Qualitative Key Informant Interviews Research Articles

Use of telemedicine for trauma care since the Russian invasion of Ukraine: A qualitative assessment.

Ukraine's health and trauma system has been detrimentally impacted since the start of the Russian invasion in February 2022. Use of telemedicine became critical to providing timely medical care. As such, the aim of this study was to describe telemedicine's use in the health and trauma system of Ukraine following the full-scale invasion. We conducted qualitative key informant interviews with military and civilian health care workers using an expanded version of the Global Trauma System Evaluation Tool which had components focusing on telemedicine use. Thematic content analysis was used to derive key telemedicine themes from interviews. We conducted 36 key informant interviews. Most respondents described using telemedicine through informal means of communication such as messaging apps to meet patient care needs. Concerns and challenges with use of telemedicine included weapons targeting, internet connections and safety of communications from Russian hackers. A unified system for telemedicine would greatly improve use in country both during and post conflict. Telemedicine use has rapidly increased in Ukraine during the current conflict particularly in the scope of providing trauma care when numerous specialties are needed. Development of a unified, secure telemedicine system with mechanisms for integrating multinational medical support would aid in providing swift medical care to persons injured in the conflict or unable to access a specialty provider in their proximity.

Prevention and management of anaemia in pregnancy: Community perceptions and facility readiness in Ghana and Uganda.

Anaemia is one of the most common conditions in low- and middle-income countries, with prevalence increasing during pregnancy. The highest burden is in Sub-Saharan Africa and South Asia, where the prevalence of anaemia in pregnancy is 41.7% and 40%, respectively. Anaemia in pregnancy can lead to complications such as prematurity, low birthweight, spontaneous abortion, and foetal death, as well as increasing the likelihood and severity of postpartum haemorrhage. Identifying and mitigating anaemia in pregnancy is a public health priority. Here we present a mixed-methods situational analysis of facility readiness and community understanding of anaemia in Ghana and Uganda. Quantitative health assessments (adapted from service availability and readiness assessments) and qualitative key informant interviews (KIIs) with district-level stakeholders, in-depth interviews (IDIs) with maternity staff, and focus group discussions (FGDs) with community members were held in 2021. We carried out facility assessments in nine facilities in Ghana and seven in Uganda. We carried out seven KIIs, 23 IDIs, and eight FGDs in Ghana and nine, 17, and five, respectively, in Uganda. Many good practices and general awareness of anaemia in pregnancy were identified. In terms of bottlenecks, there was broad consistency across both countries. In health facilities, there were gaps in the availability of haemoglobin testing-especially point-of-care testing-staffing numbers, availability of standard operating procedures/guidelines for anaemia in pregnancy, and poor staff attitudes during antenatal care. Amongst community members, there was a need for improved sensitisation around malaria and helminth infections as potential causes of anaemia and provision of education around the purpose of iron and folic acid supplementation for preventing or managing anaemia in pregnancy. Anaemia in pregnancy is a persistent challenge, but one with clear opportunities to intervene to yield improvements.

Focused Preceptor Feedback Assessing Student Pharmacists’ Ability to Administer Pediatric Immunizations

ObjectiveTo evaluate experiential pharmacy preceptor perceptions of student pharmacists’ ability to administer pediatric immunizations. MethodsSemi-structured, qualitative key informant interviews using the Outcomes Evaluation Framework were conducted with 10 pharmacist preceptors in outpatient community pharmacies where pediatric immunizations were provided. Interviews were audio-recorded, transcribed, and deidentified prior to analysis by the research team. Qualitative analysis and thematic coding procedures were used to identify relevant themes. ResultsSaturation was met after 10 pharmacists participated. All stated that it was beneficial for student pharmacists to administer pediatric vaccines if trained in proper technique. Participants acknowledged that the training students currently receive in immunization administration within the PharmD curriculum is valuable but did identify general confidence and child-comforting techniques during and after vaccination as areas of improvement for students. Just-in-time training, preceptor coaching, and hands-on practice outside of the didactic curriculum were utilized to help build confidence. Barriers to the implementation or expansion of pediatric immunization delivered by students in community pharmacies were identified as competing priorities, time, and reimbursement. ConclusionStudent pharmacists can be helpful in easing the challenges of incorporating pediatric immunization services into the community pharmacy setting. Results demonstrate that the integration of student pharmacists into these services is beneficial. Pediatric immunizations are still relatively new to many pharmacists and specific training for pediatric immunization administration may not be integrated into all Doctor of Pharmacy curricula but the experiential education of pediatric immunization training can be beneficial to help prepare student pharmacists for hands-on practice.

