Importance Performance Analysis Pelayanan Farmasi Klinik di RS Universitas Sumatera Utara dalam Persepsi Perawat

https://doi.org/10.22146/jmpf.73842

Rima Elfitra Rambe(1), Khairunnisa Khairunnisa(2*), Wiryanto Wiryanto(3)

(1) Program Studi Farmasi, Universitas Ma Chung
(2) Department Pharmacology, Faculty of Pharmacy, Universitas Sumatera Utara
(3) Department Pharmacology, Faculty of Pharmacy, Universitas Sumatera Utara
(*) Corresponding Author

Abstract


Clinical Pharmacy Services (CPS) is provided by clinical pharmacists as members of the healthcare team. This is beneficial for hospital care. Therefore, knowing nurses' perception of CPS can determine the quality of healthcare provided and help in its improvement. This study aims to determine nurses' perception of clinical pharmacy services at the Universitas Sumatera Utara hospital, Medan, Indonesia. This is a descriptive study that used the Importance–Performance Analysis (IPA) method. The data were obtained by interviews and questionnaires to 60 nurses from October-December 2021. Five clinical pharmacy services are patient drug history, reconciliation, drug information services, recommendations and intervention in the integrated medical record, and sterile product dispensing. This study found that nurses have experienced the five clinical pharmacy services for as many as 52-60 people (87%-100%). Reconciliation, recommendations, and intervention in the integrated medical record are in Quadrant I.        It shows that the performance of these services has not met the nurses' expectations. Drug information services are in Quadrant II. It shows that the service performance has been in line with the expectations. The patient's drug history is in Quadrant III. It shows low performance and is not expected by the nurse. The sterile product dispensing by clinical pharmacists is in quadrant IV. It shows that even though the perceived performance is good, the respondents do not consider this service to be important.


Keywords


Clinical pharmacist; Nurse Perception; Clinical pharmacy services; RS Universitas Sumatera Utara

