Table 7 Summarising key emerging themes related to Individually Tailored Prescribing
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 |