IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v23y1986i11p1187-1200.html
   My bibliography  Save this article

New clinical roles for pharmacists: A study of role expansion

Author

Listed:
  • Adamcik, Barbara A.
  • Ransford, H. Edward
  • Oppenheimer, Phillip R.
  • Brown, Janice F.
  • Eagan, Pamela A.
  • Weissman, Fred G.

Abstract

This study assessed the legitimacy of expanded roles for pharmacists with different status audiences. Pharmacy is a profession in transition and is characterized by considerable ambiguity and uncertainty concerning its status as a health care profession. Significant changes have occurred within the profession of pharmacy in the past few decades which have led to loss of function, social power and status. The response of the profession has been a movement toward a patient-oriented, clinical role for pharmacists. Hypotheses concerning level of support for expanded roles were derived from two conflict-based models of professionalization: (1) a power model which focuses on conflict between professions and the central role of power in defining occupational territory; and (2) a process model which focuses on conflict of interest and diversity within a profession and the development of 'segments' which struggle for control of a profession's direction. Data were collected by self-administered questionnaires sent to California pharmacists, physicians and nurses. Respondents were asked to indicate level of support for 20 role activities for pharmacists working in two practice settings (community and hospital). Pharmacy faculty were the most supportive of the clinical role activities, followed by practicing pharmacists, nurses and physicians. Physicians and nurses were more antagonistic toward clinical acitivities in the community than hospital practice setting, and were most antagonistic toward role activities which require independent judgement or autonomous action relevant to patient care on the part of the pharmacist. Differences were also noted in support for clinical role activities within the pharmacists' group. The effect of experience in working with a clinical pharmacist on support for clinical role activities is also discussed.

Suggested Citation

  • Adamcik, Barbara A. & Ransford, H. Edward & Oppenheimer, Phillip R. & Brown, Janice F. & Eagan, Pamela A. & Weissman, Fred G., 1986. "New clinical roles for pharmacists: A study of role expansion," Social Science & Medicine, Elsevier, vol. 23(11), pages 1187-1200, January.
  • Handle: RePEc:eee:socmed:v:23:y:1986:i:11:p:1187-1200
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/0277-9536(86)90338-2
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. McDonald, Ruth & Cheraghi-Sohi, Sudeh & Sanders, Caroline & Ashcroft, Darren, 2010. "Professional status in a changing world: The case of medicines use reviews in English community pharmacy," Social Science & Medicine, Elsevier, vol. 71(3), pages 451-458, August.
    2. Motulsky, Aude & Sicotte, Claude & Lamothe, Lise & Winslade, Nancy & Tamblyn, Robyn, 2011. "Electronic prescriptions and disruptions to the jurisdiction of community pharmacists," Social Science & Medicine, Elsevier, vol. 73(1), pages 121-128, July.
    3. Royston, Geoff, 1998. "Shifting the balance of health care into the 21st century," European Journal of Operational Research, Elsevier, vol. 105(2), pages 267-276, March.
    4. Petrakaki, Dimitra & Barber, Nick & Waring, Justin, 2012. "The possibilities of technology in shaping healthcare professionals: (Re/De-)Professionalisation of pharmacists in England," Social Science & Medicine, Elsevier, vol. 75(2), pages 429-437.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:23:y:1986:i:11:p:1187-1200. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.