Community pharmacists’ opinions on their palliative care education needs and preferences of delivery of an educational programme: A qualitative study
DOI:
https://doi.org/10.46542/pe.2022.221.637646Keywords:
Continuing education, Palliative care, Pharmacist, Professional development, Qualitative researchAbstract
Background: The provision of medication and pharmaceutical care is an essential component of palliative care (PC). Lack of education in PC is a barrier to some community pharmacists providing care to PC patients.
Objective: To explore community pharmacists’ understanding of PC, their opinions of their PC education needs and to determine their preferences regarding delivery of a PC education programme.
Method: This study used a qualitative approach by means of semi-structured face-to-face interviews. Convenience and snowball sampling were used to select the sample population.
Results: Three main themes were identified when exploring PC education needs; (i) lack of knowledge about palliative care, (ii) role of community pharmacists in palliative care, and (iii) perceived barriers to accessing further education. Community pharmacists’ preferences for the delivery of an education programme were influenced by perceived barriers to accessing further education.
Conclusion: Community pharmacists’ understanding of PC highlighted a knowledge deficit which may be improved with further education.
References
Akram, G., Bennie, M., McKellar, S., Michels, S., Hudson, S., & Trundle, J. (2012). Effective delivery of pharmaceutical palliative care: challenges in the community pharmacy setting. Journal of palliative medicine, 15(3), 317–321. https://doi.org/10.1089/jpm.2011.0262
All Ireland Institute of Hospice and Palliative Care. (2015). Position Statement on Palliative Care Education on the Island of Ireland. [Online]. Available: https://aiihpc.org/wp-content/uploads/2018/12/Palliative-Care-Education-Position-Statement-.pdf
Borgsteede, S. D., Rhodius, C. A., De Smet, P. A., Pasman, H. R., Onwuteaka-Philipsen, B. D., & Rurup, M. L. (2011). The use of opioids at the end of life: knowledge level of pharmacists and cooperation with physicians. European journal of clinical pharmacology, 67(1), 79–89. https://doi.org/10.1007
Braun, V. & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101. https://doi.org/10.1191/1478088706qp063oa
Connor, S. R., Pyenson, B., Fitch, K., Spence, C., & Iwasaki, K. (2007). Comparing hospice and nonhospice patient survival among patients who die within a three-year window. Journal of pain and symptom management, 33(3), 238–246. https://doi.org/10.1016/j.jpainsymman.2006.10.010
Department of Health and Children. (2001). Report of the National Advisory Committee on Palliative Care. [Online]. Available: https://health.gov.ie/wp-content/uploads/2014/03/nacpc.pdf
Duffy, A. P., Bemben, N. M., Li, J., & Trovato, J. (2018). Facilitating Home Hospice Transitions of Care in Oncology: Evaluation of Clinical Pharmacists' Interventions, Hospice Program Satisfaction, and Patient Representation Rates. The American journal of hospice & palliative care, 35(9), 1181–1187. https://doi.org/10.1177/1049909118765944
Francis, J. J., Johnston, M., Robertson, C., Glidewell, L., Entwistle, V., Eccles, M. P., & Grimshaw, J. M. (2010). What is an adequate sample size? Operationalising data saturation for theory-based interview studies. Psychology & health, 25(10), 1229–1245. https://doi.org/10.1080/08870440903194015
Gamondi, C., Larkin, P. & Payne, S. (2013). Core competencies in Palliative Care: An EAPC White Paper on Palliative Care Education - Part 1. European Journal of Palliative Care, 20, 86-91. http://hdl.handle.net/10147/325629
Gilliland, I., Frei, B. L., McNeill, J., & Stovall, J. (2012). Use of high-fidelity simulation to teach end-of-life care to pharmacy students in an interdisciplinary course. American journal of pharmaceutical education, 76(4), 66. https://doi.org/10.5688/ajpe76466
Higginson, I. J., & Evans, C. J. (2010). What is the evidence that palliative care teams improve outcomes for cancer patients and their families?. Cancer journal (Sudbury, Mass.), 16(5), 423–435. https://doi.org/10.1097/PPO.0b013e3181f684e5
Howie, L., & Peppercorn, J. (2013). Early palliative care in cancer treatment: rationale, evidence and clinical implications. Therapeutic advances in medical oncology, 5(6), 318–323. https://doi.org/10.1177/1758834013500375
Health Service Executive. (2006). National Shared Services Primary Care Reimbursement Service Information and Administrative Arrangements For Pharmacists [Online]. Available: https://www.hse.ie/eng/staff/pcrs/contractor-handbooks/pcrs-handbook-for-pharmacists.pdf
