医院药师工作必须实现临床化

1目前我国临床药学发展的现状受我国特有历史文化与传统观念影响，人们总是习惯把药师与调剂、制剂，分发与储存保管药品联系在一起，他们的工作场所也不外乎药店、药房、制剂室和药库等地。药师的历史定位不仅影响了医师与病人接受“药师直接参与疾病治疗和监护”这一新观念，也使药师自己产生畏惧和不自信，不愿意主动接触临床。药师的工作只能听从临床医生的安排，医院药房和药师都处于医院治疗工作的从属地位。造成目前状况的原因是多方面的。     

中国临床药师，任重而道远

目的：呼吁政府和社会各界对中国临床药师能开展有真正意义的下临床参与药物治疗和提供良好的药学服务，必须在药学模式上加以改革。法律法规上加以确认，和传统观念上加以改变。方法：通过国内外药学教育模式和制度下培养的药学人才的比对，以及分析我国医院药师实际知识水平和技能，及社会各界、法律法规对药师下临床参与药物治疗的可行性和认同性。结果和讨论：中国临床药师下临床参与药物治疗提供良好的药学服务困难重重，任重而道远。唯有观念转变，教育改革和法律确认，才能使药师下临床有能力及顺利开展。当前，政府已明知国情并着手改变，可喜可贺。因此，中国临床药师虽然路漫漫，但前途乃是一片光明。     

浅谈疗养院临床药师如何开展药学服务工作

目的探讨疗养院药师怎样开展药学服务工作。方法对疗养院临床药师现状进行分析。结果提高药师自身素质,为临床服务。结论药师应积极主动地开展药学服务,体现药师价值。     

医院药师开展药学服务的体会

在21世纪的今天，随着卫生体制的改革，医院药剂科的工作重点由传统的药品供应与保障向临床药学和药学服务上转变。医院药师的工作和地位也被重新审视和定位，将由过去单纯调剂、发药转向为临床药师深入临床开展药学服务，参与病人药物治疗。这不仅需要药师不断提高药学专业知识和临床知识，还要同病人、临床医师、护师的积极沟通与配合，相互信任，最终使病人用药更加安全、有效、合理、经济。     

临床药师开展临床药学服务的内容探讨

随着时代的发展，我国医院药学部门的任务正逐渐发生根本性的变化：其学科性正由化学型转向生物型；其任务正由供应型转向服务型。《医疗机构药事管理暂行规定》明显提出：医疗机构的药学部门要建立“以病人为中心”的药学管理模式，开展以合理用药为核心的临床药学工作，参与临床疾病的诊断、治疗，提供药品技术服务，以提高医疗质量。因此培养临床     

ICU临床药师的工作体会和感受

临床药学是医院药学工作的重要组成部分,同时也是医药的结合点。临床药学是药师联系临床,探讨药物应用规律,促进临床用药合理化的一门药学分支学科[1]。它将传统的药学工作重点从“药”转向“药与人之间的相互作用”[2]。临床药师是伴随着临床药学的开展而出现的。2002年卫生部与国家中医药管理局联合发布了《医疗机构药事管理暂行规定》,对临床药师的职责有明确的规定[3],对于我国临床药学的学科建设和临床药师的成长在政策上奠定了基础,起到阳光雨露的作用。通过近两年时间在重症监护病房(ICU)天天查房的工作实践,现将体会和感受总结如…     

临床药师的工作方法与医院合理用药

回顾性分析我院临床药师的工作方式和内容,为促进医院合理用药提供参考依据。临床药师工作方式以参与全院查房、会诊以及检查病历为主;应扎实理论基础,端正态度积极参与临床用药实践。只有熟悉临床医师的用药习惯和用药意图,掌握药品的动态消耗规律,不断检测和总结药物治疗的相关因素及所用药物之间的相互作用,才能指导临床提高合理用药水平,减少患病人经济负担,从而构建和谐的医患关系。     

我国临床药师的状况分析

目的 分析我国临床药师现阶段的工作情况.方法 从我国临床药学发展,临床药师素质、沟通技巧、能力及社会对药师的认知程度等方面,阐述临床药师的所处环境.结果 种种原因造成了现在临床药师的尴尬地位.结论 临床药师应树立自信心,早日走出尴尬处境.     

General practitioner–pharmacist interactions in professional pharmacy services

Australian community pharmacies offer a range of professional pharmacy services (PPS) which include Home Medicines Review (HMR) and the Diabetes Medication Assistance Service (DMAS). The extent of interaction and collaboration between general practitioners (GPs) and pharmacists in the context of these services is unknown. Therefore, the aim of this study was to investigate (1) the nature and extent of interactions between GPs and community pharmacists and; (2) the factors that influence these interactions in the context of PPS. Individual semi-structured face-to-face and telephone interviews were conducted with a purposive sample of 15 GPs and 15 pharmacists in rural and metropolitan areas of New South Wales, Australia. The results indicated that involvement in PPS resulted in a perceived increase in the level of interactions between the pharmacist and GP. Factors found which may influence collaborative behaviour in PPS include interactional, practitioner and environmental determinants. These factors are in line with what has previously been reported however, facilitators of collaboration in the primary care, PPS context included additional environmental factors such as the presence of rules and protocols, interprofessional continuing education and the availability of adequate remuneration. Attention to these environmental factors as well as the more established interactional and practitioner determinants will improve collaboration in PPS.     

