Development of entrustable professional activities for specialist hospice and palliative care pharmacists

Article

LOCKMAN, Kashelle | LOWRY, Maria F. | DISCALA, Sandra | LOVELL, Amanda G. | URITSKY, Tanya J. | KEMATICK, Benjamin S. | SCHMIDT, Michelle | WETSHTEIN, Andrea M. | SCULLION, Bridget | HERNDON, Christopher M. | ATAYEE, Rabia S.

Context: Entrustable professional activities (EPAs) translate competencies into explicit, practical terms that clearly state the expected roles and responsibilities of clinicians who have achieved proficiency and expertise in a field. EPAs are defined for Hospice and Palliative Medicine physicians but not for other members of Hospice and Palliative Care (HAPC) interprofessional teams, including pharmacists. Objectives: The objective of this study was to develop EPAs for HAPC pharmacists. Methods: An eleven-member workgroup of HAPC pharmacists was convened to develop candidate EPAs using nominal group and modified-Delphi methods. Content validity index was used as a measure of consensus, defined a priori at = 60%. Vetting occurred via intra- and interprofessional stakeholder reactor groups and a national survey of HAPC pharmacists. Results: Following an iterative process of workgroup and stakeholder consensus-building, 15 HAPC pharmacist EPAs were developed. Among the workgroup, all 15 EPAs reached = 70% consensus, indicating appropriate internal validity. In a national survey of 185 HAPC pharmacists with a 20% response rate, 13 EPAs were rated by most respondents as “essential” and 2 were rated by most respondents as “important but not essential.” Respondents indicated the 15 EPA set represented the core professional activities of HAPC pharmacists well (median rating of 5 on a Likert-like scale, IQR 1). Conclusion: Fifteen consensus EPAs describe essential activities of HAPC pharmacists in direct patient care, leadership, education, and scholarship. These EPAs will further guide pharmacist training programs, HAPC services seeking to incorporate a specialized pharmacist on the team, and currently practicing HAPC pharmacists.

http://dx.doi.org/10.1016/j.jpainsymman.2022.03.004

Voir la revue «JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 64»

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