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Table 7 Summarising key emerging themes related to Individually Tailored Prescribing

From: Identifying enablers and barriers to individually tailored prescribing: a survey of healthcare professionals in the UK

NPT Domain Emerging themes Identified Enablers and barriers Implications for practice
Sense making ITP is valued
ITP is valuable
ITP lacks clarity
Value is not recognised/shared
ITP is an INTEGRAL part of professional person-centred practice,
But LACKS CLARITY amongst professionals, patients and the wider community
Need work to raise UNDERSTANDING of ITP as a legitimate part of the expert generalist clinical role
Engagement Leadership
Levels of engagement
Patient engagement
Barriers to engagement
Professionals lack the time, energy and head space to be engaged with this way of working as
ITP is NOT PRIORITISED within current models of practice
Need work to PRIORITISE ITP within the range of services within primary care
Action Formal training
Experiential learning
Collective action
Partial action
Barriers
Much of the support and training for ITP comes from experiential learning and peer support.
Particular areas of concern for practitioners are in making and recording DEFENDABLE DECISIONS; and getting PRACTICAL ADVICE on how to translate ideals of professional practice in to care on the ground
Need TRAINING and SUPPORT for INTERPRETIVE PRACTICE
Monitoring Mixed feedback
Challenges of feeding back
Challenging the status quo
Potential power of feedback
The importance of feedback from/learning from patients to support ITP emphasises the significance of CONTINUITY of care.
The need for formal monitoring/ feedback to RECOGNISE this complex form of practice
Need to support informal feedback and monitoring through peer reflection and continuity with patients; and consider the impact of formal monitoring on care