The Canadian journal of hospital pharmacy最新文献

Background: With the prevalence and severity of burnout among health care providers increasing after the COVID-19 pandemic, there have been calls to manage burnout with a more proactive approach: joy in work. Ample literature is available on burnout experienced by pharmacists, but not on their joy in work.

Objective: To build an understanding of hospital pharmacists' perspectives on joy in work by determining how they defined joy and what they viewed as contributors and barriers to joy.

Methods: This study was conducted over 9 nonconsecutive weeks between December 2023 and March 2024. An anonymous electronic survey was used to capture information from pharmacists working in a provincial health authority in Alberta. Follow-up interviews were conducted with respondents who consented at the end of the survey.

Results: A total of 152 complete survey responses were collected (representing an estimated 17.7% response rate), and 9 interviews were held. Three themes representing contributors to joy were constructed: purpose, connection and belonging, and autonomy and agency. Two additional themes-systemic factors and large-scale changes-had both positive and negative impacts on joy. Barriers to joy were feeling undervalued, conflict, and feeling unsupported.

Conclusions: This study helps in understanding joy in work specifically among hospital pharmacists. Further research is needed to understand joy in work among pharmacists working outside of hospitals (e.g., community pharmacists) and to assess the efficacy of implementing strategies to improve joy within a pharmacy team.

Background: Student integration into clinical pharmacy services during Advanced Pharmacy Practice Experiences (APPEs) is helpful for both student learning and patient care. Identifying how to integrate students into clinical pharmacy services during APPEs is likely to be site-specific, depending on the pharmacy department's service emphasis and capacity in the particular health care setting.

Objective: To identify elements of rotation implementation that facilitated pharmacy students' learning and integration into hospital clinical pharmacy services during a Collaborative Health Care (CHC) setting APPE.

Methods: The study involved students and preceptors who participated in rotations over a 1-year period (May 2023 to April 2024) at a single Canadian faculty of pharmacy. A process evaluation approach was used to collect students' and preceptors' perceptions about the integration of students into clinical services and the types of clinical services that students were able to complete. Data for analysis were collected from transcripts of virtual interviews with students and preceptors, rotation evaluations, and patient-procedure logs submitted by students.

Results: Totals of 71 students and 166 primary preceptors and co-preceptors at 21 rotation sites were eligible to participate. Of these, 11 students and 17 preceptors from 9 rotation sites were interviewed. All 71 students (100%) and 56 (34%) of the preceptors completed online rotation evaluations. Analysis and triangulation of data sources yielded 6 main theme categories related to integration of students into clinical services during the CHC APPE rotation.

Conclusions: This evaluation of the integration of pharmacy students into clinical services during their CHC APPEs in the hospital setting identified elements that positively supported students' learning and their contribution to the practice setting. Both preceptors and students valued student integration. Lessons learned in this project may be helpful for other pharmacy experiential education programs.