New Orleans school meal programs during the COVID-19 pandemic: challenges and innovations identified through qualitative interviews

BackgroundSchool meal programs are critical to reducing childhood food insecurity. This study identified challenges and innovations in school meal service in a disaggregated charter school system during COVID-19 in New Orleans, Louisiana.MethodsSemi-structured qualitative key informant interviews were conducted with school officials and school food providers. Interviews were recorded, transcribed, and coded. Using an immersion-crystallization approach, patterns were identified.ResultsNine participants described challenges and solutions/innovations in food service focused around five themes: food service, procurement and costs, staffing, communication and outreach, and collaborations and partnerships. Participants faced challenges in meal service logistics, procuring food and supplies, staffing shortages, timely communication, lack of city-wide coordination, and the need to rapidly shift operations due to an evolving pandemic. While the disaggregated system created challenges in a city-wide response, the decentralized system along with policy changes offered opportunities for flexibility and innovation in meal programs through new partnership and coordination between schools and community, development of new processes for food service and procurement, and diverse modes of communication.ConclusionThese findings add to the understanding of challenges faced and innovations implemented to continue school meal programs in a disaggregated school system. Collaboration with community organizations, leveraging resources, coordinated communication, and policies allowing for flexibility were key to response and should be encouraged to build capacity and resiliency in emergencies. In future city-wide emergency preparedness planning efforts, school leaders and food providers should be included in the planning to ensure continued equitable food access for students.

Approaching the SDG targets with sustained political commitment: drivers of the notable decline in maternal and neonatal mortality in Morocco

BackgroundBetween 2000 and 2017/2018, Morocco reduced its maternal mortality ratio by 68% and its neonatal mortality rate by 52%—a higher improvement than other North African countries. We conducted the Exemplars...

Assessing mid-career female physician burnout in the military health system: finding joy in practice after the COVID-19 pandemic

BackgroundRates of physician burnout increased during the COVID-19 pandemic and are expected to continue to rise. Mid-career physicians, female physicians, and military physicians have all been identified as potentially vulnerable populations to experience burnout. We examine factors associated with physician burnout among this intersectional group through a qualitative key informant interview study.MethodsWe developed a semi-structured interview guide using the Institute for Healthcare Improvement’s Improving Joy in Work Framework and recruited military, mid-career female physicians who worked in the Military Health System(MHS) during the COVID-19 pandemic, (March 2020 -December 2021). Notes were collated and deductive thematic analysis was conducted.ResultsWe interviewed a total of 22 mid-career female physician participants. Participants were between 30 and 44 years of age and 7 were mothers during the pandemic. Most were White and served in the Army. All participants discussed the importance of building rapport and having a good relationship with coworkers. All participants also described their discontentment with the new MHS GENESIS electronic health record system. An emerging theme was military pride as most participants were proud to serve in and support the military population. Additionally, participants discussed the negative impact from not feeling supported and not feeling heard by leadership.ConclusionsMuch like providers in other health systems during the pandemic, MHS physicians experienced burnout. This study allowed us to gather key insights to improve policies for active duty service mid-career female military physicians. Provider inclusion, autonomy, and work culture play critical roles in future systems improvement and workforce retention.

