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A Qualitative Assessment of the Practice Experiences of Certified Diabetes Educator Pharmacists

Published:February 28, 2015DOI:https://doi.org/10.1016/j.jcjd.2014.11.004

      Abstract

      Objective

      To describe the practice experiences of Certified Diabetes Educator (CDE) pharmacists in Saskatchewan and determine what impact the CDE designation has had on their personal practices.

      Methods

      A qualitative research approach was used. All pharmacists in Saskatchewan were e-mailed about the study, and eventually, a purposive sampling method was used to select a range of CDE pharmacists. Semistructured, in-person interviews were performed. An interview guide was developed to assess the work activities performed, the benefits of becoming a CDE and the challenges and resultant solutions that optimize their CDE designations. All interviews were transcribed verbatim and coded using deductive thematic analysis to identify the main themes that described the experiences of respondents, with the aid of QSR NVivo.

      Results

      A total of 14 CDE pharmacists from various communities and work settings chose to participate. All of the participants indicated they were engaging in increased diabetes-related activities since becoming CDEs. All participants indicated they were happy with their decisions to become CDEs and described numerous benefits as a direct result of achieving this designation. Although some solutions were offered, participants still face challenges in optimizing their role as CDEs, such as devoting enough time to diabetes management and remuneration for providing diabetes services.

      Conclusions

      CDE pharmacists in Saskatchewan report performing enhanced diabetes-related activities subsequent to becoming CDEs and that obtaining this designation has had a positive impact on their personal practices. A larger, cross-country study is necessary to determine whether these results are consistent amongst all pharmacists in Canada.

      Résumé

      Objectif

      Décrire l'expérience pratique des pharmaciens éducateurs agréés en diabète (ÉAD) de la Saskatchewan et déterminer les conséquences liées au titre de ÉAD sur les pratiques individuelles.
      Méthodes: La recherche selon l'approche qualitative a été utilisée. Tous les pharmaciens de la Saskatchewan ont reçu un courriel à propos de l’étude. Par la suite, une méthode d’échantillonnage raisonné a été utilisée pour sélectionner un éventail de pharmaciens ÉAD. Des entretiens semi-structurés en personne ont été réalisés. Un guide d'entretien a été mis au point pour évaluer les activités professionnelles réalisées, les avantages et les inconvénients liés au titre de ÉAD ainsi que les solutions engendrées qui optimisent leur titre de ÉAD. À l'aide du logiciel NVivo de QSR international, tous les entretiens ont été transcrits textuellement et encodés selon l'analyse thématique déductive pour déterminer les thèmes principaux qui décrivaient l'expérience des répondants.
      Résultats: Un total de 14 pharmaciens ÉAD provenant de communautés et de milieux de travail divers ont choisi de participer. Tous les participants ont indiqué avoir pris part à plus d'activités liées au diabète depuis l'obtention de leur titre de ÉAD. Tous les participants ont indiqué être satisfaits de leur décision de devenir ÉAD et ont décrit les nombreux avantages comme une conséquence directe de l'obtention de ce titre. Bien que certaines solutions aient été proposées, les participants se heurtent encore aux difficultés liées à l'optimisation de leur rôle de ÉAD comme le fait de consacrer assez de temps à la prise en charge du diabète et la rémunération liée à la prestation de services aux personnes diabétiques.

      Conclusions

      Les pharmaciens ÉAD de la Saskatchewan rapportent avoir réalisé plus d'activités liées au diabète depuis qu'ils sont ÉAD et que l'obtention de ce titre a eu des conséquences positives sur leur pratique individuelle. Une étude pancanadienne plus vaste est nécessaire pour déterminer si ces résultats sont uniformes chez tous les pharmaciens du Canada.

      Keywords

      Mots clés

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