SARA ALBULUSHI s.albulushi@rgu.ac.uk
Research Student
SARA ALBULUSHI s.albulushi@rgu.ac.uk
Research Student
T. McIntosh
H. Talkhan
Dr Aileen Grant a.grant17@rgu.ac.uk
Associate Professor
D. Stewart
M. Al Famy
Professor Scott Cunningham s.cunningham@rgu.ac.uk
Professor
Inappropriate polypharmacy arises through many factors including deficiencies in prescribing processes. Most research has focused on solutions at the clinician/patient levels with less at the organisational level. To explore key stakeholder identified barriers and facilitators to implementation of an organisational level polypharmacy management framework. Qualitative data were collected within the Ministry of Health in Oman. Key stakeholders were purposively sampled encompassing senior representatives of pharmacy, medicine, and nursing directors; healthcare policymakers; patient safety leaders; and academic leaders. A semi-structured interview schedule was developed informed by a recent scoping review and underpinned by the Consolidated Framework for Implementation Research (CFIR). Interviews, which continued until data saturation, were audio-recorded, transcribed and analysed using the Framework Approach. Thirteen key stakeholders were interviewed, with representation of each target group. Facilitators largely mapped to the CFIR domain of inner setting (i.e., aspects of stakeholder awareness, the electronic health system and national leadership), intervention characteristic (evidence gaps), characteristics of individuals (stakeholders and champions) and process (change strategy). Barriers also largely mapped to the inner setting (policy absence, communication and health professional practice) and outer setting (resource needs). This study has illuminated the facilitators and barriers to the implementation of an organisational level polypharmacy management framework. Further work is required to translate these themes into an actionable plan to implement the framework. Particular attention is required for aspects of the CFIR domain of inner setting (i.e., the internal context within which implementation occurs) as most barriers mapped to this domain.
AL BULUSHI, S., MCINTOSH, T., TALKHAN, H., GRANT, A., STEWART, D., AL FAMY, M. and CUNNINGHAM, S. [2025]. Barriers and facilitators to implementing polypharmacy management frameworks: a theory based qualitative exploration of key stakeholders. International journal of clinical pharmacy [online], Latest Articles. Available from: https://doi.org/10.1007/s11096-024-01844-5
Journal Article Type | Article |
---|---|
Acceptance Date | Nov 23, 2024 |
Online Publication Date | Dec 12, 2024 |
Deposit Date | Nov 25, 2024 |
Publicly Available Date | Jan 6, 2025 |
Journal | International journal of clinical pharmacy |
Print ISSN | 2210-7703 |
Electronic ISSN | 2210-7711 |
Publisher | Springer |
Peer Reviewed | Peer Reviewed |
DOI | https://doi.org/10.1007/s11096-024-01844-5 |
Keywords | Implementation science; Organisational change; Polypharmacy management; Strategic framework |
Public URL | https://rgu-repository.worktribe.com/output/2590454 |
AL BULUSHI 2025 Barriers and facilitators (VOR)
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Latest Article version uploaded 2025.01.06
A qualitative exploration of key stakeholders’ views and perceptions in relation to organisational change for the implementation of polypharmacy management in Oman.
(2022)
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