A snapshot on a journey from frustration to readiness-A qualitative pre-implementation exploration of readiness for technology adoption in Public Health Protection in Ireland.

In an era of emergent infectious disease, the timely and efficient management of disease outbreaks is critical to public health protection. Integrated technologies for case and incident management (CIM) collect real-time health intelligence for decision making in Public Health. In Ireland, a Public Health reform program is preparing for implementation of a health information system for health protection. Project implementers seek to document and understand the readiness and willingness of future users to adopt the new system, prior to system procurement and implementation. Qualitative key informant interviews were conducted (n = 8) with Public Health personnel from a single regional department of Public Health representing medical, nursing, disease surveillance and administrative roles, at managerial and staff levels. A qualitative thematic analysis was performed. Participants were frustrated by weaknesses in the current practice of CIM and were ready and willing to adopt a digital CIM system if it met their needs. However, they were frustrated by lack of clear timelines. We identified 7 enablers and 3 barriers to readiness and willingness to adopt a CIM system. 'Newness of the workforce' was the main enabler of readiness and willingness, while 'lack of knowledge and familiarity with system' was the main barrier to readiness and willingness. Experiences during the COVID-19 pandemic gave a clear understanding of the problems and need for a digital CIM system and the reform program facilitated a culture of change, readying the workforce for the new health information system. New members of the Public Health departments are a likely ready and eager cohort for adoption of a modern, 'fit for purpose' CIM system and the execution of implementation will likely determine how ready and willing the wider network of departments will be to adopt a national CIMS.

Sanitation is political: understanding stakeholders’ incentives in funding sanitation for the Gaza Strip, Palestine

The Gaza Strip is dependent on external aid to deliver basic services, including water and sanitation. Such services are not sustainable due to the Israeli occupation and the limited financial and technical capacities of service providers and the state. This paper examines the incentives of stakeholders in delivering sanitation services in the Gaza Strip through a qualitative institutional economics analysis of literature supplemented with qualitative key informant interviews. External aid is crucial to deliver basic services in the Gaza Strip. However, this has created a dependency that undermines the sustainability of sanitation services. Donor agencies often prioritise capital expenditure on visible infrastructure, such as wastewater treatment, without addressing its long and short-term operational needs; hence the Gaza Strip’s needs are continually addressed as an emergency response. The Palestinian Authority and Hamas de facto governments lack sovereignty over the Gaza Strip and Palestine. Therefore, they also lack the capacity and incentives to create an enabling environment for delivering safely managed sanitation. This paper contributes to development policy literature, the politics of infrastructure and wider politics of settler colonialism and siege basic services such as water and sanitation.

A qualitative assessment of Ukraine’s trauma system during the Russian conflict: experiences of volunteer healthcare providers

BackgroundThe Russian Federation’s invasion of Ukraine is characterized by indiscriminate attacks on civilian infrastructure, including hospitals and clinics that have devastated the Ukrainian health system putting trauma care at risk. International healthcare providers responded to the need for help with the increasing numbers of trauma patients. We aimed to describe their experiences during the conflict to explore the gaps in systems and care for trauma patients to refine the Global Trauma System Evaluation Tool (G-TSET) tool.MethodsWe conducted qualitative key informant interviews of healthcare providers and business and logistics experts who volunteered since February 2022. Respondents were recruited using purposive snow-ball sampling. Semi-structured, in-depth interviews were conducted virtually from January-March 2023 using a modified version of the G-TSET as an interview guide. Interviews were transcribed verbatim and deductive thematic content analysis was conducted using NVivo.FindingsWe interviewed a total of 26 returned volunteers. Ukraine’s trauma system is outdated for both administrative and trauma response practices. Communication between levels of the patient evacuation process was a recurrent concern which relied on handwritten notes. Patient care was impacted by limited equipment resources, such as ventilators, and improper infection control procedures. Prehospital care was described as highly variable in terms of quality, while others witnessed limited or no prehospital care. The inability to adequately move patients to higher levels of care affected the quality of care. Infection control was a key issue at the hospital level where handwashing was not common. Structured guidelines for trauma response were lacking and lead to a lack of standardization of care and for trauma. Although training was desired, patient loads from the conflict prohibited the ability to participate. Rehabilitation care was stated to be limited.ConclusionStandardizing the trauma care system to include guidelines, better training, improved prehospital care and transportation, and supply of equipment will address the most critical gaps in the trauma system. Rehabilitation services will be necessary as the conflict continues into its second year.

