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Hospital Pharmacists and Antimicrobial Stewardship: A Qualitative Analysis

Antimicrobial stewardship programmes (ASPs) in hospitals are predominantly led by specific ASP physicians and pharmacists. Limited studies have been conducted to appreciate non-ASP-trained hospital pharmacists’ perspectives on their roles in antimicrobial stewardship. Focus group discussions (FGDs)...

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Autores principales: Wong, Lok Hang, Tay, Evonne, Heng, Shi Thong, Guo, Huiling, Kwa, Andrea Lay Hoon, Ng, Tat Ming, Chung, Shimin Jasmine, Somani, Jyoti, Lye, David Chien Boon, Chow, Angela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8698014/
https://www.ncbi.nlm.nih.gov/pubmed/34943655
http://dx.doi.org/10.3390/antibiotics10121441
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author Wong, Lok Hang
Tay, Evonne
Heng, Shi Thong
Guo, Huiling
Kwa, Andrea Lay Hoon
Ng, Tat Ming
Chung, Shimin Jasmine
Somani, Jyoti
Lye, David Chien Boon
Chow, Angela
author_facet Wong, Lok Hang
Tay, Evonne
Heng, Shi Thong
Guo, Huiling
Kwa, Andrea Lay Hoon
Ng, Tat Ming
Chung, Shimin Jasmine
Somani, Jyoti
Lye, David Chien Boon
Chow, Angela
author_sort Wong, Lok Hang
collection PubMed
description Antimicrobial stewardship programmes (ASPs) in hospitals are predominantly led by specific ASP physicians and pharmacists. Limited studies have been conducted to appreciate non-ASP-trained hospital pharmacists’ perspectives on their roles in antimicrobial stewardship. Focus group discussions (FGDs) were conducted with 74 pharmacists, purposively sampled from the 3 largest acute-care public hospitals in Singapore, to explore facilitators and barriers faced by them in antimicrobial stewardship. Applied thematic analysis was conducted and codes were categorised using the social–ecological model (SEM). At the intrapersonal level, pharmacists identified themselves as reviewers for drug safety before dispensing, confining to a restricted advisory role due to lack of clinical knowledge, experience, and empowerment to contribute actively to physicians’ prescribing decisions. At the interpersonal level, pharmacists expressed difficulties conveying their opinions and recommendations on antibiotic therapy to physicians despite frequent communications, but they assumed critical roles as educators for patients and their caregivers on proper antibiotic use. At the organisational level, in-house antibiotic guidelines supported pharmacists’ antibiotic interventions and recommendations. At the community level, pharmacists were motivated to improve low public awareness and knowledge on antibiotic use and antimicrobial resistance. These findings provide important insights into the gaps to be addressed in order to harness the untapped potential of hospital pharmacists and fully engage them in antimicrobial stewardship.
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spelling pubmed-86980142021-12-24 Hospital Pharmacists and Antimicrobial Stewardship: A Qualitative Analysis Wong, Lok Hang Tay, Evonne Heng, Shi Thong Guo, Huiling Kwa, Andrea Lay Hoon Ng, Tat Ming Chung, Shimin Jasmine Somani, Jyoti Lye, David Chien Boon Chow, Angela Antibiotics (Basel) Article Antimicrobial stewardship programmes (ASPs) in hospitals are predominantly led by specific ASP physicians and pharmacists. Limited studies have been conducted to appreciate non-ASP-trained hospital pharmacists’ perspectives on their roles in antimicrobial stewardship. Focus group discussions (FGDs) were conducted with 74 pharmacists, purposively sampled from the 3 largest acute-care public hospitals in Singapore, to explore facilitators and barriers faced by them in antimicrobial stewardship. Applied thematic analysis was conducted and codes were categorised using the social–ecological model (SEM). At the intrapersonal level, pharmacists identified themselves as reviewers for drug safety before dispensing, confining to a restricted advisory role due to lack of clinical knowledge, experience, and empowerment to contribute actively to physicians’ prescribing decisions. At the interpersonal level, pharmacists expressed difficulties conveying their opinions and recommendations on antibiotic therapy to physicians despite frequent communications, but they assumed critical roles as educators for patients and their caregivers on proper antibiotic use. At the organisational level, in-house antibiotic guidelines supported pharmacists’ antibiotic interventions and recommendations. At the community level, pharmacists were motivated to improve low public awareness and knowledge on antibiotic use and antimicrobial resistance. These findings provide important insights into the gaps to be addressed in order to harness the untapped potential of hospital pharmacists and fully engage them in antimicrobial stewardship. MDPI 2021-11-24 /pmc/articles/PMC8698014/ /pubmed/34943655 http://dx.doi.org/10.3390/antibiotics10121441 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wong, Lok Hang
Tay, Evonne
Heng, Shi Thong
Guo, Huiling
Kwa, Andrea Lay Hoon
Ng, Tat Ming
Chung, Shimin Jasmine
Somani, Jyoti
Lye, David Chien Boon
Chow, Angela
Hospital Pharmacists and Antimicrobial Stewardship: A Qualitative Analysis
title Hospital Pharmacists and Antimicrobial Stewardship: A Qualitative Analysis
title_full Hospital Pharmacists and Antimicrobial Stewardship: A Qualitative Analysis
title_fullStr Hospital Pharmacists and Antimicrobial Stewardship: A Qualitative Analysis
title_full_unstemmed Hospital Pharmacists and Antimicrobial Stewardship: A Qualitative Analysis
title_short Hospital Pharmacists and Antimicrobial Stewardship: A Qualitative Analysis
title_sort hospital pharmacists and antimicrobial stewardship: a qualitative analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8698014/
https://www.ncbi.nlm.nih.gov/pubmed/34943655
http://dx.doi.org/10.3390/antibiotics10121441
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