PMID- 37598408 OWN - NLM STAT- MEDLINE DCOM- 20230822 LR - 20230824 IS - 1468-2834 (Electronic) IS - 0002-0729 (Linking) VI - 52 IP - 8 DP - 2023 Aug 1 TI - Interprofessional collaboration between prescribers, managers, nursing staff and on-site pharmacists within residential aged care facilities: a mixed-methods study. LID - afad143 [pii] LID - 10.1093/ageing/afad143 [doi] AB - BACKGROUND: A new on-site pharmacist (OSP) intervention within residential aged care facilities (RACFs) is being investigated to help improve medication management. Interprofessional collaboration amongst prescribers, nursing staff and pharmacists is critical to improving RACF medication management. OBJECTIVE: To explore the extent of interprofessional collaboration and the nature of the working relationships between OSPs and prescribers, managers and nursing staff. METHODS: A mixed-methods study was undertaken within the context of a 12-month cluster randomised controlled trial. Semi-structured interviews were conducted with data analysed using framework analysis, and a survey based upon the Physician-Pharmacist Collaboration Index (PPCI) was distributed at two time points (T1 at 3 months and T2 at 9 months after OSP commencement) across seven intervention RACFs. RESULTS: The qualitative data (n = 33 interviews) findings related to the processes supportive of these relationships e.g. on-site proximity, OSP personality and perceived (or beneficial) benefits of OSPs working with health care team members (such as OSPs being trusted and providing reassurance to RACF health care team members). The PPCI survey mean scores at T1 (n = 33) and T2 (n = 19) suggested that OSPs were able to establish positive working relationships at 3 months and that positive relationships also existed at 9 months. The integrated findings suggested that the working relationships between OSPs and health care team members were generally positive. CONCLUSIONS: This study is the first to explore interprofessional collaboration between OSPs and health-care team members in RACFs. The findings suggest that OSPs can positively contribute to interprofessional collaborative care within RACFs. CI - (c) The Author(s) 2023. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com. FAU - Batten, Miranda AU - Batten M AUID- ORCID: 0000-0003-1448-001X AD - Health Research Institute, University of Canberra, Bruce, ACT 2617, Australia. FAU - Lewis, Joanne AU - Lewis J AD - School of Nursing and Health, Avondale University, Wahroonga, NSW 2076, Australia. FAU - Naunton, Mark AU - Naunton M AD - Discipline of Pharmacy, Faculty of Health, University of Canberra, Bruce, ACT 2617, Australia. FAU - Strickland, Karen AU - Strickland K AD - School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, ACT 2617, Australia. AD - School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA 6207, Australia. FAU - Kosari, Sam AU - Kosari S AD - Discipline of Pharmacy, Faculty of Health, University of Canberra, Bruce, ACT 2617, Australia. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - England TA - Age Ageing JT - Age and ageing JID - 0375655 SB - IM MH - Humans MH - Aged MH - *Pharmacists MH - Data Accuracy MH - Homes for the Aged MH - *Nursing Staff MH - Patient Care Team OTO - NOTNLM OT - collaborative care OT - interprofessional collaboration OT - older people OT - pharmacist OT - qualitative research OT - residential aged care EDAT- 2023/08/20 18:41 MHDA- 2023/08/22 06:42 CRDT- 2023/08/20 15:05 PHST- 2022/06/05 00:00 [received] PHST- 2023/08/22 06:42 [medline] PHST- 2023/08/20 18:41 [pubmed] PHST- 2023/08/20 15:05 [entrez] AID - 7243697 [pii] AID - 10.1093/ageing/afad143 [doi] PST - ppublish SO - Age Ageing. 2023 Aug 1;52(8):afad143. doi: 10.1093/ageing/afad143.