Perceptions of Adult Obesity Education: A Pilot Study.

This pilot research study, conducted at a large academic healthcare facility, used mixed methodology to (1) administer a survey to a group of primary care trainees and faculty and (2) conduct key informant interviews with the program directors, or their delegates of these primary care training programs, so as to gain insight into respondents' perceptions about their training on adult obesity. To maintain confidentiality of the key informants, they were defined as "Administrators." Faculty and trainees were from family medicine and internal medicine residency programs, as well as family nurse practitioner and physician assistant training programs. This study used a quantitative survey and four qualitative key informant (Administrator) interviews. Descriptive statistics, χ2, or Fisher exact tests were used to analyze select survey responses. Administrator interviews were analyzed with thematic analysis. Survey respondents (n = 75) included primary care trainees (n=34), faculty (n=30), other (n=2), did not answer (n=9). Surveys indicated that additional training is needed for bariatric surgery, weight loss medications, and clinical nutrition. The three highest ranked topics in the surveys on adult obesity were basic nutrition, behavioral weight management, and a rotation on adult obesity. Most agreed on the need for interprofessional collaboration, a centralized obesity treatment center, and an introductory obesity course. Key themes from the four Administrator interviews revealed the need: for more training; to build upon current curriculum; use innovative technology; fiscal challenges; and time management. Both faculty and trainees perceive that academic and clinical training on adult obesity is inadequate, and that trainees need more education on such topics as nutrition, physical activity, behavioral health, antiobesity medications, and bariatric surgery. Competency to treat varied by topic. It also showed that more interprofessional collaboration and a centralized obesity treatment center are needed. Recommendations included integrating modular units about obesity into already established primary care training programs and providing additional resources.

AGING IN THE RIGHT PLACE: TEMPORARY SUPPORTIVE HOUSING FOR OLDER MALE VETERANS IN CALGARY, CANADA

Abstract In 2019 an estimated 1.6% of emergency shelter users in Canada were veterans (1,905 individuals), which is consistent with the proportion of veterans in the general population (1.7%). However, veterans tend to be older, male, and cite an illness or medical condition as a contributing factor to their homelessness, than their non-veteran counterparts. As part of the Aging in the Right Place (AIRP) study, we sought to understand the housing and support needs of older male military veterans (age 50+) living in a congregate temporary supportive housing in Calgary, Alberta. This exploratory, multi-methods study used: (1) de-identified document review, (2) environmental audit, (3) in-depth qualitative key informant interviews with service providers and (4) in-depth qualitative and Photovoice interviews with older shelter residents to understand the shelter needs of older homeless veterans. The data was collected between February and June 2023. Interviews were transcribed, managed with NVivo 1.6.1, and team-based flexible coding was employed on the key informant (n=5) and shelter resident (n=5) interviews to determine older male veterans’ shelter needs. In this presentation we share the findings of the study and offer recommendations for shelter and services designed to assist older housing insecure veterans to age in the right place.

