Exploring the pharmacist's role in regional, rural, and remote kidney transplant care: Perspectives of health professionals and transplant recipients
Background: Role clarification amongst health professionals is necessary for successful interprofessional collaboration. Despite a demonstrated need for pharmacists in the provision of care to regional, rural, and remote kidney transplant recipients, this role is not well defined. Objectives: This s...
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Elsevier
2025-06-01
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| Series: | Exploratory Research in Clinical and Social Pharmacy |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667276625000289 |
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| author | Tara K. Watters Nicole J. Scholes-Robertson Andrew J. Mallett Beverley D. Glass |
| author_facet | Tara K. Watters Nicole J. Scholes-Robertson Andrew J. Mallett Beverley D. Glass |
| author_sort | Tara K. Watters |
| collection | DOAJ |
| description | Background: Role clarification amongst health professionals is necessary for successful interprofessional collaboration. Despite a demonstrated need for pharmacists in the provision of care to regional, rural, and remote kidney transplant recipients, this role is not well defined. Objectives: This study explored health professionals' and kidney transplant recipients' perceptions around the role of the pharmacist in the provision of care to kidney transplant recipients from regional, rural, and remote areas of Australia. Methods: Semi-structured interviews and focus group discussions were conducted with Australian kidney transplant health professionals and kidney transplant recipients respectively. Transcripts were analysed thematically and deductively coded using a simplified framework of role theory constructs. Results: Participants consisted of a multidisciplinary cross section of transplant health professionals (n = 26) and both deceased and living donor kidney transplant recipients (n = 30). Six role theory constructs were identified from the data with regards to the pharmacist's role: role identity, role ambiguity, role overload, role overqualification, role underqualification, and role insufficiency. Core role expectations centred around provision of ongoing education and support with medication management and supply (role identity), however pharmacists remain underutilised for delivery of medication education (role overqualification). A transdisciplinary model of care was suggested to overcome current shortfalls (role overload, role insufficiency). There was hesitancy around pharmacist-led immunosuppressant monitoring and titration (role ambiguity, role underqualification). Conclusions: Kidney transplant recipients in regional, rural, and remote areas experience unique barriers and challenges associated with medication management, necessitating an increased level of involvement and support from the pharmacist. |
| format | Article |
| id | doaj-art-8057a2d7510a4d52bd33bc936816855c |
| institution | OA Journals |
| issn | 2667-2766 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
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| series | Exploratory Research in Clinical and Social Pharmacy |
| spelling | doaj-art-8057a2d7510a4d52bd33bc936816855c2025-08-20T02:31:56ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662025-06-011810058710.1016/j.rcsop.2025.100587Exploring the pharmacist's role in regional, rural, and remote kidney transplant care: Perspectives of health professionals and transplant recipientsTara K. Watters0Nicole J. Scholes-Robertson1Andrew J. Mallett2Beverley D. Glass3College of Medicine & Dentistry, James Cook University, Townsville, QLD, Australia; Department of Renal Medicine, Cairns Hospital, Cairns, QLD, Australia; Corresponding author at: Department of Renal Medicine, Cairns Hospital, PO Box 902, Cairns, QLD 4870, Australia.Sydney School of Public Health, The University of Sydney, Sydney, NSW, AustraliaCollege of Medicine & Dentistry, James Cook University, Townsville, QLD, Australia; Department of Renal Medicine, Townsville University Hospital, Townsville, QLD, Australia; Institute for Molecular Bioscience, The University of Queensland, Brisbane, QLD, AustraliaCollege of Medicine & Dentistry, James Cook University, Townsville, QLD, AustraliaBackground: Role clarification amongst health professionals is necessary for successful interprofessional collaboration. Despite a demonstrated need for pharmacists in the provision of care to regional, rural, and remote kidney transplant recipients, this role is not well defined. Objectives: This study explored health professionals' and kidney transplant recipients' perceptions around the role of the pharmacist in the provision of care to kidney transplant recipients from regional, rural, and remote areas of Australia. Methods: Semi-structured interviews and focus group discussions were conducted with Australian kidney transplant health professionals and kidney transplant recipients respectively. Transcripts were analysed thematically and deductively coded using a simplified framework of role theory constructs. Results: Participants consisted of a multidisciplinary cross section of transplant health professionals (n = 26) and both deceased and living donor kidney transplant recipients (n = 30). Six role theory constructs were identified from the data with regards to the pharmacist's role: role identity, role ambiguity, role overload, role overqualification, role underqualification, and role insufficiency. Core role expectations centred around provision of ongoing education and support with medication management and supply (role identity), however pharmacists remain underutilised for delivery of medication education (role overqualification). A transdisciplinary model of care was suggested to overcome current shortfalls (role overload, role insufficiency). There was hesitancy around pharmacist-led immunosuppressant monitoring and titration (role ambiguity, role underqualification). Conclusions: Kidney transplant recipients in regional, rural, and remote areas experience unique barriers and challenges associated with medication management, necessitating an increased level of involvement and support from the pharmacist.http://www.sciencedirect.com/science/article/pii/S2667276625000289PharmacistRole clarityRole theoryRural and remote healthKidney transplantHealth equity |
| spellingShingle | Tara K. Watters Nicole J. Scholes-Robertson Andrew J. Mallett Beverley D. Glass Exploring the pharmacist's role in regional, rural, and remote kidney transplant care: Perspectives of health professionals and transplant recipients Exploratory Research in Clinical and Social Pharmacy Pharmacist Role clarity Role theory Rural and remote health Kidney transplant Health equity |
| title | Exploring the pharmacist's role in regional, rural, and remote kidney transplant care: Perspectives of health professionals and transplant recipients |
| title_full | Exploring the pharmacist's role in regional, rural, and remote kidney transplant care: Perspectives of health professionals and transplant recipients |
| title_fullStr | Exploring the pharmacist's role in regional, rural, and remote kidney transplant care: Perspectives of health professionals and transplant recipients |
| title_full_unstemmed | Exploring the pharmacist's role in regional, rural, and remote kidney transplant care: Perspectives of health professionals and transplant recipients |
| title_short | Exploring the pharmacist's role in regional, rural, and remote kidney transplant care: Perspectives of health professionals and transplant recipients |
| title_sort | exploring the pharmacist s role in regional rural and remote kidney transplant care perspectives of health professionals and transplant recipients |
| topic | Pharmacist Role clarity Role theory Rural and remote health Kidney transplant Health equity |
| url | http://www.sciencedirect.com/science/article/pii/S2667276625000289 |
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