Hussainy, S. Y., Beattie, J., Nation, R. L., Dooley, M. J., Fleming, J., Wein, S., Pisasale, M., Scott, W. J., & Marriott, J. L. (2006). Palliative care for patients with cancer: what are the educational needs of community pharmacists?. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 14(2), 177–184. https://doi.org/10.1007/s00520-005-0844-1
Hussainy, S. Y., Marriott, J. L., Beattie, J., Nation, R. L., & Dooley, M. J. (2010). A palliative cancer care flexible education program for Australian community pharmacists. American journal of pharmaceutical education, 74(2), 24. https://doi.org/10.5688/aj740224
Irish Association for Palliative Care. (2019). What is Palliative Care? [Online]. Available: http://www.iapc.ie/about-us/what-is-palliative-care/
Irish Hospice Foundation. (2017a). National Summary of Patient Activity Data for Adult Specialist Palliative Care Services in The Republic of Ireland, 2012-2015 [Online]. Available: http://hospicefoundation.ie/wp-content/uploads/2017/12/National-Survey-of-Patient-Activity.pdf
Irish Hospice Foundation. (2017b). What is Palliative Care? [Online]. Available: https://hospicefoundation.ie/aboutus/hospice-palliative-and-end-of-life-care/what-is-palliative-care/
Ise, Y., Morita, T., Katayama, S., & Kizawa, Y. (2014). The activity of palliative care team pharmacists in designated cancer hospitals: a nationwide survey in Japan. Journal of pain and symptom management, 47(3), 588–593. https://doi.org/10.1016/j.jpainsymman.2013.05.008
Ise, Y., Morita, T., Maehori, N., Kutsuwa, M., Shiokawa, M., & Kizawa, Y. (2010). Role of the community pharmacy in palliative care: a nationwide survey in Japan. Journal of palliative medicine, 13(6), 733–737. https://doi.org/10.1089/jpm.2009.0362
Laaksonen, R., Duggan, C. & Bates, I. (2009). Overcoming barriers to engagement in continuing professional development in community pharmacy: A longitudinal study. Pharmaceutical Journal, 282, 44-48. https://pharmaceutical-journal.com/article/research/overcoming-barriers-to-engagement-in-continuing-professional-development-in-community-pharmacy-a-longitudinal-study
Needham, D. S., Wong, I. C., Campion, P. D., & Hull and East Riding Pharmacy Developmnet Group (2002). Evaluation of the effectiveness of UK community pharmacists' interventions in community palliative care. Palliative medicine, 16(3), 219–225. https://doi.org/10.1191/0269216302pm533oa
O'Connor, M., Fisher, C., French, L., Halkett, G., Jiwa, M., & Hughes, J. (2011). Exploring the community pharmacist's role in palliative care: focusing on the person not just the prescription. Patient education and counseling, 83(3), 458–464. https://doi.org/10.1016/j.pec.2011.04.037
O'Connor, M., Hewitt, L. Y., & Tuffin, P. H. (2013). Community pharmacists' attitudes toward palliative care: an Australian nationwide survey. Journal of palliative medicine, 16(12), 1575–1581. https://doi.org/10.1089/jpm.2013.0171
Pharmaceutical Society of Ireland. (2016). Future Pharmacy Practice in Ireland: Meeting Patients’ Needs [Online]. Available: https://www.thepsi.ie/Libraries/Pharmacy_Practice/PSI_Future_Pharmacy_Practice_in_Ireland.sflb.ashx
Savage, I., Blenkinsopp, A., Closs, S. J., & Bennett, M. I. (2013). 'Like doing a jigsaw with half the parts missing': community pharmacists and the management of cancer pain in the community. The International journal of pharmacy practice, 21(3), 151–160. https://doi.org/10.1111/j.2042-7174.2012.00245.x
Sujatha, R., & Jayagowri, K. (2017). Assessment of Palliative Care Awareness among Undergraduate Healthcare Students. Journal of clinical and diagnostic research : JCDR, 11(9), JC06–JC10. https://doi.org/10.7860/JCDR/2017/29070.10684
Temel, J. S., Greer, J. A., Muzikansky, A., Gallagher, E. R., Admane, S., Jackson, V. A., Dahlin, C. M., Blinderman, C. D., Jacobsen, J., Pirl, W. F., Billings, J. A., & Lynch, T. J. (2010). Early palliative care for patients with metastatic non-small-cell lung cancer. The New England journal of medicine, 363(8), 733–742. https://doi.org/10.1056/NEJMoa1000678
Wilson, S., Wahler, R., Brown, J., Doloresco, F., & Monte, S. V. (2011). Impact of pharmacist intervention on clinical outcomes in the palliative care setting. The American journal of hospice & palliative care, 28(5), 316–320. https://doi.org/10.1177/1049909110391080
World Health Assembly. (2014). Strengthening of palliative care as a component of comprehensive care throughout the life course. [Online]. Available: http://apps.who.int/gb/ebwha/pdf_files/WHA67/A67_R19-en.pdf