This article defines professionalism, patient-centered communication, accountability, altruism, and excellence in the context of pharmacy practice. It also discusses the importance of patient-centered communication and accountability in promoting optimal patient care.
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Running head: PRACTICE IN PHARMACY1 Practice in Pharmacy Name Institution
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PRACTICE IN PHARMACY2 Practice in Pharmacy Part A: Definition of Terms The issues of professional communication and professionalism play a pivotal role in fostering efficient delivery of healthcare services in Australia and the globe at large. The current section of the study seeks to define professionalism, patient-centered communication, , accountability, altruism and excellence as the primary concepts of professional communication and professionalism. Professionalism is defined byLifchez, Cooney, and Redett(2015) as the ability of a healthcare worker to demonstrate behavioral standards that are capable of supporting the delivery of optimal care by projecting higher levels of competence and confidence. Further, Barker, Cornwell and Gishen (2016) reveal that the concept of professionalism puts into consideration the ability of the healthcare worker to empower, foster and support healthcare service users by being suitably informed on the efficacy of taking ownership of the institutional processes. Professionalism begins with the positive presentation of the physician through adherence to the provisions of strict compliance with institutional rules and regulations, the national uniform policy and dress code. Commitment to competence is a term used to refer to the ability of a healthcare professional to undertake their professional assignments by embracing a culture that promotes quality. McLoughlin et al. (2017) explain that commitment to competence is attained when pharmacists apply the skills and knowledge gained in institutional settings to accomplish the roles that define their jobs. Code of ethics refers to the document that is institutionalized with the aim of outlining the values and mission of a particular profession. For instance, the pharmacy board of Australia
PRACTICE IN PHARMACY3 has set out its own codes of conduct and ethics that are expected of all pharmacists in Australia. The document gives a clear outline of how pharmacists need to approach institutional challenges, and the necessary ethical guidelines that are based on the core values of the profession. Accountability is defined by Barker et al. (2016) as the ability of a healthcare professional to demonstrate the ability of being answerable for their actions to service users, governmental agencies, employers, judicial agencies and peers. Therefore, accountability in healthcare seeks to audit the effectiveness of a physician in justifying and taking responsibility of his/her actions. According to Lown et al. (2016), physicians are held accountable for their professional competence, ability to promote public health, ethical conduct, legal performance, financial executions, and fostering community benefit. Excellence is a concept of professionalism refers to the ability of a physician to demonstrate high quality, distinctive and meritorious practice. According to Lown et al. (2016), a caregiver who strives to meet the principles of excellence shows greater anilities in fostering commitment to excellence, exceeding the measures and standards set by the institution both in the lines of education and practice, having a proper understanding of the underlying values and principles of ethics and being knowledgeable of the boundaries of practice. Patient-centered communication is defined by Regan et al. (2016) as a healthcare concept that vets the ability of a physician to elicit and gain a deeper understanding of the needs, ideas, feelings expectations, and perspectives. Further, patient centered communication puts a lot of consideration on appreciating patients based on their unique cultural and psychological contexts to foster proper attainment of a mutual understanding. Altruism is defined by Barker et al. (2016) as the ability of a healthcare service provider to show higher degrees of regard to service users and team members. Ideally, Lifchez et al.
