TY - JOUR
T1 - Social constructivist analysis of a patient medication record experiment - Why a good idea and good intentions are not enough
AU - Nørgaard, L. S.
AU - Sørensen, E. W.
AU - Morgall, J. M.
PY - 2000/1/1
Y1 - 2000/1/1
N2 - Objective - To explain the limited success of a local patient medication record (PMR) experiment in pharmacy practice in Denmark from a social constructivist perspective and to promote a discussion among pharmacy practice researchers of how on-going social constructivist analysis can be used to manage experiments in pharmacy practice. Method - A secondary social constructivist analysis of data collected during and after a local experiment on the development and use of PMRs. Data were analysed using three specific social constructivist concepts. The data consisted of 93 qualitative interviews with elderly medicine users with a PMR, 10 qualitative interviews with representatives from health professionals participating in the experiment, and documentary evidence from a research report. Key findings - Eight relevant social groups were identified in the PMR experiment. The groups attached different meanings to the same PMR, such as: threat; totally useless; important tool for preventing drug-related problems, promoting interdisciplinary co-operation and carrying out pharmaceutical care; unnecessary interference in private affairs; security; good checklist. The relevant social groups also had different opinions about responsibility, duty to inform patients about the PMR, and need for and co-ordination of the PMR. Conclusion - The analysis supports an important social constructivist point, namely, that the outcome of a technological development is not given a priori; rather, it is driven by the interests of various social groups. Ongoing identification and assessment of these social groups is recommended to focus future experiments.
AB - Objective - To explain the limited success of a local patient medication record (PMR) experiment in pharmacy practice in Denmark from a social constructivist perspective and to promote a discussion among pharmacy practice researchers of how on-going social constructivist analysis can be used to manage experiments in pharmacy practice. Method - A secondary social constructivist analysis of data collected during and after a local experiment on the development and use of PMRs. Data were analysed using three specific social constructivist concepts. The data consisted of 93 qualitative interviews with elderly medicine users with a PMR, 10 qualitative interviews with representatives from health professionals participating in the experiment, and documentary evidence from a research report. Key findings - Eight relevant social groups were identified in the PMR experiment. The groups attached different meanings to the same PMR, such as: threat; totally useless; important tool for preventing drug-related problems, promoting interdisciplinary co-operation and carrying out pharmaceutical care; unnecessary interference in private affairs; security; good checklist. The relevant social groups also had different opinions about responsibility, duty to inform patients about the PMR, and need for and co-ordination of the PMR. Conclusion - The analysis supports an important social constructivist point, namely, that the outcome of a technological development is not given a priori; rather, it is driven by the interests of various social groups. Ongoing identification and assessment of these social groups is recommended to focus future experiments.
UR - http://www.scopus.com/inward/record.url?scp=17144447592&partnerID=8YFLogxK
U2 - 10.1111/j.2042-7174.2000.tb01011.x
DO - 10.1111/j.2042-7174.2000.tb01011.x
M3 - Journal article
AN - SCOPUS:17144447592
VL - 8
SP - 237
EP - 246
JO - International Journal of Pharmacy Practice
JF - International Journal of Pharmacy Practice
SN - 0961-7671
IS - 4
ER -