Improvement in pharmacist's performance facilitated by an adapted competency-based general level framework

Coombes, Ian, Avent, Minyon, Cardiff, Lynda, Bettenay, Karen, Coombes, Judith, Whitfield, Karen, Stokes, Julie, Davies, Graham and Bates, Ian (2010) Improvement in pharmacist's performance facilitated by an adapted competency-based general level framework. Journal of Pharmacy Practice and Research, 40 2: 111-118.

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Author Coombes, Ian
Avent, Minyon
Cardiff, Lynda
Bettenay, Karen
Coombes, Judith
Whitfield, Karen
Stokes, Julie
Davies, Graham
Bates, Ian
Title Improvement in pharmacist's performance facilitated by an adapted competency-based general level framework
Journal name Journal of Pharmacy Practice and Research   Check publisher's open access policy
ISSN 1445-937X
Publication date 2010-06
Sub-type Article (original research)
Volume 40
Issue 2
Start page 111
End page 118
Total pages 8
Editor Jo-anne E. Brien
Place of publication Collingwood, VIC, Australia
Publisher Society of Hospital Pharmacists of Australia
Collection year 2011
Language eng
Formatted abstract
Background: The General Level Framework (GLF) is a tool for evaluating pharmacists’ performance, providing tailored feedback and training, and guiding professional development.

Aim: To ascertain the changes in pharmacists’ workplace performance over time using the GLF and to describe pharmacists’ views on the baseline evaluation process.

Method: The UK GLF was mapped against Australian pharmacy competency standards and practice guidelines. 61 of the 92 competencies from the Queensland Health version of the GLF representing core professional activities of Australian pharmacists were analysed. Trained evaluators used the adapted GLF to observe pharmacists from 18 Queensland public hospitals in their workplace (baseline and repeat) and rate the frequency with which competencies were completed to a defined standard. The evaluators then provided pharmacists with tailored feedback, encouraged self-problem solving, and identified and addressed their training needs. Pharmacists’ views of the baseline evaluation process was assessed using a 7- point rating scale.

Results: 66 pharmacists from 18 Queensland hospitals underwent the evaluation. At baseline, pharmacists had a median of 3 (1 to 10) years hospital experience. A median of 14 (5 to 22) months lapsed between baseline and repeat observations. Of the 61 competencies analysed, 35 (57%) competencies showed a significant improvement from baseline to repeat observations (p ≤ 0.05). Competencies that improved significantly from baseline included: aspects of medication history taking; medication management; identification, documentation and resolution of drug-related problems; appraisal of therapeutic options; and communication with doctors and nurses. For 9 (15%) competencies, pharmacists were already performing at the maximum level (median score 4) at baseline and no change was recorded between observations. No competency demonstrated a decrease in performance between observations. When the mean scores with 95% confidence intervals for the clusters of competencies were compared over time all the mean scores except for discharge facilitation and medicines information/patient education/liaison showed a significant improvement. 52 pharmacists provided feedback on the baseline evaluation process and the majority found it a useful professional development tool. They considered the evaluation process fair and constructive but taxing.

Conclusion: The GLF tool assisted with the identification of pharmacists’ training needs, which are integral to their professional development.
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Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Pharmacy Publications
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Created: Fri, 04 Mar 2011, 13:52:03 EST by Charna Kovacevic on behalf of School of Pharmacy