Samoprocjena kompetencija javnih ljekarnika-mentora u okviru stručnog osposobljavanja za ljekarnike

professional thesis

• Author: Margita Držaić
• Mentor: Iva Mucalo (mentor)
• Committee member: Vesna Bačić Vrca (predsjednik povjerenstva)
• Committee member: Iva Mucalo (član povjerenstva)
• Committee member: Srećko Marušić (član povjerenstva)
• Granter: University of Zagreb; Faculty of Pharmacy and Biochemistry; (Centre for applied pharmacy); Zagreb
• Defense date and country: 2017, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Pharmacy; Pharmacy

Abstract

Posljednjih desetljeća svjedočimo intenzivnim promjenama u ljekarničkoj profesiji zbog čega se razvoj kompetencija u ljekarništvu nameće kao jedan od osnovnih preduvjeta za pružanje ljekarničke skrbi te unapređenje terapijskih ishoda i kvalitete života bolesnika. Stoga su kompetencijski okviri koji potiču osobni i stručni razvoj postali važna komponenta cjeloživotnog učenja te odgovor na potrebu za usavršavanjem i prepoznatljivošću stručnjaka u zdravstvu.
Cilj istraživanja: Cilj ovog istraživanja bio je definirati kompetencije koje je neophodno razvijati u kliničkih farmaceuta s ciljem poboljšanja kvalitete pružene skrbi. Dodatno, cilj je bio procijeniti kompetencije javnih ljekarnika-mentora pomoću Hrvatskog ljekarničkog kompetencijskog okvira (HLJKO-a).
Ispitanici i metode: Ova opservacijska prospektivna studija uključila je tzv. javne ljekarnike-mentore, odnosno javne ljekarnike koji su se na poziv Farmaceutsko-biokemijskog fakulteta (FBF-a) dobrovoljno prijavili za pružanje potpore i mentorstvo studentima-pripravnicima u okviru Stručnog osposobljavanja za ljekarnike (SO). Navedeni javni ljekarnici-mentori prisustvovali su edukaciji na FBF-u u listopadu 2015. i veljači 2016. godine kada su se imali prigodu upoznati s Programom SO temeljenom na HLJKO-u. Javni ljekarnici-mentori procijenili su svoje kompetencije u početnoj točci vremena prije uključivanja u program SO te su svoje samoprocjene naknadno dostavili elektroničkom poštom. Podaci su prikupljani pomoću HLJKO-a, validiranog alata za procjenu i samoprocjenu kompetencija javnih i bolničkih ljekarnika u razdoblju od listopada 2015. godine do travnja 2016. godine.
Rezultati: Od ukupno 260 javnih ljekarnika pozvanih u istraživanje u konačnu analizu je uključeno 223 ispitanika (Ž: 204; M: 19) iz 168 javnih ljekarni. Stopa odaziva iznosila je 85,8 %. Medijan dobi ispitanika iznosio je 41 godinu (raspon 27 - 65), a medijan radnog staža provedenog u javnoj ljekarni 14 godina (raspon 2 - 40). Javni ljekarnici-mentori samoprocijenili su se najboljima u kompetencijama iz klastera „Organizacijske i upravljačke kompetencije“ (3,64 ± 0,336), dok se najmanje kompetentnima smatraju za kompetencije iz klastera „Javnozdravstvene ljekarničke kompetencije“ (2,75 ± 0,769). Pri tome su se najboljima ocijenili u kompetenciji „Stručna i etička praksa“ (3,77 ± 0,393), dok je najniža srednja ocjena zabilježena za kompetenciju „Osiguravanje sigurne primjene lijekova“ (2,62 ± 0,685).
Zaključak: Ovo istraživanje predstavlja prvo testiranje HLJKO-a u praksi kao vrijednog alata u procjeni i samoprocjeni ljekarničkih kompetencija. Analizom prikupljenih podataka identificirane su kompetencije koje je neophodno razvijati u javnih ljekarnika s ciljem poboljšanja kvalitete ljekarničkih intervencija u javnim ljekarnama. Posljedično, definirana su područja iz kojih je javnim ljekarnicima u našoj zemlji potrebna dodatna stručna izobrazba.

Abstract (english)

Last decades we have witnessed intense changes in the pharmacy profession which is the reason for the development of competencies in pharmacy imposed as one of the basic prerequisites for the provision of pharmaceutical care as well as improving therapeutic outcomes and patients quality of life. Therefore, competency frameworks which prompt personal and professional development have become an important component of lifelong learning and are driven by the need for development and professional recognition of healthcare professionals.
Objectives: The aim of this study was to define competencies that need to be developed in clinical pharmacists with an aim of improving pharmaceutical care. Additionally, aim was to assess competencies of community pharmacists-preceptors using Croatian Competency Framework (CCF).
Subjects and methods: This observational prospective study has included so-called community pharmacists-preceptors or community pharmacists who have voluntarily accepted invitation of Faculty of Pharmacy and Biochemistry to provide support and mentoring to students-trainees within Pre-registration training of pharmacy students. Mentioned community pharmacists-preceptors have attended education at Faculty of Pharmacy and Biochemistry in October 2015. and February 2016. where they had an opportunity to meet with the Pre-registration training of pharmacy students Program, based on CCF. Community pharmacists-preceptors assessed their competencies at starting point of time, before involving into the program of Pre-registration training of pharmacy students and delivered their self-assessments by e-mails afterwards. Data were collected using CCF, validated toll for assessment and self-assessment of community and hospital pharmacists, during the period from October 2015. until April 2016.
Results: Of the total of 260 community pharmacists invited in this study, final analysis included 223 respondents (F: 204; M: 19) from 168 community pharmacies. The response rate was 85,8 %. The median age of the respondents was 41 year (range 27 - 65) and a median of service spent in a community pharmacy was 14 years (range 2 - 40). Community pharmacists-preceptors assessed themselves as the most competent in competencies from the cluster „Organizational and management competencies” (3.64 ± 0.336), while they considered themselves at least competent for the competencies from the cluster „Pharmaceutical public health competencies”(2.75 ± 0.769). Highest score was assessed for the competency „Professional and ethical practice” (3.77 ± 0.393), while the lowest score was recorded for competency „Ensuring the safe application of medicines” (2.62 ± 0.685).
Conclusion: This research represents first testing of the CCF in practice as a valuable tool in assessment and self-assessment of pharmacists competencies. Analyzing collected data identified competencies that need to be improved in community pharmacist with an aim of improving the quality of pharmacists interventions in community pharmacies. Consequently, areas in which community pharmacist in our country require additional professional education are defined.

• Keywords: ljekarničke kompetencije; ljekarnička skrb
• Keywords (english): pharmacists competencies; pharmaceutical care
• Language: croatian
• URN:NBN: urn:nbn:hr:163:888719
• Study programme: Title: Clinical pharmacy; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/sveučilišna magistra kliničke farmacije (sveučilišni/a magistar/sveučilišna magistra kliničke farmacije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2017-09-18 15:32:40