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.
