Background The issues surrounding the prescribing and monitoring of medications for people with learning disabilities and behaviours deemed to be challenging, and are complex in their management for patients, healthcare professionals and carers. The aim of the study was to explore the impact of the Pharmacist Independent Prescriber (PIP) on a medication clinic for people with learning disabilities and challenging behaviours from the perspectives of healthcare professionals and carers in a UK mental health Trust setting. Methods Qualitative methods were used to provide an understanding of the participants’ interactions with the pharmacist in the context of the medication clinic. Individual, semi-structured interviews were carried out with staff and carers, audio recorded and transcribed verbatim. A thematic analysis was carried out to identify themes which illuminated the participants’ experiences. Recruitment took place December 2017 – August 2018. Results 9 participants took part (6 staff and 3 full-time carers). Eight themes were constructed from the data; five from staff and three from the carer cohort: being open to innovation and change in collaborative practice, challenging traditional norms in collaborative approaches to person-centred care, proactive empowerment via maximisation of expertise and resources, supporting and empowering informed decision making, encouraging collaborative debate around medication, establishing authentic and interactive dialogue, gaining trust of the PIP’s role in the management of patients and feeling empowered to challenge ambiguity and inconsistency in prescribing practice. Conclusion The PIP is a valued asset, with high levels of interaction between all staff, carers, and an integral aspect of services provided.

中文翻译：

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不仅仅是药物：评估药剂师独立处方者在社区团队中的作用，以解决学习障碍和被认为具有挑战性的行为

背景 围绕为有学习障碍和行为的人开具和监测药物的问题被认为具有挑战性，并且在对患者、医疗保健专业人员和护理人员的管理中很复杂。该研究的目的是从英国心理健康信托机构的医疗保健专业人员和护理人员的角度探讨药剂师独立处方者 (PIP) 对学习障碍和具有挑战性行为的人的药物诊所的影响。方法 使用定性方法来了解参与者在药物诊所背景下与药剂师的互动。对工作人员和护理人员进行了单独的、半结构化的访谈，录音并逐字转录。进行了主题分析，以确定能够阐明参与者经历的主题。招聘于 2017 年 12 月至 2018 年 8 月进行。 结果 9 名参与者参加了（6 名员工和 3 名全职护理人员）。根据数据构建了八个主题；五名来自工作人员，三名来自护理人员：对协作实践中的创新和变革持开放态度，挑战以人为中心的协作方法中的传统规范，通过最大限度地利用专业知识和资源来主动赋权，支持和赋权知情决策，鼓励协作围绕药物进行辩论，建立真实和互动的对话，获得对 PIP 在患者管理中的作用的信任，并感到有能力挑战处方实践中的模棱两可和不一致。