Skip to main content

Research Repository

See what's under the surface

Advanced Search

Key stakeholders' views on the potential implementation of pharmacist prescribing: a qualitative investigation.

Jebara, Tesnime; Cunningham, Scott; MacLure, Katie; Pallivalapila, Abdulrouf; Awaisu, Ahmed; Al Hail, Moza; Stewart, Derek

Authors

Tesnime Jebara

Scott Cunningham

Katie MacLure

Abdulrouf Pallivalapila

Ahmed Awaisu

Moza Al Hail

Derek Stewart



Abstract

Background: An accumulation of international evidence demonstrates that pharmacist prescribing is effective, safe and well-accepted. While there is potential for such development in the Middle East, the majority of published studies are largely reported from Western countries and the perspectives of individuals in strategic positions of policy and practice in the Middle East were unknown. Objective: To explore the views of key stakeholders in Qatar regarding the potential development and implementation of pharmacist prescribing. Methods: Qualitative, face-to-face semi-structured interviews were conducted with stakeholders in strategic positions of policy influence (i.e. medical, pharmacy and nursing department directors, health-related academics, patient safety and quality directors, professional regulators). Stakeholders were recruited via purposive and snowball sampling. The interview schedule was constructed from an extensive literature review and grounded in the Consolidated Framework for Implementation Research (CFIR) to ensure comprehensive exploration of potential facilitators and barriers. Interviews were conducted from April to August 2017, digitally recorded, transcribed, and independently analysed by two researchers using CFIR as a coding framework. Results: Thirty-seven interviews were conducted with directors of medicine (n=5), pharmacy (n=6) and nursing (n=5), healthcare policy developers (n=6), healthcare academics (n=9), and patient safety advocates (n=6). Interviewees were aware of pharmacist prescribing models internationally and generally supported development and implementation in Qatar due to perceived benefits of improved patient care, professional development and enhanced team working. While there were more facilitators than barriers, it was clear that there was a requirement to systematically plan the development and implementation of pharmacist prescribing, with reference to all five CFIR domains. The need for further training, demonstration of pharmacists’ prescribing competence, and extensive engagement of stakeholders were considered crucial. Conclusion: There is potential for pharmacist prescribing to be developed and implemented in Qatar. Further research is warranted to define the models of prescribing suitable for Qatar, and to highlight issues of education, training and accreditation.

Journal Article Type Article
Publication Date Mar 31, 2020
Journal Research in social and administrative pharmacy
Print ISSN 1551-7411
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 16
Issue 3
Pages 405-414
Institution Citation JEBARA, T., CUNNINGHAM, S., MACLURE, K., PALLIVALAPILA, A., AWAISU, A., AL HAIL, M. and STEWART, D. 2020. Key stakeholders’ views on the potential implementation of pharmacist prescribing: a qualitative investigation. Research in social and administrative pharmacy [online], 16(3), pages 405-414. Available from: https://doi.org/10.1016/j.sapharm.2019.06.009
DOI https://doi.org/10.1016/j.sapharm.2019.06.009
Keywords Prescribing; Clinical pharmacy; Implementation; Pharmacist; Qatar
;