Role ambiguity and role conflict and their influence on responsibility of clinical pharmacists in China
Tóm tắt
Background Due to the drug-centred tradition of Chinese hospital pharmacy and the lack of corresponding laws and regulations, Chinese clinical pharmacists may experience the problems of role ambiguity and role conflict. These problems may affect whether clinical pharmacists undertake their responsibilities, thus affecting the level of clinical pharmacy care. Objective To evaluate the level of Chinese clinical pharmacists’ role ambiguity and role conflict and to analyse their influence on the undertaking of responsibilities. Setting Research was conducted in 31 provinces (autonomous regions) and municipality directly under the Central Government in mainland China. Main outcome measure Chinese version of a role ambiguity and role conflict scale was used to measure clinical pharmacists’ role ambiguity and role conflict. A scale for clinical pharmacists’ responsibilities was established to measure whether clinical pharmacists undertake their responsibilities. Methods Subgroup analysis and logistic regression were employed to analyse the phenomenon of Chinese clinical pharmacists’ role ambiguity and role conflict and their influence on their fulfilment of responsibilities. Results Clinical pharmacists in China experience role ambiguity and role conflict. Clinical pharmacists in the eastern region, tertiary hospitals, and hospitals where clinical pharmacists training programs are available were less likely to experience role ambiguity and role conflict than those in the central and western regions, secondary hospitals, and hospitals where clinical pharmacists training programs are not available. Role ambiguity and role conflict have significant impacts on whether clinical pharmacists undertake certain responsibilities. Conclusion This study shows that clinical pharmacists in China experience problems with role ambiguity and role conflict and it will affect their fulfilment of their responsibilities. We propose that corresponding policies and measures should be taken to alleviate role ambiguity and role conflict and improve clinical pharmacy service.
Tài liệu tham khảo
Pharmacy A C O C. Standards of practice for clinical pharmacists. Pharmacotherapy. 2015;34(8):769–70.
Yan Y, Zhang JY. Development of laws and regulations for clinical pharmacist in USA and Japan and its enlightenment for China. China Pharm. 2016;19(11):2128–30.
Kahn RL, Wolfe DM, Quinn RP. Organizational stress: studies in role conflict and ambiguity. Am Sociol Rev. 1965;43(4):591–2.
Ma JH, Zhang TW. Analysis of the relationship between role cognition, sense of control and work stress. Chin J Ergon. 1999;5(04):15–19 , 69–70.
Behrman DN, Perreault WD Jr. A role stress model of the performance and satisfaction of industrial salespersons. J Mark. 1984;48(4):9–21.
Chu SZ, Xing XQ. Reflections on the current development status of China’s clinical pharmacists. Chin Pharm Aff. 2014;11:1261–4.
Cui L, Xi XY, Yao DN, Huang YK, Wang YT, Yao WB. National survey on clinical pharmacy services of tertiary hospitals in China: part 3. Status quo of clinical pharmacy service provision. Chin Pharm J. 2018;53(10):837–42.
Li JS, Cheng R. Thinking on pharmacist transformation and better service to clinical practice. J Inner Mong Med Univ. 2017;A1:352–4.
Chen EY, Huang YY. Survey on the cognition of medical staff to clinical pharmacy work in primary hospitals. China Pharm. 2018;21(6):1041–3.
Rizzo JR, Lirtzman HSI. Role conflict and ambiguity in complex organizations. Admin Sci Quart. 1970;15(2):150–63.
Yao DN, Huang YK, Xi XY, Wang X, Wang XJ, Wang YT, Yao WB. National survey on clinical pharmacy services of second-level hospitals in China: part 2. Analysis on the status quo of clinical pharmaceutical services. Chin Pharm J. 2019;54(02):150–7.
Perepelkin J, Dobson RT. Influence of ownership type on role orientation, role affinity, and role conflict among community pharmacy managers and owners in Canada. Res Soc Admin Pharm. 2010;6(4):280–92.
