Abstract:
OBJECTIVES:Our aim was to explore how members of community pharmacy staff perceive and experience the role of procedures within the workplace in community pharmacies. SETTING:Community pharmacies in England and Wales. PARTICIPANTS:24 community pharmacy staff including pharmacists and pharmacy support staff were interviewed regarding their view of procedures in community pharmacy. Transcripts were analysed using thematic analysis. RESULTS:3 main themes were identified. According to the 'dissemination and creation of standard operating procedures' theme, community pharmacy staff were required to follow a large amount of procedures as part of their work. At times, complying with all procedures was not possible. According to the 'complying with procedures' theme, there are several factors that influenced compliance with procedures, including work demands, the high workload and the social norm within the pharmacy. Lack of staff, pressure to hit targets and poor communication also affected how able staff felt to follow procedures. The third theme 'procedural compliance versus using professional judgement' highlighted tensions between the standardisation of practice and the professional autonomy of pharmacists. Pharmacists feared being unsupported by their employer for working outside of procedures, even when acting for patient benefit. Some support staff believed that strictly following procedures would keep patients and themselves safe. Dispensers described following the guidance of the pharmacist which sometimes meant working outside of procedures, but occasionally felt unable to voice concerns about not working to rule. CONCLUSIONS:Organisational resilience in community pharmacy was apparent and findings from this study should help to inform policymakers and practitioners regarding factors likely to influence the implementation of procedures in community pharmacy settings. Future research should focus on exploring community pharmacy employees' intentions and attitudes towards rule-breaking behaviour and the impact this may have on patient safety.
journal_name
BMJ Openjournal_title
BMJ openauthors
Thomas CE,Phipps DL,Ashcroft DMdoi
10.1136/bmjopen-2015-010851subject
Has Abstractpub_date
2016-06-06 00:00:00pages
e010851issue
6issn
2044-6055pii
bmjopen-2015-010851journal_volume
6pub_type
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