Validating a Tool to Measure Pharmacist Fatigue: Implications for the Quadruple Aim

验证衡量药剂师疲劳的工具：对四重目标的影响

• 批准号: 10294420
• 负责人: Taylor Lee Watterson
• 金额: $ 4.28万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-01 至 2022-05-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10294420
• 关键词: Validating; Tool; Measure; Pharmacist; Fatigue

PROJECT SUMMARY/ABSTRACT Medication safety is a critical public health issue. Community retail pharmacists are the last line of defense for assuring safe medication use in the outpatient setting. However, pharmacists are experiencing unsafe levels of stress and excessive demands within the workplace. Pharmacists are crucial resources for health information as the most accessible health care professional. Especially in rural communities with limited access to primary care providers, pharmacists are critical for the provision of quality care. Further, 72% of community pharmacists reported their workload levels as high or excessively high which negatively affected the quality of care they were able to provide to patients. This is consistent with the Quadruple Aim which states that supporting the well-being of the health care professional is a prerequisite to assuring safe and high-quality health care. Occupational fatigue is a characteristic of excessive workload that inhibits workers’ abilities to function at normal capacity. Research in physicians and nurses has demonstrated that occupational fatigue negatively impacts patient, employee, and organizational outcomes. However, fatigue has been dangerously overlooked in pharmacists, who are experiencing excessive-work related demands. Systems based interventions to reduce fatigue must be developed to mitigate patient harm. A context-specific instrument needs to be validated first in order to develop and test interventions to reduce fatigue. This project will validate a previously developed pharmacist occupational fatigue instrument, utilizing the Instrument Development and Construct Validation framework. This explanatory mixed methods study has the following aims: (1) Examine convergent validity between two measures of occupational fatigue in pharmacists using a commercially available actigraphy device (Fatigue Science Readiband) and previously developed fatigue survey instrument, (2) Examine discriminant validity between a measure of occupational fatigue and a measure of burnout using a previously developed fatigue survey instrument and validated burnout index, and (3) Explore factors related to occupational fatigue in pharmacists. This study will be conducted by recruiting 60 community retail pharmacists across the state of Wisconsin. Pharmacists will wear the Fatigue Science Readiband, which will capture physiologic fatigue data continuously for 14-days. Participants will also be given the previously developed fatigue survey instrument, Maslach Burnout Inventory, and participate in a 30-minute interview after the 14-day data collection period. The ultimate goal of this project is to validate an instrument that will be utilized to develop and test interventions to reduce fatigue in community pharmacists, ultimately reducing patient harm. This project will be led by a pharmacist researcher uniquely trained in human factors engineering theories and methods. The study leverages a strong multidisciplinary team of mentors that include expertise in medication safety, community pharmacy, rural health, implementation science, and physical ergonomics.

项目总结/摘要 药物安全是一个重要的公共卫生问题。社区零售药剂师是 为确保门诊病人安全用药辩护。然而，药剂师们正在经历 工作场所内不安全的压力和过度的要求。药店是重要的资源， 健康信息是最容易获得的医疗保健专业人员。特别是在农村社区， 在获得初级保健提供者的帮助方面，药剂师对于提供优质保健至关重要。此外，72%的 社区药剂师报告说，他们的工作量水平很高或过高， 他们能够为病人提供的护理质量。这与“四重目标”是一致的， 支持医疗保健专业人员的福祉是确保安全和高质量的先决条件， 保健职业疲劳是过度工作量的一个特征，它会抑制工人的能力， 以正常能力运行。对医生和护士的研究表明， 对患者、员工和组织结果产生负面影响。然而，疲劳已经危险地 忽视了药剂师，谁正在经历过度的工作相关的需求。系统基于 必须开发减少疲劳的干预措施以减轻患者伤害。针对具体情况的文书 需要首先得到验证，以便开发和测试减少疲劳的干预措施。 该项目将验证以前开发的药剂师职业疲劳仪器，利用 仪器开发和结构确认框架。这种解释性的混合方法研究 本研究的目的是：（1）检验两种职业疲劳测量方法之间的趋同效度， 药剂师使用市售的腕动仪（Fatigue Science Readiband）， （2）检验职业性疲劳与职业性疲劳之间的判别效度 疲劳和倦怠的措施，使用以前开发的疲劳调查仪器和验证 （3）探讨药师职业疲劳的相关因素。本研究将 通过在威斯康星州招募60名社区零售药剂师进行。药剂师将穿着 Fatigue Science Readiband将连续14天采集生理疲劳数据。 参与者还将获得以前开发的疲劳调查工具，Maslach倦怠清单， 并在14天的数据收集期后参加30分钟的访谈。 这个项目的最终目标是验证一个将用于开发和测试的仪器 干预措施，以减少社区药剂师的疲劳，最终减少患者的伤害。该项目将 由一位在人因工程理论和方法方面受过独特培训的药剂师研究员领导。研究 利用强大的多学科导师团队，包括药物安全，社区 药学、农村卫生、实施科学和人体工程学。