Laaksonen, Raisa Aurora;
(2005)
Evaluating competence, performance and perceptions: A multi-method longitudinal study in community pharmacy practice.
Doctoral thesis (Ph.D.), University College London (United Kingdom).
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Abstract
The expertise community pharmacists need to attain and maintain has extended towards more patient oriented clinical competencies, with a shift from dispensing medicines to provision of services such as smoking cessation and reviews of patients' medication. What's more, pharmacists are expected to demonstrate competence through learning, training, improving practice, in short, by engaging in continuing professional development. This multi-method study aimed to evaluate the influence of participating in clinical training and reviewing the medicines of elderly patients on the performance of community pharmacists and their perceptions of their professional competence and satisfactions in four London Primary Care Trusts between 2002 and 2004. A longitudinal study of community pharmacists' performance in providing clinical medication reviews showed that the better their training performance the more favourable their performance in providing medication reviews. However, trained pharmacists providing these medication reviews did not perceive themselves to be more competent in patient care than pharmacists who had not participated in the training, suggesting a difficulty when self-assessing competence which requires confidence and personal insight. Additionally, pharmacists who performed better at providing medication reviews assessed themselves to be less competent. These findings indicate that the more competent pharmacists had become, the more they were able to identify the skills or knowledge they lacked. Such a mismatch between performance and competence may result in not attaining or maintaining competence and subsequent deterioration of patient care. This emphasises the need for feedback on performance so that these assessments reflect competence appropriately. A longitudinal postal survey found that many community pharmacists were not satisfied with their jobs or careers before completing their training and having started providing medication reviews. This highlights challenges for recruiting and retaining workforce in community pharmacy. In-depth interviews revealed hope that new roles would increase professional satisfactions. There was a trend of increasing job and career satisfactions in the intervention group during the study, while the satisfactions remained unchanged in the non-intervention group; having a more clinical role enhances professional satisfactions. The non-intervention group perceived no change in their role over time; the intervention group associated increased satisfactions with providing medication reviews, other local initiatives and national policies.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | Ph.D. |
| Title: | Evaluating competence, performance and perceptions: A multi-method longitudinal study in community pharmacy practice |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Thesis digitised by ProQuest. |
| Keywords: | (UMI)AAI10104233; Health and environmental sciences; Community pharmacists |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10104888 |
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