotland will be supported to deliver directed pharmaceutical care to patients prescribed oral SACT dispensed in the community e-health technologies using e-referral and e-care plans will facilitate the seamless transition of pharmaceutical care of patients with cancer across the interface Acknowledgements Thanks to Jackie Lewis for her input to the questionnaire; Community Pharmacy Scotland & NHSGGC for distributing the questionnaire; & the focus group participants. Figure 1: Reasons for lack of confidence Figure 2: Training needs