Rieck A, Pettigrew S. How physician and community pharmacist perceptions of the community pharmacist role in Australian primary care influence the quality of collaborative chronic disease management. Qual Prim Care. 2013;21(2):105.
Guirguis LM, Chewning BA. Role theory: literature review and implications for patient–pharmacist interactions. Res Soc Admin Pharm. 2005;1(4):483–507.
Wang MX, Li YP, Ye SY, Lin W. Correlation between job burnout of clinicians and medical safety and its influencing factors. J Fujian Med Univ. 2014;15(4):22–25, 63.
Yuan SW. Analysis of services status of our country’s clinical pharmacy and its countermeasures. Anti Infect Pharm. 2016;13(3):494–6.
Sun Y, Huang CL, Zhang MH, Li DD, Wang S. Restricted factors of hospital clinical pharmaceutical care capability and discussion of improved of countermeasures. Pharm Care Res. 2016;16(5):369–74.
Pan CQ, Li XY, Wang LW, Li Q. Establishment of the clinical pharmacist working model based on the total quality management in hospital. Chin J Hosp Admin. 2016;32(3):191–4.
Li DS, Wang YH, Wu SS. Thinking and suggestion on positioning of clinical TCM pharmacists and the cultivation of post service ability. J China Pharm. 2017;28(36):5170–3.
Liu D, Zhang CL, Gui L, Wang Z, Zhang WT, Du G. Survey of current situation of clinical pharmacy in hospitals above class‖in Hubei province. Chin J Pharmacoepidemiol. 2011;20(4):186–8.
Yang ZW, Ji WR. An investigation into present clinical pharmacy work in 55 hospitals. Pharm Care Res. 2002;1:17–9.
Zhou YY, Yang Y, Meng L, Wang YQ. Investigation of the development of clinical pharmacy in 28 hospitals of Jiangsu province. J China Pharm. 2017;24:3341–6.
Wu TX, Wang B, Wang YD. Investigation of the evaluation of physicians for clinical pharmaceutical care in 5 third grade class a hospitals in Beijing. J China Pharm. 2016;27(36):5066–8.
Mei H, Zhang YL, Qing XF, Sun Q. The reliability and validity of Chinese version of Nurse’s Role Conflict and Ambiguity Scale. J Nurs Admin. 2015;15(1):3–5.
Zhang HL, Wei LM, Wu WQ. Orientation and transformation of thinking mode of clinical pharmacists. Chin Pharm. 2017;26(23):89–91.
Shi Z. Countermeasures and suggestions on improving the quality of clinical pharmaceutical care for clinical pharmacists. Med J Liaoning. 2015;29(6):324–6.
Yan GY, Du ZM, Wu YL, Sun JP. Some suggestions on the development of clinical pharmacy education in China. Pharm Educ. 2014;30(6):19–22.
Chang JY. The health service level evaluation research in China. J Shijiazhuang Univ Econ. 2013;03:25–7.
He QY. Influence of pharmaceutical care on hospital pharmacy management in western economically underdeveloped areas. Annual Academic Meeting Chinese Pharmaceutical Association. 2006.
Li J, Zhang CZ, Chen QX, Yang JD, Long R, Meng L, Qiu F. Investigation on the demands and evaluation of medical personnel and patients towards clinical pharmacists in 56 third grade class a hospitals of 17 provinces (regions, cities). J China Pharm. 2018;29(08):1136–9.
Yao F, Lv B, Yang CJ, Chang J, Zhang T, Jin Z, et al. Pharmacy management and pharmaceutical service model in hospitals of China. Chin Pharm. 2016;02:6–9.
Huang WJ, Cai WM, Ma G. Investigation on cognition of the clinical pharmacists on the clinical pharmacy practice and their profession in the medical and health institutions in Shanghai. J China Pharm. 2015;26(36):5048–51.
Chen GX. Role orientation of clinical pharmacists in pharmaceutical care. Chin Mod Med. 2012;19(17):130–1.