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References

  1. Cavanaugh JJ, Lindsey KN, Shilliday BB, Ratner SP. Pharmacist-coordinated multidisciplinary hospital follow-up visits improve patient outcomes. J Manag care Spec Pharm. 2015 Mar;21(3):256–60.
  2. Abdulghani KH, Aseeri MA, Mahmoud A, Abulezz R. The impact of pharmacist-led medication reconciliation during admission at tertiary care hospital. Int J Clin Pharm. 2018 Feb;40(1):196–201.
  3. Hailu BY, Berhe DF, Gudina EK, Gidey K, Getachew M. Drug related problems in admitted geriatric patients: the impact of clinical pharmacist interventions. BMC Geriatr. 2020 Jan;20(1):13.
  4. Abousheishaa AA, Sulaiman AH, Huri HZ, Zaini S, Othman NA, Bin Aladdin Z, et al. Global Scope of Hospital Pharmacy Practice: A Scoping Review. Healthc (Basel, Switzerland). 2020 May;8(2).
  5. Bhagavathula AS, Sarkar BR. Clinical pharmacy practice in developing countries : Focus on India and Pakistan. 2014;5(2).
  6. Djamaluddin F, Imbaruddin A. Kepatuhan Pelayanan Farmasi di Klinik di Rumah Sakit Dr Wahidin Sudirohusodo. J Adm Negara. 2019;25:176–93.
  7. Amalia T, Putri TU. Implementasi Peraturan Menteri Kesehatan No 72 Tahun 2016 Terhadap Pelayanan Farmasi Klinis di Rumah Sakit A. 2021. 2021;5(1):1–5.
  8. Jacobi J. Clinical Pharmacist : Practicioners Who are Essential Memeber Of Your Clinical Care Team. Rev Médica Clínica Las Condes. 2016;27(5):571–7.
  9. Ven M, Lim C. Perceptions and Expectations of Doctors and Nurses Towards Clinical Pharmacy Services in Tawau Hospital. 2020;(June).
  10. Alsuhebany N, Alfehaid L, Almodaimegh H, Albekairy A, Alharbi S. Attitude and Perception of Physicians and Nurses Toward the Role of Clinical Pharmacists in Riyadh, Saudi Arabia: A Qualitative Study. SAGE Open Nurs. 2019;5.
  11. Kharaba Z, Kousar R, Alfoteih Y, Azhar S, Khan SA, Murtaza G. Nurses perception of pharmaceutical care practice: A qualitative approach. Trop J Pharm Res. 2020;19(4):887–92.
  12. Feldman LS, Costa LL, Feroli Jr ER, Nelson T, Poe SS, Frick KD, et al. Nurse-pharmacist collaboration on medication reconciliation prevents potential harm. J Hosp Med. 2012;7(5):396–401.
  13. Bryant R, Chaar B, Schneider C. Differing clinical pharmacy service models: Quantitative and qualitative analysis of nurse perceptions of support from pharmacists. Int J Nurs Stud. 2018;86(May 2017):90–8.
  14. Putra AT, Widayanti AAW. Persepsi Tenaga Kesehatan Terhadap Peran Apoteker Dalam Pelayanan Farmasi Klinik di Rumah Sakit Umum Pusat DR. Soeradji Tirtonegoro Klaten. In 2013.
  15. Prayudha IPA, Sudarma M, Swamardika IBA. Review Literatur Tentang Analisis Kepuasan Layanan Menggunakan Pendekatan Servqual dan IPA. Maj Ilm Teknol Elektro. 2021;20(2):203.
  16. Miranda FJ, Chamoro A, Murillo LR, Vega J. An Importance-Performance Analysis of Primary Health Care Services: Managers vs. Patients Perceptions. J Serv Sci Manag. 2010;03(02):218–26.
  17. Warli SM, Martina SJ, Ikhsan R, Nasution AD. Rencana Strategis Rumah Sakit Universitas Sumatera Utara Tahun 2020-2024. 2020. p. 18–53.
  18. Notoatmodjo S. Metode Penelitian Kesehatan. Jakarta: Penerbit PT. Rineka Cipta; 2012. 139 p.
  19. Chen Y-C, Lin S. Applying Importance-Performance Analysis for Improving Internal Marketing of Hospital Management in Taiwan. Int Bus Res. 2013;6(4):45–54.
  20. Kemenkes RI. Standar Pelayanan Kefarmasian di Rumah Sakit. Peratur Menteri Kesehat Republik Indones Nomor 72 Tahun 2016. 2016;(June).
  21. Azhar S, Hassali M, Mohamed Ibrahim MI, Saleem F, Yen L. A survey evaluating nurses’ perception and expectations towards the role of pharmacist in Pakistan’s healthcare system. J Adv Nurs. 2011;68:199–205.
  22. Garcia-Cardenas V, Perez-Escamilla B, Fernandez-Llimos F, Benrimoj SI. The complexity of implementation factors in professional pharmacy services. Res Soc Adm Pharm. 2018;14(5):498–500.
  23. Ramos SF, Santos Júnior GA Dos, Pereira AM, Dosea AS, Rocha KSS, Pimentel DMM, et al. Facilitators and strategies to implement clinical pharmacy services in a metropolis in Northeast Brazil: A qualitative approach. BMC Health Serv Res. 2018;18(1):1–12.
  24. Carter BL. Evolution of Clinical Pharmacy in the USA and Future Directions for Patient Care. Vol. 33, Drugs and Aging. 2016. p. 169–77.
  25. Goldberg J. Pharmacist Collaborative Pactice ang The Development and Implementation of Team-Based Care in Outpatient Health Care Settings : A Case Study at El Rio Community Health Center. ProQuest LLC. 2015.
  26. Del C, Bermudez R, Medrano IH, Yebes L, Poveda JL. Towards a symbiotic relationship between big data , artificial intelligence , and hospital pharmacy. J Pharm Policy Pract. 2020;4–9.
  27. Al-Hashar A, Al-Zakwani I, Eriksson T, Al Za’abi M. Whose responsibility is medication reconciliation: Physicians, pharmacists or nurses? A survey in an academic tertiary care hospital. Saudi Pharm J. 2017;25(1):52–8.
  28. Barnsteiner JH. An Evidence-Based Handbook for Nurses. In: Handbook for Nurses. 2008. p. 1-14Patient Safety and Quality: An Evidence-Based.
  29. Institute for Safe Medication Practices. ISMP Guidelines for Safe Preparation of Compounded Sterile Preparations. Instituté safe Medicat Pract. 2016;22.
  30. Suvikas-Peltonen E, Hakoinen S, Celikkayalar E, Laaksonen R, Airaksinen M. Incorrect aseptic techniques in medicine preparation and recommendations for safer practices: A systematic review. Eur J Hosp Pharm . 2017;24(3):175–81.



DOI: https://doi.org/10.22146/jmpf.73842

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