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Hatton, Katie, Bhattacharya, Debi 
ORCID: https://orcid.org/0000-0003-3024-7453, Scott, Sion ORCID: https://orcid.org/0000-0001-7669-0632 and Wright, David
(2021)
Barriers and facilitators to pharmacists integrating into the ward-based multidisciplinary team: A systematic review and meta-synthesis.
Research in Social and Administrative Pharmacy, 17 (11).
pp. 1923-1936.
ISSN 1551-7411
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Abstract
Background: Pharmacists who are integrated into the ward team are involved in initial decision making, therefore pre-empting pharmaceutical problems and optimising therapy from the outset. Identifying the barriers and facilitators (determinants) to successful pharmacist integration within a multidisciplinary ward team will facilitate design of strategies to support integration. Objective: The study aimed to identify the modifiable barriers and facilitators to pharmacist integration into the ward-based multidisciplinary team. Method: Searches were conducted in May 2018 across 5 databases: MEDLINE, Embase, CINAHL, PsychINFO and ASSIA, combined with grey literature and manual searches. Qualitative and mixed-methods studies using a qualitative method of data collection and analysis were eligible if reporting at least 1 modifiable determinant. Framework synthesis using the Theoretical Domains Framework (TDF) as the a priori coding framework was undertaken. Behaviour change techniques for addressing the identified determinants were selected. Results: Twenty studies were included indicating 9 facilitators and 5 barriers to pharmacist integration. These were grouped into 3 themes. Professional knowledge and skills of the pharmacist were a facilitator to integration; interpersonal skills and relationships when representing positive interactions with team members were a facilitator whilst hierarchy was a barrier; working patterns were a facilitator when pharmacists were co-located with team members whilst profession-specific goals and excessive workload were barriers. These mapped to the TDF domains ‘knowledge’, ‘social/professional role and identity’, ‘skills’, ‘reinforcement’, ‘social influence’, ‘goals’, and ‘environmental context and resources’ respectively. Conclusion: The identified determinants within TDF domains and their associated behaviour change techniques now enable researchers to design theory- and evidence-based interventions to facilitate pharmacist integration into the ward-based multidisciplinary team. Pharmacist integration is facilitated by their knowledge and skills being valued and through demonstrating effective interpersonal skills. Re-structuring pharmacist responsibilities and working patterns to align with those of multidisciplinary team members also promotes integration
| Item Type: | Article |
|---|---|
| Additional Information: | Funding Information: Katie Hatton was funded by a National Institute for Health Research (NIHR) MSc in Clinical Research, for this research project. |
| Uncontrolled Keywords: | collaboration,integration,pharmacist,qualitative,systematic review,theoretical domains framework,pharmacy,pharmaceutical science ,/dk/atira/pure/subjectarea/asjc/3600/3611 |
| Faculty \ School: | Faculty of Science > School of Pharmacy |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging Faculty of Science > Research Groups > Patient Care |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 17 Feb 2021 00:58 |
| Last Modified: | 20 Apr 2023 20:31 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/79264 |
| DOI: | 10.1016/j.sapharm.2021.02.006 |
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