Mattingly Ashlee N, Mattingly T Joseph
J Am Pharm Assoc (2003). 2018 Jan-Feb;58(1):94-108. doi: 10.1016/j.japh.2017.10.015. Epub 2017 Dec 1.
To summarize the findings of a literature search on advancing the role of pharmacy technicians, including the types of training identified and the potential costs and benefits to both the technician and the pharmacy.
A literature search of Scopus, Embase, and Medline was conducted on January 11, 2017.
Original research, research reports, case studies, or association reports were included for review. Articles were considered to be relevant based on identification of an advanced pharmacy technician role or addressing additional training/education for technician functions.
A standard data extraction form was used to collect study authors, article title, year published, journal title, study design, brief description of methods, primary outcome measures, advanced technician roles identified, additional education or training addressed, and additional costs and benefits identified in each article.
A total of 33 articles were included for full review and data extraction. Study design varied, with 17 (52%) quantitative, 1 (3%) qualitative, 5 (15%) mixed-method, and 10 (30%) case study designs. Seventeen (52%) of the studies included were published after 2006. The mechanism of training was primarily through supervised on-the-job training, allowing technicians to assume administrative-based positions that facilitated a pharmacist-led clinical service, with either the pharmacist or the pharmacy receiving the greatest benefits.
Although the literature supports technicians performing advanced roles in the pharmacy, resulting in either improved patient outcomes or opportunities for pharmacists to engage in additional clinical services, the benefits to the technician were primarily indirect, such as an increase in job satisfaction or a more desirable work schedule. If a technician is to take on additional roles that require completion of a formalized training or educational program, benefits that are more tangible may help to inspire technicians to pursue these roles.
总结关于提升药房技术员角色的文献检索结果,包括所确定的培训类型以及对技术员和药房潜在的成本与收益。
2017年1月11日对Scopus、Embase和Medline进行了文献检索。
纳入原创研究、研究报告、案例研究或协会报告进行综述。若文章确定了高级药房技术员角色或涉及技术员职能的额外培训/教育,则被视为相关文章。
使用标准数据提取表收集研究作者、文章标题、发表年份、期刊标题、研究设计、方法简要描述、主要结局指标、确定的高级技术员角色、涉及的额外教育或培训以及每篇文章中确定的额外成本和收益。
共纳入33篇文章进行全面综述和数据提取。研究设计多样,其中17项(52%)为定量研究,1项(3%)为定性研究,5项(15%)为混合方法研究,10项(30%)为案例研究设计。纳入的研究中有17项(52%)于2006年后发表。培训机制主要是通过有监督的在职培训,使技术员能够担任基于行政的职位,从而促进以药剂师为主导的临床服务,药剂师或药房从中受益最大。
尽管文献支持技术员在药房中发挥高级作用,从而改善患者结局或为药剂师提供更多参与临床服务的机会,但对技术员的益处主要是间接的,如工作满意度提高或工作时间表更理想。如果技术员要承担需要完成正规培训或教育项目的额外角色,更切实的益处可能有助于激励技术员追求这些角色。