Why and How is the Difference? Fixed and Growth Mindsets in Mathematics among O-level Secondary School Students in Wakiso District, Uganda

People's beliefs tend to impact them in all aspects of life. One of the things that can solve the puzzle of mathematics and science, in general, is the mindset, which is a view of one's ability as either static or malleable. This study evaluated the mindsets of Senior 3 students in Mathematics in Wakiso District and the reasons for adopting those mindsets as revealed in student and teacher narratives. Three hundred thirty-two (332) students participated in the quantitative study, while six students from each school took part in qualitative focus group discussions, and one O-level mathematics teacher from each school took part in a qualitative key informant interview. The quantitative results showed that more students had a growth mindset (M = 14.86, SD = 3.81) than a fixed mindset (M = 11.63, SD = 3.88). However, a considerable number of students held a fixed mindset; as also evidenced by the qualitative data, there were no statistically significant differences in mindsets among the various demographics. Qualitative findings showed that past performance, peers, parents, teachers, and other socialisers were influential in promoting growth or a fixed mindset. The study concludes that even though many students have a growth mindset, many external factors can cause them to adopt a fixed mindset in mathematics. Since mindsets can change at any time, it is everyone's responsibility to change students' mindsets toward mathematics for the best results

Understanding the Pursuit of Third-Line Therapies for Overactive Bladder: A Mixed Methods Study.

Overactive bladder (OAB) affects millions of women in the United States, with negative effects in multiple domains that have an impact on quality of life. Third-line therapies for OAB are as effective or superior to lifestyle/behavior modification and medical management, yet few women access these treatments and often spend more than 36 months to reach these treatments after starting medication. Factors associated with time to reach third-line therapy are not well studied, and little is known about how patients progress through care pathways for OAB. The aim of the study was to determine factors associated with the time spent between second- and third-line therapy for OAB at an academic urogynecology and reconstructive pelvic surgery practice. We sought to identify demographic, treatment, clinical factors, and themes in barriers to receiving treatment for OAB. This was a mixed methods study consisting of a retrospective cohort study followed by qualitative key informant interviews. Eighty-five total participants were included in the analysis, and 42 (49.5%) spent more than 36 months between initiation of medical management and initial third-line therapy for OAB. No significant (P > 0.05) demographic, clinical, or treatment differences were found between groups. Facilitators and obstacles to receiving third-line therapy were identified among key informants, and a treatment decision framework was developed. Women often spend more than 36 months to pursue third-line therapy for OAB. Existing objective variables are poor predictors of pursuit of third-line treatment, and leveraging known facilitators and obstacles can be used to develop improved care pathways for OAB.

Young adults with congenital heart disease heading to college: Are college health centers and providers prepared?

An estimated 1.4 million adults in the United States have congenital heart disease (CHD). As this population grows and many pursue postsecondary education, these adults' health care needs and concerns should be at the forefront for providers, particularly nurse practitioners, at college health centers. To understand how college health centers and providers identify and manage the care of students with chronic conditions to further support their health care transition, with a focus on students with CHD. Qualitative key informant interviews were performed with providers at five college health centers to understand the processes in place and the challenges health care providers on college campuses face when caring for students with CHD. Most of the college health centers did not have formalized processes in place to care for these students. Although many felt that they had the capabilities in their health centers to manage these students' maintenance/preventive care needs, fewer felt comfortable with their urgent or emergent care needs. The onus was often on students or parents/guardians to initiate these transitions. This study highlights some challenges to providing care to students with chronic conditions like CHD. More collaborative relationships with specialists may be critical to ensuring that all the care needs of chronic disease students are met on college campuses. Nurse practitioners, who often staff these clinics, are well positioned to support this transition onto campuses and lead the development of processes to identify these students, ease care management transitions, and ensure easy provider communication that allow students with chronic diseases to thrive on campus.

