A qualitative study of pharmacy nurse providers of community based post-birth care in Queensland, Australia

Zadoroznyj, Maria, Brodribb, Wendy, Falconer, Lauren, Pearce, Lauren, Northam, Casey and Kruske, Sue (2013) A qualitative study of pharmacy nurse providers of community based post-birth care in Queensland, Australia. BMC Pregnancy and Childbirth, 13 144.1-144.10. doi:10.1186/1471-2393-13-144

Author Zadoroznyj, Maria
Brodribb, Wendy
Falconer, Lauren
Pearce, Lauren
Northam, Casey
Kruske, Sue
Title A qualitative study of pharmacy nurse providers of community based post-birth care in Queensland, Australia
Journal name BMC Pregnancy and Childbirth   Check publisher's open access policy
ISSN 1471-2393
Publication date 2013-07
Year available 2013
Sub-type Article (original research)
DOI 10.1186/1471-2393-13-144
Open Access Status DOI
Volume 13
Start page 144.1
End page 144.10
Total pages 10
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2014
Language eng
Formatted abstract
Background: Reduced length of hospital stay following childbirth has placed increasing demands on community-based post-birth care services in Australia. Queensland is one of several states in Australia in which nurses are employed privately by pharmacies to provide maternal and child health care, yet little is known about their prevalence, attributes or role. The aims of this paper are to (1) explore the experiences and perspectives of a sample of pharmacy nurses and GPs who provide maternal and child health services in Queensland, Australia (2) describe the professional qualifications of the sample of pharmacy nurses, and (3) describe and analyze the location of pharmacy nurse clinics in relation to publicly provided services.

Methods: As part of a state-wide evaluation of post-birth care in Queensland, Australia, case studies were conducted in six regional and metropolitan areas which included interviews with 47 key informants involved in postnatal care provision. We report on the prevalence of pharmacy nurses in the case study sites, and on the key informant interviews with 19 pharmacy nurses and six General Practitioners (GPs). The interviews were transcribed and analysed thematically.

Results: The prevalence of pharmacy nurses appears to be highest where public services are least well integrated, coordinated and/or accessible. Pharmacy nurses report high levels of demand for their services, which they argue fill a number of gaps in the public provision of maternal and child health care including accessibility, continuity of carer, flexibility and convenient location. The concerns of pharmacy nurses include lack of privacy for consultations, limited capacity for client record keeping and follow up, and little opportunity for professional development, while GPs expressed concerns about inadequate public care and about the lack of regulation of pharmacy based care.

Conclusions: Pharmacy based clinics are a market-driven response to gaps in the public provision of care. Currently there are no minimum standards or qualifications required of pharmacy nurses, no oversight or regulation of their practice, and no formal mechanisms for communicating with other providers of postnatal care. We discuss the implications and possible mechanisms to enhance best-practice care.
Keyword Postnatal care
Pharmacy nurse
Child health clinic
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

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