The development of a competency framework for pharmacists providing cancer services

Abstract

Background: Health practitioners should possess relevant, up to date skills and be able to perform within their required scope of practice to ensure that they are competent. Maintaining the competency of health care professionals is a key principle of clinical governance and risk management. The aim of this project was to develop a competency framework for pharmacists providing pharmaceutical care to cancer patients.

Methodology: An initial draft framework was developed based on existing documentation and adapted to the needs of Queensland Health (QH) facilities. Pharmacists in QH and interstate were asked to review the framework for content and applicability. Cancer care pharmacists in QH were invited to evaluate and score the usefulness and relevance of the final framework.

Results: The framework consists of competency clusters, which describe core activities within three areas: patient care competencies, knowledge competencies, and advanced level competencies. The characteristics of the levels of practice at foundation, advanced, and consultant are defined. Twelve pharmacists evaluated the framework by self-assessing their own practice. Respondents reported that the framework was very to somewhat reflective of what they usually do and gave overall support for the content and applicability to practice.

Discussion: The framework has been developed using national and international documents and the input of experienced practitioners across Australia. It represents a set of key competencies for the pharmaceutical delivery of cancer care. The next essential step of the competency framework is to implement and integrate the framework into practice and to develop accompanying training tools.

Keywords

pharmacists competence cancer oncology chemotherapy

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References

Bellingham C.

What makes pharmacists competent?

Pharm J 2004; 273: 779-780.

Queensland Health. The General Level Framework for Pharmacists (GLF) Version 4. Available at: http://www.codeg.org/resources (accessed December 2009).

Carrington C. , Stone L. , Koczwara B. , Siderov J. , Michael M. , Searle C. , et al. The COSA Guidelines for the Safe Prescribing, Dispensing and Administration of Cancer Chemotherapy 2008. Available at: http://www.cosa.org.au/File/Reports/Guidelines%20for%20Chemo%20book.pdf (accessed December 2009).

The Society of Hospital Pharmacists of Australia Committee of Specialty Practice in Oncology. Standards of practice for the provision of clinical oncology pharmacy services. J Pharm Pract Res 2002; 32(2): 115-118.

The Australian National Cancer Nursing Education Project Team. National Professional Development Framework for Cancer Nursing 2008. Available at: http://www.edcan.org/pdf/EdCanFramework1-6.pdf (accessed December 2009).

British Oncology Pharmacist Association (BOPA) Education and Training Committee. Competency Framework for Specialist Oncology Pharmacists. 2004; BOPA Newsletter 2004. Available at: http://bopawebsite.org/tiki-page.php?pageName=Position+Statements (accessed December 2008).

Competency Developemt and Evaluation Group (CoDEG). A Developmental Framework for Pharmacists Progressing to Advanced Levels of Practice 2009. Available at: http://www.codeg.org/fileadmin/codeg/pdf/ACLF.pdf (accessed December 2009).

Meadows N. , Webb D. , McRobbie D. , Antoniou S. , Bates I. , and Davies G. Developing and validating a competency framework for advanced pharmacy practice . Pharm J 2004; 273: 789-792.

Queensland Health. Health Practitioners (Queensland Health) Certified Agreement (No. 1). 2007. Available at: http://www.health.qld.gov.au/eb/agreements/hlth_prac.pdf (accessed December 2009).

10.

Queensland Health. Clinical Servies Capability Framework for Public and Licensed Private Health Facilities (version 3.0) 2009. Available at: http://www.health.qld.gov.au/cscf (accessed December 2009).

11.

Faculty of Cancer Pharmacy. Applying for Advanced Level Membership and Fellowship of FCP- The Advanced and Consultant Level Competency Framework. July 2008. Available at: http://www.collpharm.org/portals/6/fcpaclf.pdf

12.

The Department of Health, The NHS, The United Kingdom Clinical Pharmacy Association. Adult Critical Care Specialist Pharmacy Practice. 2005. Available at: http://www.codeg.org/fileadmin/codeg/pdf/Critical_care_specialist_guidance.pdf (accessed December 2009).

13.

USA Board of Pharmaceutical Specialities (BPS). Board Certification in Oncology Pharmacy. 2009. Available at: http://www.accp.com/careers/boardFAQ.aspx (accessed December 2009).

14.

Nester TM , Hale LS Effectiveness of a pharmacist-acquired medication history in promoting patient safety. Am J Health Syst Pharm 2002; 59(22): 2221-2225.

15.

Shenfield GM , Robb T. , and Duguid M. Recording previous adverse drug reactions-a gap in the system. Br J Clin Pharmacol 2001 ; 51(6): 623-626.