病院薬剤師の成長を刺激する因子に関する量的・質的研究

－因子分析とM-GTAを用いて－

抄録

The responsibilities of pharmacists working in hospitals have changed significantly over the past 30 years. This study aims to find stimulating factors during the development process of pharmacists in hospitals, and also clarify the development process. To ascertain the development factors, we conducted a 32-question questionnaire for 320 pharmacists who had been working in hospitals for more than 5 years and aged 30 years or older. Then we performed the factor analysis. Furthermore, to clarify the development process, semi-structured interviews were conducted with 9 pharmacists with similar backgrounds and analyzed using the Modified Grounded Theory Approach: M-GTA. Through the factor analysis, 4 development factors were extracted: “Self-reflection”, “Providing safe pharmacotherapy”, “Building trust in relationships with patients”, and “Practicing medical team”. Based on M-GTA, we showed the development process consisting of 4 core categories: “Responsibilities of pharmacists in hospitals”, “Improving patients’ quality of life”, “Contribution to society”, and “Self-reflection”. Quantitative and qualitative analysis revealed similar factors. “Responsibilities of pharmacists in hospitals” and “Improvement of patients’ quality of life” were considered to be the behaviors based on the concept of pharmaceutical care. “Contribution to society” was based on the public perspective of responding to the needs of Japanese society. The development process in which “Self-reflection” for pharmacists supports continuous maturation was revealed.