Journal article
Development of Entrustable Professional Activities for Specialist Hospice and Palliative Care Pharmacists
Journal of pain and symptom management, Vol.64(1), pp.37-48
07/01/2022
DOI: 10.1016/j.jpainsymman.2022.03.004
PMID: 35304228
Abstract
Context. Entrustable professional activities (EPAs) translate competencies into explicit, practical terms that clearly state the expected roles and responsibilities of clinicians who have achieved proficiency and expertise in a field. EPAs are defined for Hospice and Palliative Medicine physicians but not for other members of Hospice and Palliative Care (HAPC) interprofessional teams, including pharmacists. Objectives. The objective of this study was to develop EPAs for HAPC pharmacists.
Methods. An 11-member workgroup of HAPC pharmacists was convened to develop candidate EPAs using nominal group and modified-Delphi methods. Content validity index was used as a measure of consensus, defined a priori at >= 60%. Vetting occurred via intra- and interprofessional stakeholder reactor groups and a national survey of HAPC pharmacists.
Results. Following an iterative process of workgroup and stakeholder consensus-building, 15 HAPC pharmacist EPAs were developed. Among the workgroup, all 15 EPAs reached >= 70% consensus, indicating appropriate internal validity. In a national survey of 185 HAPC pharmacists with a 20% response rate, 13 EPAs were rated by most respondents as "essential" and 2 were rated by most respondents as "important but not essential." Respondents indicated the 15 EPA set represented the core professional activities of HAPC pharmacists well (median rating of 5 on a Likert-like scale, IQR 1).
Conclusion. Fifteen consensus EPAs describe essential activities of HAPC pharmacists in direct patient care, leadership, education, and scholarship. These EPAs will further guide pharmacist training programs, HAPC services seeking to incorporate a specialized pharmacist on the team, and currently practicing HAPC pharmacists. (C) 2022 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
Details
- Title: Subtitle
- Development of Entrustable Professional Activities for Specialist Hospice and Palliative Care Pharmacists
- Creators
- Kashelle Lockman - University of IowaMaria F. Lowry - University of PittsburghSandra DiScala - Veterans Health AdministrationAmanda G. Lovell - OptumTanya J. Uritsky - Hospital of the University of PennsylvaniaBenjamin S. Kematick - Dana-Farber Cancer InstituteMichelle Schmidt - University of IowaAndrea M. Wetshtein - Cleveland ClinicBridget Scullion - Dana-Farber Cancer InstituteChristopher M. Herndon - Southern Illinois University EdwardsvilleRabia S. Atayee - University of Montana
- Resource Type
- Journal article
- Publication Details
- Journal of pain and symptom management, Vol.64(1), pp.37-48
- Publisher
- Elsevier
- DOI
- 10.1016/j.jpainsymman.2022.03.004
- PMID
- 35304228
- ISSN
- 0885-3924
- eISSN
- 1873-6513
- Number of pages
- 12
- Grant note
- Cambia Health Foundation through its Sojourns Scholars Leadership Program
- Language
- English
- Date published
- 07/01/2022
- Academic Unit
- Pharmacy Practice and Science; Office of Consultation and Research in Medical Education; Internal Medicine
- Record Identifier
- 9984366024902771
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