Qualitative analysis of community pharmacists' opinions on their involvement in reducing potentially inappropriate prescribing

Raae Hansen, Christina; Byrne, Stephen; O'Mahony, Denis; Kearney, Patricia M.; Sahm, Laura J.

Access to this article is restricted until 12 months after publication by request of the publisher.. Restriction lift date: 2019-10-20

Qualitative analysis of community pharmacists' opinions on their involvement in reducing potentially inappropriate prescribing

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dc.check.date	2019-10-20
dc.check.info	Access to this article is restricted until 12 months after publication by request of the publisher.	en
dc.contributor.author	Raae Hansen, Christina
dc.contributor.author	Byrne, Stephen
dc.contributor.author	O'Mahony, Denis
dc.contributor.author	Kearney, Patricia M.
dc.contributor.author	Sahm, Laura J.
dc.date.accessioned	2018-12-17T09:47:41Z
dc.date.available	2018-12-17T09:47:41Z
dc.date.issued	2018-10-20
dc.date.updated	2018-12-14T11:53:03Z
dc.description.abstract	Purpose: Older people are at risk of potentially inappropriate prescribing (PIP) due to polypharmacy arising from multi-morbidity. Despite available explicit criteria to reduce PIP, it is highly prevalent. Whilst community pharmacists have the required knowledge to help reduce PIP, they are not currently engaged with the problem. This study explores the views of community pharmacists on their potential involvement in reducing PIP and determines the challenges to its implementation. Methods: Semi-structured interviews with pharmacists working in community pharmacies in Ireland. The theoretical domains framework (TDF) was used to develop the topic guide and to analyse the transcripts. Domains of highest relevance for PIP reduction were identified based on their frequency or whether the participants emphasised the impact of constructs within a domain. Local ethical approval was obtained. Results: Of 18 participants, 12 were female, median age was 30 years (IQR, 27–35) with a median of 6 years (IQR, 3–8) of experience. Seven TDF domains were identified as relevant to PIP reduction. Pharmacists were uncertain about their role in reducing PIP and reluctant to challenge physicians’ prescribing decisions. Challenges pertained to the environment, knowledge, social influences, professional role and identity. Conclusions: Pharmacists welcomed new responsibilities in reducing PIP as part of their daily practice but expressed a need for removal of social and environmental barriers as well as, provision of relevant guidelines and education about PIP. This study provides useful insights into the target domains for overcoming barriers of pharmacist involvement in reducing PIP.	en
dc.description.status	Peer reviewed	en
dc.description.version	Accepted Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.citation	Raae Hansen, C., Byrne, S., O'Mahony, D., Kearney, P. M. and Sahm, L. J. (2018) 'Qualitative analysis of community pharmacists' opinions on their involvement in reducing potentially inappropriate prescribing', European Journal of Clinical Pharmacology. doi:10.1007/s00228-018-2578-2	en
dc.identifier.doi	10.1007/s00228-018-2578-2
dc.identifier.issn	1432-1041
dc.identifier.issn	0031-6970
dc.identifier.journaltitle	European Journal of Clinical Pharmacology	en
dc.identifier.uri	https://hdl.handle.net/10468/7226
dc.language.iso	en	en
dc.publisher	Springer Nature Switzerland AG	en
dc.rights	© 2018, Springer-Verlag GmbH Germany, part of Springer Nature. The final publication is available at Springer via https://doi.org/10.1007/s00228-018-2578-2	en
dc.subject	Pharmacist	en
dc.subject	Primary care	en
dc.subject	Older patients	en
dc.subject	Prescribing	en
dc.subject	Qualitative	en
dc.title	Qualitative analysis of community pharmacists' opinions on their involvement in reducing potentially inappropriate prescribing	en
dc.type	Article (peer-reviewed)	en