Table 2 Classification of the thematic codes
From: Pharmacist management of atrial fibrillation in UK primary care: a qualitative study
Themes and subthemes | Codes |
|---|---|
Theme 1. Clinical role of pharmacists | Â |
Subtheme. Identifying patients with AF | Pharmacist–patient interactions—daily basis |
|  | Identification—discharge letter |
|  | Identification—dispensed medication |
|  | Identification—patient medical records (PMR) |
Subtheme. Performing roles beyond the focus on medication | Counselling—nothing upon handing out the medication |
|  | Counselling—with pre-structured consultations |
|  | Counselling—no specific services target AF |
|  | Screening—no services/in isolated incidents |
|  | Screening—opportunistically performed |
Subtheme. Conducting comprehensive AF consultations | Consultations form—face-to-face consultations or by telephone |
|  | Consultations strategies—patient-centred approach |
|  | Consultations strategies—patient-initiated questions |
|  | Consultations strategies—build rapport |
|  | Consultations’ aim—medication adherence |
|  | Consultations’ aim—medication reconciliation |
|  | Consultations’ aim—information provision |
|  | Consultation aids—pre-set interview schedule |
|  | Consultation aids—digital proforma specific AF |
Subtheme. Dealing with workflow | Time pressure—expanded responsibilities |
|  | Consultations length—variation in length |
|  | Consultations length—business requirements |
Subtheme. Conducting consultations within professional boundaries | Boundary—lack interprofessional collaboration |
|  | Boundary—lack multidisciplinary teamwork |
|  | Boundary—lack shared decision-making use |
|  | Boundary—lack access to full patients’ data |
|  | Documentation—on the computer-based system |
Subtheme. Changes in prescribing practices and medicines preference over time | Prescribing—DOACs patient/HCPs preference |
|  | Prescribing—directed by secondary care |
|  | Prescribing—same agent of DOACs |
|  | Perception/patients—warfarin is risk medication |
|  | Perception/patients—no leeway with DOACs |
Theme 2. Knowledge and awareness | Â |
Subtheme. Lacking specific guiding information and starving for knowledge | Adequacy of training—basic information on AF |
|  | Adequacy of training—pharmacists’ confidence |
|  | Adequacy of training—interest in further training |
|  | Available resources—healthcare website |
|  | Available resources—BNF / NICE guidelines |
|  | Available resources—manufacturer information |
|  | Available resources—multiple mobile apps |
|  | Access to resources—good / available online |
Theme 3. Prioritisation of resources | Â |
Subtheme. Interest in using technology and mobile apps in practice | Interest in internet-based technology |
|  | Technological revolution—world is digitalised |
|  | Apps-based technology—range of functionality |
|  | Apps functionality—reminders |
|  | Apps functionality—education |
|  | Apps functionality—self-management |
|  | Apps disadvantages—concerns / elderly |
|  | Apps disadvantages—concerns / training |
|  | Apps disadvantages—concerns / time |
|  | Apps disadvantages—concerns / funds |