Patient-centred Professionalism Research Articles

Patient-centred professionalism in pharmacy: values and behaviours.

Research on patient-centred professionalism in pharmacy is scarce compared with other health professions and in particular with pharmacists early in their careers. The purpose of this paper is to explore patient-centred professionalism in early career pharmacists and to describe reported behaviours. DESIGN/METHODOLOGY/APPROACH - This study explored patient-centred professional values and reported behaviours, taking a qualitative approach. In all, 53 early-career pharmacists, pharmacy tutors and pharmacy support staff, practising in community and hospital pharmacy in England took part; the concept of patient-centred professionalism was explored through focus group interviews and the critical incident technique was used to elicit real-life examples of professionalism in practice. Triangulation of the data revealed three constructs of pharmacy patient-centred professionalism: being professionally competent, having ethical values and being a good communicator. It is not known whether our participants' perspectives reflect those of all pharmacists in the early stages of their careers. The data provide meaning for the concept of patient-centred professionalism. The work could be extended by developing a framework for wider application. Patient-centred professionalism in pharmacy needs further investigation from the patient perspective. The findings have implications for pharmacy practice and education, particularly around increased interaction with patients. The data contribute to a topic of importance to patients and in relation to UK health policy, which allocates more directly clinical roles to pharmacists, which go beyond the dispensing and supply of medicines. The methods included a novel application of the critical incident technique, which generated empirical evidence on a previously under-researched topic.

Thursday 27 November: Scotland

Local practice forum event, ‘Are you using standards and guidance to ensure patient-centred professionalism in the delivery of care?’ The Gailes Restaurant, Marine Drive, Gailes, Ayrshire KA11 5AE. Event 6.30pm. Book via the RPS website.

Consultation workshops with patients and professionals: developing a template of patient-centred professionalism in community nursing

The study aimed to clarify the notion of patient-centred professionalism through consultation with the public, stakeholders and professionals in order to develop a thematic template within nursing. The paper also examines innovative methodology informing eight template themes developed qualitatively. Patient-centred professionalism has had little coverage in nursing literature, whilst ‘patient-centredness’ is supporting patients through holistic care according to needs and expectations. The study took place in Wales, UK, between October 2009 and September 2010. Data collection entailed consultation workshops with newly qualifying nurses (13 participants), community nurses (nine participants), nursing stakeholders (six participants) and the public (six participants). Analysis involved summative and thematic approaches. Result were revealed through template themes, identified in rank order of significance: the patient, nursing ethos, community nurse as a person, knowledge and skills, working relationships, service delivery, training and information and environment. The patient comes first for nurses and was the major theme of the analysis. This almost goes without saying for nurses, whilst for patients this is a surprise, as they see themselves as marginalised. The patient in patient-centred professionalism has multiple identities, many of which contradict one another – recipient and object of care, a force of resistance and a focus of negotiation. In conclusion, a clearer understanding of the concept should play a central role in policy development for optimal care, informing education and training, and methodological strengths could be explored further by other researchers, across a wide range of contexts.

Consultation workshops with patients and professionals: developing a template of patient-centred professionalism in community nursing

Consultation workshops with patients and professionals: developing a template of patient-centred professionalism in community nursing

DEFINING PATIENT-CENTRED PROFESSIONALISM IN GASTROENTEROLOGY

IntroductionThe UK IBD audit 3rd round (RCP, 2011) shows that there has been sustained improvement in patient-centred care in terms of clinician commitment to improved quality of care and the...

PTH-097 Defining Patient-Centred Professionalism in Gastroenterology

IntroductionThe UK IBD audit 3rd round (RCP,2011)shows that there has been sustained improvement in patient-centred care in terms of clinician commitment to improved quality of care and the provision of...

Obtaining consensus about patient‐centred professionalism in community nursing: nominal group work activity with professionals and the public

To report on the development of a ranked thematic list encompassing the positive and challenging exemplars of patient-centred professionalism in community nursing. There has been little research exploring what 'patient-centred professionalism' means to those working within the healthcare settings. Consensus methods, such as those developed through Nominal Group Work, can help establish the extent of agreement on a particular issue whilst overcoming some of the problems associated with group decision-making. Mixed methods studying through consultation workshops. The study took place in South-west Wales, UK between October 2009-September 2010. Thirty-four participants consisting of community nurses (9), newly qualifying nurses (13), nursing stakeholders (6) and members of the public (6) took part in the study. An adapted Nominal Group Work approach was used in five individual consultation workshops: two with community nurses, one with newly qualifying nurses, one with stakeholders and one with members of the public followed by a mixed-group Forum event. Each of the five workshops resulted in the production of approximately ten positive and ten challenging exemplars of patient-centred professionalism. The thematization of these exemplars allowed the development of eight broad themes. The Forum event then provided a mechanism for ranking the importance of these themes. The patient, community nurse as a person and nursing ethos were ranked as the most important themes by study participants. The adapted Nominal Group Work approach was a useful method to allow the development of a ranked thematic list that illustrated the important positive and challenging exemplars of patient-centred professionalism in community nursing.

