'Fitting in the pharmacist' - a qualitative analysis of the perceived relationship between community pharmacists and older adults with complex care needs

Int J Pharm Pract. 2021 Oct 18;29(5):428-434. doi: 10.1093/ijpp/riab034.

Abstract

Objectives: To explore the current perceived relationship between older adults with varying levels of frailty and healthcare needs and community pharmacists.

Methods: This qualitative study conducted a thematic analysis of focus groups with older adults and older adult caregivers and community pharmacist participants. Participants were recruited following a maximum variation sampling technique. Verbatim transcripts were inductively coded using NVivo to develop key findings.

Key findings: Four major themes emerged: (i) Pharmacy Landscape, (ii) Prescription and Non-Prescription Drug Safety, (iii) Patient-Pharmacist Relationship and (iv) Recommendations for Pharmacy Practice. Themes demonstrate three key findings: (1) older adults approach drug information with a key focus on safety and cost of both prescription and non-prescription drugs, (2) there is a demonstrated opportunity, recognized by older adults and practitioners, for community pharmacists to expand their role in the care of older adults, (3) community pharmacists are able, interested and/or have already incorporated frailty assessments into their practice to better support their care of the older adult population with varying levels of frailty.

Conclusions: The results demonstrate a reason for the community pharmacist role to shift. The unique knowledge and skills of community pharmacists, coupled with their accessibility and strong patient-clinician relationship, have the potential to better support older adults with varying levels of frailty.

Keywords: community pharmacy; frailty; medication safety; older adults; patient safety.

MeSH terms

  • Aged
  • Community Pharmacy Services*
  • Focus Groups
  • Humans
  • Nonprescription Drugs
  • Pharmacists*
  • Professional Role
  • Qualitative Research

Substances

  • Nonprescription Drugs