Mental health related stigma, service provision and utilization in Northern India: situational analysis

Stigma, discrimination, poor help seeking, dearth of mental health professionals, inadequate services and facilities all adversely impact the mental health treatment gap. Service utilization by the community is influenced by cultural beliefs and literacy levels. We conducted a situational analysis in light of the little information available on mental health related stigma, service provision and utilization in Haryana, a state in Northern India. This involved: (a) qualitative key informant interviews; (b) health facility records review; and (c) policy document review to understand the local context of Faridabad district in Northern India. Ethical approvals for the study were taken before the study commenced. Phone call in-depth interviews were carried out with a purposive sample of 13 participants (Mean = 38.07 years) during the COVID-19 pandemic, which included 4 community health workers, 4 people with mental illness, 5 service providers (primary health care doctors and mental health specialists). Data for health facility review was collected from local primary health and specialist facilities while key policy documents were critically analysed for service provision and stigma alleviation activities. Thematic analysis was used to analyse patterns within the interview data. We found poor awareness and knowledge about mental illnesses, belief in faith and traditional healers, scarcity of resources (medicines, trained professionals and mental health inpatient and outpatient clinics), poor access to appropriate mental health facilities, and high costs for seeking mental health care. There is a critical gap between mental health related provisions in policy documents and its implementation at primary and district level.

“ … [I]f I can [be] infected now that means I am going to die … ”: an explorative study focusing on vulnerable, immunocompromised groups and caregivers experiences and perceptions of the Covid-19 pandemic in South Africa

ABSTRACT In this paper, we explored how vulnerable, immunocompromised groups and caregivers of the elderly experienced and perceived the onset of the Covid-19 pandemic in South Africa. Semi-structured interviews were conducted remotely between the 5th andthe 18th of April 2020 in the three South African provinces hardest hit by Covid-19, namely Gauteng, KwaZulu-Natal and the Western Cape. In total, 60 qualitative key informant interviews and one focus group discussion were conducted. Study participants expressed concerns for elderly people and people with underlying health conditions because of their increased vulnerability to Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). People living with HIV expressed an increased fear of infection following the advent of the Covid-19 pandemic in South Africa. The sidelining of healthcare services and stock-outs of medication proved to be an added concern in particular for vulnerable and immunocompromised groups. Overall, the data suggest that the fear of infection is ubiquitous for people who live in unstable environments such as overcrowded townships and informal settlements. Given the increased fears of infection brought on by the Covid-19 pandemic, the mental health of vulnerable communities and those caring for them becomes an added burden for people living in unstable environments.

Tıbbi İntörnlerin COVID-19 Pandemisi Sırasındaki Algı ve Tutumları: Niteliksel bir Çalışma

Objective: This study was designed to explore the potential association between the severity of the impact of the coronavirus disease-2019 (COVID-19) pandemic on perceptions and attitudes among medical interns. Material and Methods: The study was carried out as qualitative key informant semi-structured interviews, and were enrolled from September-October 2020 using a convenience sampling was used to recruit nine medical interns at King Faisal University College of Medicine, Saudi Arabia. Data were analyzed qualitatively using framework analysis. Semi-structured interviews were performed in Microsoft Teams (online) for an average of 21 minutes, and the English language was utilized. A thematic analysis was done to identify the main concerns of the interns about education loss. Results: Nine participants (4 male medical interns and 5 female interns) were interviewed. The interview time averaged 18.4 minutes (range 17-21 minutes) and the mean age of the sample was 24 (standard deviation 0.707) years. Interns were more likely to be anxious, panic-ridden, horrified, depressed, stressful and disorganised due to the influence of the COVID-19 pandemic. In addition, the COVID-19 pandemic has had an impact on interns' organization of hospital rotation schedules. Furthermore, there is disagreement on the impact of the COVID-19 epidemic on preparation for the Medical Licensing Exams. Conclusion: It should be ensured that the pandemic does not affect any more interns on medical rotations, by raising awareness through a bundle of educational courses.

