Evaluation of a training programme for Pharmacist Independent Prescribers in a care home medicine management intervention
Abstract Background The provision of independent prescribing rights for United Kingdom (UK) pharmacists has enabled them to prescribe within their area of competence. The aim of this study was to evaluate an evidence-based training programme designed to prepare Pharmacist Independent Prescribers (PI...
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-022-03575-5 |
| _version_ | 1828759523571007488 |
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| author | L. Birt L. Dalgarno C. M. Bond R. Holland D. P. Alldred C. Hughes A. Blyth L. Watts D. J. Wright on behalf of the CHIPPS team |
| author_facet | L. Birt L. Dalgarno C. M. Bond R. Holland D. P. Alldred C. Hughes A. Blyth L. Watts D. J. Wright on behalf of the CHIPPS team |
| author_sort | L. Birt |
| collection | DOAJ |
| description | Abstract Background The provision of independent prescribing rights for United Kingdom (UK) pharmacists has enabled them to prescribe within their area of competence. The aim of this study was to evaluate an evidence-based training programme designed to prepare Pharmacist Independent Prescribers (PIPs) to safely and effectively assume responsibility for pharmaceutical care of older people in care homes in the UK, within a randomised controlled trial. Methods The training and competency assessment process included two training days, professional development planning against a bespoke competency framework, mentor support, and a viva with an independent General Practitioner (GP). Data on the PIPs’ perceptions of the training were collected through evaluation forms immediately after the training days and through online questionnaires and interviews after delivery of the 6-month intervention. Using a mixed method approach each data set was analysed separately then triangulated providing a detailed evaluation of the process. Kaufman’s Model of Learning Evaluation guided interpretations. Results All 25 PIPs who received the training completed an evaluation form (N = 25). Post-intervention questionnaires were completed by 16 PIPs and 14 PIPs took part in interviews. PIPs reported the training days and mentorship enabled them to develop a personalised portfolio of competence in preparation for discussion during a viva with an independent GP. Contact with the mentor reduced as PIPs gained confidence in their role. PIPs applied their new learning throughout the delivery of the intervention leading to perceived improvements in residents’ quality of life and medicines management. A few PIPs reported that developing a portfolio of competence was time intensive, and that further training on leadership skills would have been beneficial. Conclusions The bespoke training programme was fit for purpose. Mentorship and competency assessment were resource intensive but appropriate. An additional benefit was that many PIPs reported professional growth beyond the requirement of the study. Trial registration The definitive RCT was registered with the ISRCTN registry (registration number ISRCTN 17,847,169 ). |
| first_indexed | 2024-12-11T00:59:32Z |
| format | Article |
| id | doaj.art-06ebb1eabf2a48d987a3a1756aced5e8 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-12-11T00:59:32Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-06ebb1eabf2a48d987a3a1756aced5e82022-12-22T01:26:22ZengBMCBMC Medical Education1472-69202022-07-0122111010.1186/s12909-022-03575-5Evaluation of a training programme for Pharmacist Independent Prescribers in a care home medicine management interventionL. Birt0L. Dalgarno1C. M. Bond2R. Holland3D. P. Alldred4C. Hughes5A. Blyth6L. Watts7D. J. Wright8on behalf of the CHIPPS teamSchool of Health Sciences, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich Research ParkSchool of Medicine, Medical Sciences and Nutrition, University of AberdeenSchool of Medicine, Medical Sciences and Nutrition, University of AberdeenLeicester Medical School, University of LeicesterSchool of Healthcare, University of LeedsSchool of Pharmacy, Queen’s University BelfastSchool of Pharmacy, University of East Anglia, Norwich Research ParkSchool of Pharmacy, University of East Anglia, Norwich Research ParkSchool of Allied Health Professions, University of LeicesterAbstract Background The provision of independent prescribing rights for United Kingdom (UK) pharmacists has enabled them to prescribe within their area of competence. The aim of this study was to evaluate an evidence-based training programme designed to prepare Pharmacist Independent Prescribers (PIPs) to safely and effectively assume responsibility for pharmaceutical care of older people in care homes in the UK, within a randomised controlled trial. Methods The training and competency assessment process included two training days, professional development planning against a bespoke competency framework, mentor support, and a viva with an independent General Practitioner (GP). Data on the PIPs’ perceptions of the training were collected through evaluation forms immediately after the training days and through online questionnaires and interviews after delivery of the 6-month intervention. Using a mixed method approach each data set was analysed separately then triangulated providing a detailed evaluation of the process. Kaufman’s Model of Learning Evaluation guided interpretations. Results All 25 PIPs who received the training completed an evaluation form (N = 25). Post-intervention questionnaires were completed by 16 PIPs and 14 PIPs took part in interviews. PIPs reported the training days and mentorship enabled them to develop a personalised portfolio of competence in preparation for discussion during a viva with an independent GP. Contact with the mentor reduced as PIPs gained confidence in their role. PIPs applied their new learning throughout the delivery of the intervention leading to perceived improvements in residents’ quality of life and medicines management. A few PIPs reported that developing a portfolio of competence was time intensive, and that further training on leadership skills would have been beneficial. Conclusions The bespoke training programme was fit for purpose. Mentorship and competency assessment were resource intensive but appropriate. An additional benefit was that many PIPs reported professional growth beyond the requirement of the study. Trial registration The definitive RCT was registered with the ISRCTN registry (registration number ISRCTN 17,847,169 ).https://doi.org/10.1186/s12909-022-03575-5PharmacistTrainingIndependent prescribingCare homesDeprescribingProfessional competency |
| spellingShingle | L. Birt L. Dalgarno C. M. Bond R. Holland D. P. Alldred C. Hughes A. Blyth L. Watts D. J. Wright on behalf of the CHIPPS team Evaluation of a training programme for Pharmacist Independent Prescribers in a care home medicine management intervention BMC Medical Education Pharmacist Training Independent prescribing Care homes Deprescribing Professional competency |
| title | Evaluation of a training programme for Pharmacist Independent Prescribers in a care home medicine management intervention |
| title_full | Evaluation of a training programme for Pharmacist Independent Prescribers in a care home medicine management intervention |
| title_fullStr | Evaluation of a training programme for Pharmacist Independent Prescribers in a care home medicine management intervention |
| title_full_unstemmed | Evaluation of a training programme for Pharmacist Independent Prescribers in a care home medicine management intervention |
| title_short | Evaluation of a training programme for Pharmacist Independent Prescribers in a care home medicine management intervention |
| title_sort | evaluation of a training programme for pharmacist independent prescribers in a care home medicine management intervention |
| topic | Pharmacist Training Independent prescribing Care homes Deprescribing Professional competency |
| url | https://doi.org/10.1186/s12909-022-03575-5 |
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