How are pharmacists in Ontario adapting to practice change? Results of a qualitative analysis using Kotter's change management model

Canadian Pharmacists Journal : CPJ = Revue Des Pharmaciens Du Canada : RPC
Beatriz TeixeiraZubin Austin

Abstract

The pace of practice change in community pharmacy over the past decade has been significant, yet there is little evidence documenting implementation of change in the profession. Kotter's change management model was selected as a theoretical framework for this exploratory qualitative study. Community pharmacists were interviewed using a semistructured protocol based on Kotter's model. Data were analyzed and coded using a constant-comparative iterative method aligned with the stages of change management outlined by Kotter. Twelve community pharmacists were interviewed. Three key themes emerged: 1) the profession has successfully established the urgency to, and created a climate conducive for, change; 2) the profession has been less successful in engaging and enabling the profession to actually implement change; and 3) legislative changes (for example, expansion of pharmacists' scope of practice) may have occurred prematurely, prior to other earlier stages of the change process being consolidated. As noted by most participants, allowing change is not implementing change: pharmacists reported feeling underprepared and lacking confidence to actually make change in their practices and believe that more emphasis on practical, specific...Continue Reading

Citations

Jul 20, 2019·Prehospital and Disaster Medicine·Kenneth NugentJason T Nomura
Sep 29, 2019·Pharmacy : Journal of Pharmacy, Education and Practice·Zubin Austin, Paul Gregory
Dec 29, 2019·BMC Medical Education·Yajnavalka BanerjeeRania Alkhadragy
Feb 1, 2020·Canadian Pharmacists Journal : CPJ = Revue Des Pharmaciens Du Canada : RPC·Paul Gregory, Zubin Austin
Jul 20, 2019·Canadian Pharmacists Journal : CPJ = Revue Des Pharmaciens Du Canada : RPC·Paul Gregory, Zubin Austin
Jun 9, 2020·Education for Primary Care : an Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors·Stuart Robert ColeDenis Pereira Gray
Oct 3, 2018·The Journal of Allergy and Clinical Immunology·Jean BousquetUNKNOWN Mobile Airways Sentinel Network (MASK) Study Group

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