High-level policy and governance stakeholder perspectives on health sector reform within a developing country context

Background: Health sector reform is a government-guided sustained process of structural change in programs and institutions of the health sector. Many developing countries like Nigeria have instituted various reforms in the health sector. However, issues in provision of quality healthcare persist. Hence this study explored high level stakeholders’ perspectives on health reform in Nigeria. Methods: The study was a descriptive case study using qualitative key informant interviews with purposively selected high-level government stakeholders in the Nigerian healthcare system comprising the Federal Ministry of Health and its agencies and institutes. Key aspects of health reform as identified by the World Health Organization were captured and used to develop a semi-structured interview guide. Seven Key Informant Interviews were carried out and recordings were transcribed verbatim and manually analyzed using standard techniques of thematic content analysis. Results: The emerging themes showing why reform has not led to improvement in the quality of healthcare include maladministration of the healthcare system, lack of an evidence-based engagement process and situation analysis involving all stakeholders, human resource shortages, weak health insurance, neglected primary healthcare system, poor financing, and weak political will. Conclusions: The study assessed policy and governance stakeholders’ views and perspectives on health sector reform in Nigeria. Findings showed various reasons why reform has not worked in Nigeria including poor stakeholder engagement and not following an evidence-based approach. Addressing these challenges by implementing some stakeholder perspectives including decentralizing the reform process and capturing the opinion of the people the reform is meant for can improve current and ongoing health reform policies. This could lead to an improved health system which can drive the attainment of Universal Health Coverage in Nigeria.

The Indonesian Government Capacity in Responding to the COVID-19 Impacts on the Creative Economy Sector

Extensive research has been carried out on government capacity to cope with the pandemic. However, little study on this issue exists examining it in the context of the creative economy sector. It has been argued that the successful organizations to address changes in the environment are determined by their organizational capacity. In this paper, we analyze the Indonesian government’s capacity to recover the creative economy sector during the first year of the COVID-19 pandemic. The qualitative content analysis method and key informant interviews were undertaken to understand government capacity. The paper extended the RISE (resilience, intention, sustain, and endurance) model to understand the process of government actions in recovering the creative economy sector from the adverse effects of the COVID-19 pandemic. The RISE model portrays the government’s capacity to respond to the hostile and uncertain environment through tax and loan relaxation, social and health assistance, and capacity building. This paper provides valuable insight into public administration by highlighting government responses to the global pandemic. By analyzing four stages of government actions in restoring the creative economy sector, this study shows that the expected outcomes are far from satisfactory. The government intervention during the first year of the COVID-19 pandemic becomes ineffective because the government is weak in preparing the creative economy recovery policies according to the needs of creative economy actors and accurate data. These findings suggest that the central and local government should improve their collaborative capacity to upgrade the creative economy recovery programs according to the local aspiration.

The physician perspective on pharmacist-physician collaboration and trust

BackgroundHealth care has shifted to focus less on individual practitioners and more on providing interprofessional and collaborative patient care. A strong working relationship among pharmacists and physicians is imperative for patient care and safety. ObjectivesThe objective of this research was to examine physician perspectives of the relationship between physicians and pharmacists, specifically evaluating the qualities and actions necessary for pharmacists to establish trust to provide the best quality of patient care. MethodsSemistructured qualitative key informant interviews were conducted with 11 physicians. Questions were designed to gather information about the physicians’ experiences with pharmacists and perceived barriers and opportunities for building trust and collaboration. The Unified Theory of Trust and Collaboration was used as a theoretical framework. ResultsThe ability to cooperate was the most important aspect identified by all 11 physicians in creating effective collaboration along with respect, knowledge, communication, and trust. Common barriers identified with the pharmacist-physician relationship were the lack of identity, rapport, knowledge, positive attitude, and communication. ConclusionBuilding trust and narrowing the gaps of communication are crucial in achieving effective collaborative practice among health professionals. Pharmacists and physicians must have the capability to cooperate with one another, understand the common moral responsibility they share, recognize the implications of their personal behavior on their professional relationships, and focus on their scope of practice without crossing boundaries. Through positive behaviors of civility, communication, adaption, and mutual respect in their individual roles, pharmacists and physicians can enhance their relationship and practice collaboratively.