Journal article
Linking Inner Context and Innovation Factors: Examining a pharmacy-based intervention through the eyes of pharmacy staff
Exploratory research in clinical and social pharmacy, Vol.15, p.100486
09/01/2024
DOI: 10.1016/j.rcsop.2024.100486
PMCID: PMC11350256
PMID: 39205955
Abstract
Introduction: Community pharmacies, as unique and accessible healthcare venues, are ideal locations to implement interventions aiming to improve patient care. However, these interventions may increase workload or disrupt workflow for community pharmacists, technicians, and other staff members, threatening long-term sustainment. There are growing calls from the field of implementation science to design for intervention sustainment and maintenance by maximizing innovation fit. Senior Safe™, an intervention to facilitate safer over-the-counter (OTC) product selection by older adults, serves as a case study to examine the congruence between Innovation Factors and community pharmacy Inner Context constructs and their implications for workload and sustainment.
Methods: Using the Exploration, Preparation, Implementation, Sustainment (EPIS) framework, this qualitative study identified factors surrounding Senior Safe implementation. Semi-structured interviews were conducted with staff from pharmacies where Senior Safe was implemented. Two coders independently analyzed interview transcripts using deductive analysis based on EPIS constructs. Thematic analysis was used to generate three themes that encapsulated innovation fit.
Results: Nineteen pharmacy staff members participated, with the majority reporting no significant change in their workload or workflow due to Senior Safe. Interview feedback supported a pre-existing culture of the healthcare system to engage patients, of leadership commitment to patient safety initiatives, and of an amplified role of pharmacy technicians.
Discussion and Conclusion: Pharmacy staff interviews revealed congruence between Innovation Factors and Inner Context that likely yielded intervention workload neutrality. This study highlighted the importance for researchers to consider maintenance and sustainability when designing and implementing an intervention and the critical influence of culture and leadership support during this process.
Details
- Title: Subtitle
- Linking Inner Context and Innovation Factors: Examining a pharmacy-based intervention through the eyes of pharmacy staff
- Creators
- Taylor L. Watterson - University of Illinois Urbana-ChampaignJukrin Moon - Department of Industrial and Systems Engineering, University of Iowa, USAJamie A. Stone - University of Wisconsin–MadisonAaron M. Gilson - University of Wisconsin–MadisonMaria E. Berbakov - University of Wisconsin–MadisonEmily L. Hoffins - University of Wisconsin–MadisonJason S. Chladek - University of Wisconsin–MadisonElin C. Lehnbom - Uppsala UniversityStephanie M. Resendiz - University of Wisconsin–MadisonShiying Mai - University of Wisconsin–MadisonKenneth D. Walker - Aurora Pharmacy, Inc, Advocate Healthcare, Menomonee Falls, WI, USAJoel D. Gollhardt - Aurora Pharmacy, Inc, Advocate Healthcare, Menomonee Falls, WI, USAMichelle A. Chui - University of Wisconsin–Madison
- Resource Type
- Journal article
- Publication Details
- Exploratory research in clinical and social pharmacy, Vol.15, p.100486
- DOI
- 10.1016/j.rcsop.2024.100486
- PMID
- 39205955
- PMCID
- PMC11350256
- NLM abbreviation
- Explor Res Clin Soc Pharm
- ISSN
- 2667-2766
- eISSN
- 2667-2766
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 09/01/2024
- Academic Unit
- Industrial and Systems Engineering
- Record Identifier
- 9984806510002771
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