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Development of Entrustable Professional Activities for Specialist Hospice and Palliative Care Pharmacists.
- Source :
-
Journal of Pain & Symptom Management . Jul2022, Vol. 64 Issue 1, p37-48. 12p. - Publication Year :
- 2022
-
Abstract
- <bold>Context: </bold>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.<bold>Objectives: </bold>The objective of this study was to develop EPAs for HAPC pharmacists.<bold>Methods: </bold>An 11-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.<bold>Results: </bold>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).<bold>Conclusion: </bold>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. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 08853924
- Volume :
- 64
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Journal of Pain & Symptom Management
- Publication Type :
- Academic Journal
- Accession number :
- 157331803
- Full Text :
- https://doi.org/10.1016/j.jpainsymman.2022.03.004