PRACTICE IN PHARMACY4 (2015) considers altruism as the potency of a caregiver to show higher degrees of unselfish concern for other people’s welfare. The researchers explain that proper comprehension and encouragement of altruistic ideologies in healthcare settings goes a long way in reinforcing the image held by the public about the duties held by healthcare professionals. Part 2: The Importance of Patient-Centered Communication and Accountability in Promoting Optimal Patient Care Patient-centered communication Patient-centered communication plays an influential role in fostering effective delivery of healthcare services. According to McLoughlin et al. (2017), the patient-centered approach to communication proceeds by acknowledging the person in his/her holistic form, the underlying social history of the patient and the social structures presented by the workplace environment as prerequisites of advancing a shared understanding of the challenges presented. As such, healthcare practitioners apply patient centered communication as a framework of promoting optimal care by inculcating a proper understanding of the underlying goals of treatment, and expanding the services provided to heights that are beyond the traditionally acknowledged roles. Patient centered communication among pharmacist are governed by codes of ethics and are required to profess a commitment to higher degrees of competence, integrity, ability to promote good will and altruism. Hryhorczuk et al. (2017) advocate for inclusion of patient centered communication avenues in pharmacy through provision of a wider array of responsibilities in diverse practice settings. On the other hand, Sari, Prabandari and Claramita (2016) demystify that the clinical expertise presented to pharmacists avail them with greater competitive advantages and
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PRACTICE IN PHARMACY5 opportunities to foster optimal care. As such, these physicians are faced with the obligation of inculcating higher degrees of openness, active listening and speaking plainly. According to Mahajan et al. (2016), physicians can inculcate patient-centered communication as a framework of delivering high quality services by fostering ample relationships with their clients, gathering the required information, availing stakeholders with the required information and cultivating shared decision making as ways of enabling treatment success. Accountability The current healthcare landscape is faced with a wider range of fiscal pressures and an increasing demand for high quality services amid the meager budgetary allocations. As a consequence, Bauchner et al. (2015) reveal that effective balancing between the existing fiscal gaps and the need for improvement of population health, containment of the associated costs and provision of high quality services can only be achieved through proper inclusion of frameworks aimed at fostering accountability. As a consequence, Regan et al. (2016) demystify that healthcare professionals are faced with the obligation of fostering accountability as an aspect of enhancing effective service delivery by inculcating self-regulation. In their view, McLoughlin et al. (2017) explain that self regulation plays an influential role in the institutionalization of standard setting procedures, creating an environment that is aimed at enabling ample management of conflicts of interest, acknowledgement of the duties and assignments accorded and acceptance of service provision. In conclusion, the study aimed at defining professionalism, patient-centered communication, accountability, altruism and excellence as the primary concepts of professional communication and professionalism. Healthcare practitioners apply patient centered communication as a framework of promoting optimal care by inculcating a proper understanding
PRACTICE IN PHARMACY6 of the underlying goals of treatment. Accountability in healthcare seeks to audit the effectiveness of a physician in justifying and taking responsibility of his/her actions.
PRACTICE IN PHARMACY7 References Barker, R., Cornwell, J., & Gishen, F. (2016). Introducing compassion into the education of health care professionals; can Schwartz Rounds help?.Journal of Compassionate Health Care,3(1), 3. Bauchner, H., Fontanarosa, P. B., & Thompson, A. E. (2015). Professionalism, governance, and self-regulation of medicine.Jama,313(18), 1831-1836. Hryhorczuk, A. L., Hanneman, K., Eisenberg, R. L., Meyer, E. C., & Brown, S. D. (2015). Radiologic professionalism in modern health care.Radiographics,35(6), 1779-1788. Lifchez, S. D., Cooney, C. M., & Redett III, R. J. (2015). The standardized professional encounter: A new model to assess professionalism and communication skills.Journal of graduate medical education,7(2), 230-233. Lown, B. A., McIntosh, S., Gaines, M. E., McGuinn, K., & Hatem, D. S. (2016). Integrating compassionate, collaborative care (the “Triple C”) into health professional education to advance the triple aim of health care.Academic Medicine,91(3), 310-316. Mahajan, R., Aruldhas, B. W., Sharma, M., Badyal, D. K., & Singh, T. (2016). Professionalism and ethics: a proposed curriculum for undergraduates.International Journal of Applied and Basic Medical Research,6(3), 157. McLoughlin, J., Zijlstra‐Shaw, S., Davies, J. R., & Field, J. C. (2017). The graduating European dentist—Domain I: professionalism.European Journal of Dental Education,21, 11-13. Regan, L., Hexom, B., Nazario, S., Chinai, S. A., Visconti, A., & Sullivan, C. (2016). Remediation methods for milestones related to interpersonal and communication skills and professionalism.Journal of graduate medical education,8(1), 18-23.
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PRACTICE IN PHARMACY8 Sari, M. I., Prabandari, Y. S., & Claramita, M. (2016). Physicians’ professionalism at primary care facilities from patients’ perspective: the importance of doctors’ communication skills.Journal of family medicine and primary care,5(1), 56.