Professionalism and Pharmacy Flashcards
GOODE’S TRAITS OF PROFESSION
- Determines own standards of education and training (now much greater external collaboration)
- Student professional undergoes extensive _ & socialisation process
- Professional practice is _.
- Licensing and admission run by members of the profession (now less so)
- Most legislation affecting a profession is shaped by that _.
- High _, power and status. Attracts high calibre students.
- Relatively free from lay evaluation (A big no! Regulators, patient groups, the media, social media etc…)
- Practice norms more stringent than legal controls
- Members have a sense of identification and affiliation with their occupational group
- _ occupation
Training
Licensed
Profession
Income
Lifetime
PATIENT-CENTRED PROFESSIONALISM IN PHARMACY
- Safety
- Professional characteristics
- Relationships with patients
- Confidentiality and privacy
- Accessibility
- Training
- Professional pressures
- Services
- Environment
- Changing professional roles
- Patient characteristics
1. SAFETY
- Working practices, relationships
- Pharmacy environment design
- Spending time on systems for keeping everything safe vs time with patients?
- _ awareness of safety?
- Implications of dispensing errors
Public
2. PROFESSIONAL CHARACTERISTICS
- Clear identification of pharmacists; set/strict uniform etc
- Pharmacists need to receive better patient-focused training
- Pharmacists want to appear trustworthy and accessible BUT this can be underpinned by lack of funding, overworking etc that is enforced on them.
3. RELATIONSHIPS WITH PATIENTS
- Greater opportunities for private interaction with the public (consultation room etc.)
- The public want to be treated by trustworthy, courteous people
- The public want patient-centred skills instilled during training
–emphasis for clearer information-sharing and role definition.
4. CONFIDENTIALITY AND PRIVACY
•Patients expect confidentiality and privacy
–Does the environment support this?
–workspaces sometimes inappropriate or lacking in privacy
–private consultation booths can be unsuitable and ill-fitted to useful social interaction
5. ACCESSIBILITY
- Being openly available
- Well located geographically
–sense of community in local settings
- Providing a much-needed pharmacy service
- Easy access to premises
- Lack of appointments
–public perception: more accessible, the less professional they can appear
6. EDUCATION AND TRAINING
- Real need for excellent communication & consultation skills
- Person-centred education & training required
7. PROFESSIONAL PRESSURES
•Commercial pressures
–Demanding
–Creates tensions
–High workload
- How much personal and professional autonomy
- Multitasking
- Enhanced patient contact v “getting things done?
8. SERVICES
- Services are more important to the public than the space in which the pharmacist works
- Public’s interest in fast, non-appointment-based services, with minimal waiting times
- Professional groups can collaborate to promote services through joined-up working.
9. ENVIRONMENT
•Professional working environment
–Well-organised space, particularly dispensary
- Clinical vs retail environment
- Retailing can compromise ethic of care
10. CHANGING PROFESSIONAL ROLES
•New roles under NHS pharmacy contract
–Informal & formal consultation
–Diagnosis
- Has this affected time for patients?
- Role clarity
- Expectations and accountability
PATIENT CHARACTERISTICS
•The ‘patient is always right’!
–attitude pharmacists wish to uphold, in the interest of building trusting relationships and optimizing outcomes
•No appointments
–Demands to be seen immediately?
WHAT MIGHT PATIENT-CENTRED CARE ACTUALLY MEAN?
- Treating patients as people and as equal partners in decisions about their care
- Putting patients at the centre of all decisions
- Respect for patient preferences
- Compassion, dignity and empathy
- Support for self-care, enablement, autonomy and independence
- Patient choice, control and influence
- Good communication.
(More on back)
- Patients being called by the name they prefer and are used to rather than by the name on official documentation
- Patients being asked to do something and not being told
- Patients being able to make informed choices
- Patients being able to speak openly about their experiences of taking or not taking medicines, their views about what medicines mean to them, and how medicines impact on their daily life (e.g. when to wake up, when to sleep)
- Involving patients in decisions about their medicines and self care
PHARMACY PROFESSIONALISM
- Altruism
- Appropriate accountability
- Compassion
- Duty
- Excellence and continuous improvement
- Honour and integrity
- Professional judgement
- Respect for other patients, colleagues and other healthcare professionals
- Working in partnership with patients, doctors and the wider healthcare team in the patient’s/public’s best interest.
2004 CHARTERS OBJECTS (REVISED 2010)
- To safeguard, maintain the honour, and promote the interests of pharmacists in their exercise of the profession of pharmacy;
- to advance knowledge of, and education in, pharmacy and its application, thereby fostering good science and practice;
- to promote and protect the health and well-being of the public through the professional leadership and development of the pharmacy profession; and
- to maintain and develop the science and practice of pharmacy in its contribution to the health and well-being of the public.
RPS VISION STATEMENT
The Royal Pharmaceutical Society believes that pharmacists should be:
- The recognised professional member of the healthcare team responsible for choosing pharmacotherapy
- The universally accessible frontline clinical provider of all aspects of pharmaceutical care
- The healthcare professional entrusted by patients to take care of their every pharmaceutical need
- The recognised expert professional for medicines governance, information and management
- The guardian of patient safety and welfare, maximising the benefits of medicines and minimising the risks caused by adverse effects
- The leader in pharmaceutical innovation, research and developments of medicines, and of the delivery of pharmaceutical services
- The patient’s safeguard in the research, design, manufacture and supply of quality assured medicines
- The educator of all health professionals, the public and patients on the safe and effective use of medicines
- Accessible to all patients as a source of advice on health improvement and well-being
WHAT ARE THE FOUR GROUPS OF THE RPS ORGANISATION?
The Assembly
National Boards
Local Practice Forums (LPFs)
Membership categories
WHAT ARE THE FIVE SUB-CATEGORIES OF THE MEMBERSHIP GROUP WITHIN RPS?
Member
Fellow
Associated (e.g. Pre-Reg)
Student
Pharmaceutical scientist
RPS; THE ASSEMBLY
•Functions:
–maintains overall strategic direction on GB-wide issues
–responsible for good financial management and organisational governance
–supporting the entire Society linking into the National Boards and overseeing Professional Leadership and Development, Pharmaceutical Press and Commercial Services.
•Composed of:
–Nominated National Board members, a pharmaceutical scientist, an academic, a lay member
GPhC STANDARDS FOR PHARMACY PROFESSIONALS
- provide person-centred care
- work in partnership with others
- communicate effectively
- maintain, develop and use their professional knowledge and skills
- use professional judgement
- behave in a professional manner
- respect and maintain the person’s confidentiality and privacy
- speak up when they have concerns or when things go wrong
- demonstrate leadership
WHAT ARE THE 9 GPhC STANDARDS FOR PHARMACY PROFESSIONALS?
- provide person-centred care
- work in partnership with others
- communicate effectively
- maintain, develop and use their professional knowledge and skills
- use professional judgement
- behave in a professional manner
- respect and maintain the person’s confidentiality and privacy
- speak up when they have concerns or when things go wrong
- demonstrate leadership