Examining hospital pharmacists' goals for medication counselling within the communication accommodation theoretical framework

Chevalier, Bernadette A. M., Watson, Bernadette M., Barras, Michael A. and Cottrell, William Neil (2016) Examining hospital pharmacists' goals for medication counselling within the communication accommodation theoretical framework. Research in Social and Administrative Pharmacy, 12 5: 747-755. doi:10.1016/j.sapharm.2015.10.008

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Author Chevalier, Bernadette A. M.
Watson, Bernadette M.
Barras, Michael A.
Cottrell, William Neil
Title Examining hospital pharmacists' goals for medication counselling within the communication accommodation theoretical framework
Journal name Research in Social and Administrative Pharmacy   Check publisher's open access policy
ISSN 1934-8150
Publication date 2016-09-01
Year available 2015
Sub-type Article (original research)
DOI 10.1016/j.sapharm.2015.10.008
Open Access Status File (Author Post-print)
Volume 12
Issue 5
Start page 747
End page 755
Total pages 9
Place of publication Philadelphia, PA, United States
Publisher Elsevier
Language eng
Formatted abstract
Background: Medication counseling opportunities are key times for pharmacists to speak to patients about their medications and any changes made during their hospital stay. Communication Accommodation Theory (CAT) posits that an individual’s goals drive their communication behavior. The way in which pharmacists communicate with patients may be determined by the goals they set for these medication counseling sessions.

To examine hospital pharmacists’ goals in patient medication counseling within the CAT framework.

Methods: Hospital pharmacist focus groups were held in two teaching hospitals. Interested pharmacists attended a focus group designed to elicit their goals in patient medication counseling. Focus groups were audio recorded and transcribed verbatim. NVivo® software was used to assist in coding and organization. The codes were reviewed for reliability by pharmacists independent of the focus groups. An inductive thematic analysis was applied to the data.

Results: Six 1 h focus groups were conducted with a total of 24 pharmacists participating. Saturation of information was achieved after four focus groups. Greater than 80% consensus was achieved for reliability of the identified codes. Patient-centered themes constructed from these codes were to build rapport, to empower patients and to improve patients’ experience, health and safety. Exemplars provided by pharmacists for the goals of building rapport and empowering patients were aligned with five CAT communication behaviors (approximation, interpretability, discourse management, emotional expression and interpersonal control).

Conclusions: Patient-centered goals described by hospital pharmacists for medication counseling aligned well with CAT behaviors necessary for effective communication. Further research using the CAT framework to examine the effectiveness of hospital pharmacist-patient exchanges that include both participants’ perspectives is required to better understand how well pharmacists communicate with patients.
Keyword Communication accommodation theory
Hospital pharmacist
Focus group
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
School of Pharmacy Publications
School of Psychology Publications
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Created: Wed, 09 Dec 2015, 00:56:22 EST by Bernadette Chevalier on behalf of School of Pharmacy