Obtaining consensus regarding patient-centred professionalism in community nursing: Nominal Group Work activity with professionals and the public

Obtaining consensus regarding patient-centred professionalism in community nursing: Nominal Group Work activity with professionals and the public

Eleven themes of patient-centred professionalism in community pharmacy: innovative approaches to consulting

The study aimed to clarify patient-centred professionalism within and across community pharmacy settings; position that knowledge in a modern-day environment, accessing the opinions and experiences of patients and professionals; inform the literature on the value of consultation workshops within this context; and develop a template of positive and challenging exemplars of patient-centred professionalism within these contexts. Thirty-nine study participants contributed to extended consultation workshops. Sessions were supported by bio-photographic data of healthcare practices across a range of different settings, and a final forum event. Thematic analysis of qualitative data, supported by the Nominal Group Work technique, led to a template containing 11 themes of positive and challenging aspects of patient-centred professionalism: safety, professional characteristics, relationships with patients, confidentiality and privacy, accessibility, training, professional pressures, services, environment, changing professional roles and patient characteristics. Themes, while descriptive and rich, highlight difficulties in defining this notion, which is both nuanced and ambiguous. While study participants were interested in the everyday examples of practice and interaction, they were strongly influenced by their different agendas and experiences. Patients, for example, wanted a quick and efficient dispensing service, where their needs and expectations came first. Pharmacists, on the other hand, found that pressing patient demands and overarching company policies led to professional anxiety that distracted them from what they perceived to be the defining aspect of their professionalism, dispensary work. The study outcomes indicate, in line with international literature, that while proud of supporting patients, many pharmacists feel demoralised, torn between pressing public and professional demands and the expectations of advice-giving in unfamiliar, formal situations within nondescript, corporate workspaces.

Obtaining consensus regarding patient-centred professionalism in community pharmacy: nominal group work activity with professionals, stakeholders and members of the public

The aim of this study was to develop a ranked thematic list encompassing the positive and negative exemplars of patient-centred professionalism in community pharmacy. An adapted Nominal Group Work (NGW) method was used in six individual consultation workshops (two with established pharmacists, one with newly qualified pharmacists, one with pharmacy staff, one with stakeholders and one with members of the public) followed by a mixed-group forum event. Each of the six workshops resulted in the production of approximately 10 positive and 10 negative exemplars of patient-centred professionalism. The thematization of these exemplars allowed the development of 11 broad themes. The mixed-group forum event then provided a mechanism for ranking the importance of these themes. Safety, professional characteristics and relationships with patients were ranked as the most important themes by our study participants. The adapted NGW was a useful method to allow the development of a ranked thematic list that illustrated the important positive and negative exemplars of patient-centred professionalism in community pharmacy.

Obtaining consensus regarding patient-centred professionalism in community pharmacy: nominal group work activity with professionals and members of the public.

Obtaining consensus regarding patient-centred professionalism in community pharmacy: nominal group work activity with professionals and members of the public.

Through the Looking Glass: Public and Professional Perspectives on Patient-centred Professionalism in Modern-day Community Pharmacy

This paper presents five consultation workshops with 29 community pharmacists, stakeholders and patients that examined patient-centred professionalism in terms of pharmacists' working day and environment. The concept is ill-defined in both medical and pharmacy literature and the study aimed to clarify the situated nature of the term for patients and health professionals across settings. Workshops were supported by bio-photographic datasets of in-situ practice and Nominal Group Work

Cornerstones of patient-centred professionalism

The General Dental Council guidelines, concerning the professionalism of all dental professionals, can be daunting at first. In the second article in the series, Fiona Stuart-Wilson breaks down the cornerstones of patient-centred professionalism.

Cornerstones of patient-centred professionalism

The General Dental Council guidelines, concerning the professionalism of all dental professionals, can be daunting at first. In the second article in the series, Fiona Stuart-Wilson breaks down the cornerstones of patient-centred professionalism.

Medical Education past, present and future

Medical Education past, present and future

Standards and Revalidation or Recertification

Patients want doctors who are competent, respectful, honest and able to communicate with them. This is patient-centred professionalism. In the United Kingdom, it is being embedded into practice by the General Medical Council (GMC) through medical regulation in a partnership between the public and doctors. The foundation is a national code of professional standards – Good Medical Practice – that has been tied to medical licensure to secure doctors’ continuing compliance whilst they are in active practice. The revalidation of a doctor’s license to practise is the means of achieving such compliance. Revalidation requires that specialists and general practitioners must be able to demonstrate – on a regular basis – that they are keeping themselves up to date and remain fit to practise in their chosen field. It begins in April 2005. For revalidation, doctors’ performance, conduct and health will be assessed against the headings of Good Medical Practice. Doctors will collect a folder of illustrative evidence that will form the basis of an annual appraisal carried out at the workplace by an appropriately trained colleague. The results of these annual appraisals will be submitted to the GMC for a revalidation decision every 5 years. Where doctors’ performance or conduct gives cause for concern, they may have to undergo a further searching assessment under the GMC’s Fitness to Practise Procedures. Under these procedures the GMC can order a doctor to retrain or, if circumstances warrant it, to stop practising.

17th Gordon Arthur Ransome Oration: Patient-centred Professionalism

When sickness strikes we all need doctors. People everywhere know that the quality of medical care can affect the outcome and possible consequences of illness, and at times mean the difference between life and death.

Time for hard decisions on patient-centred professionalism.

Patients want doctors who are competent, respectful, honest and able to communicate with them. That is patient-centred professionalism. Professional self-regulation, as practised hitherto, has failed to achieve this for all patients. In the United Kingdom, a new way of looking at professional regulation has been developed--as a partnership between public and doctors. At its heart is a code of good practice, agreed between public and profession, in which doctors' licence to practise is conditional on regularly demonstrating continuing compliance. That means revalidation-relicensure.