Evaluation of a training programme for Pharmacist Independent Prescribers in a care home medicine management intervention

Birt, L., Dalgarno, L. , Bond, C. M., Holland, R., Alldred, D. P., Hughes, C., Blyth, A., Watts, L. and Wright, D. J. (2022) Evaluation of a training programme for Pharmacist Independent Prescribers in a care home medicine management intervention. BMC Medical Education, 22, 551. (doi: 10.1186/s12909-022-03575-5) (PMID:35840960) (PMCID:PMC9287970)

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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 efectively 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 confdence 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 benefcial. Conclusions: The bespoke training programme was ft for purpose. Mentorship and competency assessment were resource intensive but appropriate. An additional beneft was that many PIPs reported professional growth beyond the requirement of the study.

Item Type:Articles
Additional Information:This is a summary of independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Programme (Grant Reference Number RP-PG-0613–20007).
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Dalgarno, Mrs Lindsay
Authors: Birt, L., Dalgarno, L., Bond, C. M., Holland, R., Alldred, D. P., Hughes, C., Blyth, A., Watts, L., and Wright, D. J.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
Journal Name:BMC Medical Education
Publisher:BioMed Central
ISSN:1472-6920
ISSN (Online):1472-6920
Published Online:15 July 2022
Copyright Holders:Copyright © The Author(s) 2022
First Published:First published in BMC Medical Education 22: 551
Publisher Policy:Reproduced under a Creative Commons licence

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