浅谈疗养院的药学服务模式

目的 由当前医疗体制改革引发疗养院药剂科的管理尤其是疗养院开展药学服务的模式必须转变.方法 对疗养院开展药学服务的意义、优势、特色及目标进行了具体分析.结果 疗养院药学服务模式的转变是形势所迫,疗养院的药学服务应当有自己的特色.结论 疗养院的药学服务要贴近疗养员,疗养院的药师要融入疗养、康复、治疗的大环境.     

Connected health care: the future of health care and the role of the pharmacist

The population of the world is ageing. As a result, the incidence of chronic disease is projected to increase, there are predicted shortages in health care workforce and budget restraints; implications for future health care provision are serious. The current model of health care is not equipped to deal with these changes. Connected health care, via the use of health informatics, disease management and home telehealth technologies, has been suggested as an approach to ease the projected strain on future health care. Evidence to date suggests a positive impact of the use of connected health care model; however, the majority of studies have overlooked the involvement of the community pharmacist. As the most common point of contact with primary health services for most of the population, the community pharmacist may be well placed to provide connected health care. The research to date is promising with improvements in outcomes for cardiovascular patients noted; however, further work is required to investigate the potential role the community pharmacist can play in the future of connected health care.     

Development of a Canadian family medicine pharmacy practice experience programme

Faculties of Pharmacy in Canada must currently provide students with at least 16 weeks of structured pharmacy practice experience. In recent years, the College of Pharmacy at Dalhousie University in Halifax, Nova Scotia, Canada has been developing more practice experience sites in non-institutional settings. One of these is at the Department of Family Medicine at Dalhousie University. This paper describes the development and expansion of clinical pharmacy services in the Family Medicine Clinics, provided by one of the College's clinical faculty members. With those services in place, the clinical pharmacist was ready to begin precepting pharmacy students at the Family Medicine Clinics. A proposal for a family medicine pharmacy practice experience programme was written, accepted and piloted in 1994-95. Following the success of that initial trial, the programme has continued and expanded over the years. Evaluation from the programme participants indicates that experience allows the pharmacy student to successfully complete programme objectives and gain an appreciation for working with other health care professionals to optimize patient care. The Family Medicine Clinics also appreciate the contributions made by the pharmacy students and value the interaction between students training in pharmacy and residents in family medicine.     

药师参与糖尿病患者家庭用药指导效果的研究

目的探讨药师参与糖尿病患者家庭用药指导的效果。方法随机选取曾在我院住院后出院的糖尿病患者60例,其中随访组30例,对照组30例。随访组定期以电话、走访、授课等方式给予药学服务。结果随访组药学服务前后用药依从性从66．7％提高到90．0％,对照组不予任何干预,半年后用药依从性从70．0％提高到76．7％。随访组糖化血红蛋白随访前后从（7．10±2．73）％下降到（6．18±0．89）％（P〈0．05）;与之相反,对照组糖化血红蛋白从随访前到半年后由（6．18±2．59）％改变为（6．64±1．19）％（P〈0．05）。结论药师开展药学服务,指导糖尿病患者家庭用药,能提高患者用药依从性,血糖控制指标明显优于对照组。     

Impact of an emergency medicine pharmacist on initial antibiotic prophylaxis for open fractures in trauma patients

Background

Targeted antibiotic treatment reduces the infection risk of open fractures when soft tissue and bone are exposed to the environment. The risk of infection increases with higher degrees of injury. The Gustilo-Anderson system was developed to identify the degree of injury of open fractures and can be utilized to guide initial antibiotic therapy. Few studies have been published evaluating the potential impact of emergency medicine pharmacists in trauma, and currently no study has evaluated a pharmacist's influence on antibiotic selection and timing for open fractures.

Best practice in clinical facilitation of undergraduate nursing students

Clinical facilitation is critical to successful student clinical experience. The research reported in this paper used an interpretive case study to explore perspectives of clinical facilitators on what constitutes best practice in clinical facilitation of undergraduate nursing students.Eleven clinical facilitators from South East Queensland, Australia, participated in focus groups, interviews and a concept mapping exercise to gather their perspectives on best practice. The data gathered information regarding their prior and current experiences as registered nurses and facilitators, considering reasons they became clinical facilitators, their educational background and self-perceived adequacy of their knowledge for clinical facilitation. Analysis was through constant comparison.Findings of the study provided in-depth insight into the role of clinical facilitators, with best practice conceptualised via three main themes; ‘assessing’, ‘learning to facilitate’ and ‘facilitating effectively’. While they felt there was some autonomy in the role, the clinical facilitators sought a closer liaison with academic staff and feedback about their performance, in particular their assessment of the students. Key strategies identified for improving best practice included educational support for the clinical facilitators, networking, and mentoring from more experienced clinical facilitators. When implemented, these strategies will help develop the clinical facilitators' skills and ensure quality clinical experiences for undergraduate nursing students.