Dr. Cicely Roche
Associate Professor, Pharmacy
Academic Developer (TEP), CAPSL
Biography
Cicely Roche's career as a pharmacist has been largely in community pharmacy, in Ireland and Ontario, in both management and ownership capacities, although her first two years post-registration as a pharmacist were spent working in Quality Assurance at LEO Laboratories in Dublin.
Her key interests are in the areas of Ethics and Professional reasoning, Higher Education and Continuing professional development, the development of advanced services in Community Pharmacy and in the value of quality assurance systems in pharmacy settings. Her PhD (2016) explored the development and evaluation of moral reasoning competencies in pharmacists, i.e. abilities underpinning decision-making through the ambiguity inherent in professional dilemmas (Roche & Thoma, 2017). Aligned with Neo-Kohlbergian theory, her research guided participants through a structured approach to decision-making. Profession-specific dilemmas were integrated throughout an educational intervention delivered primarily online to volunteer community pharmacists (Roche, Radomski, Grimes & Thoma, 2017).
Dr Roche's current research explores the adaptation of this approach for use in Academic Online Modules associated with in-service placements for 4th year pharmacy students (Roche et al, 2019) and in Interprofessional Learning (FHS Dean's Innovation in Teaching Award 2017-2018). Cicely joined the School of Pharmacy & Pharmaceutical Sciences as an Associate Professor in the Practice of Pharmacy in 2009 (Half-time) and has also worked as a Trinity Education Fellow/Academic Developer (part-time) since 2016.
She was awarded a Provost's Teaching Award in 2015, and holds an MEd in Higher Education Teaching & Learning (Roche, 2014). She also holds MSc Degrees in both Healthcare Ethics and Law (Roche & Kelliher, 2009), and in Community Pharmacy. She continues to work part-time as an employee Community Pharmacist.
She is a past President of the Pharmaceutical Society of Ireland (PSI) (2001 to 2003), chair of the PSI Fitness to Practice Committee (Health)(2009 to 2019),founding chair and member of the Pharmacy Law and Ethics Association (Ireland) and a past member of the Boards of the Irish Medicines Board (IMB)(2006-2011) and the Irish Centre for Continuing Pharmaceutical Education (ICCPE) (2004-2012).
Publications and Further Research Outputs
Peer-Reviewed Publications
Roche, Cicely, 'Prescription' for Purposeful Adaptation of Professionalism-and-Ethics Teaching Strategies for Remote Delivery. , Pharmacy, 9(1), (55), 2021, p1-13
Roche, C & O'Farrell, C., Evidencing and assessing troublesome attributes across the professional disciplines. , INHED - Irish Network of HealthCare Educators, Preparing students for the complexities of practice and transformative experiences, Trinity College Dublin, February 13th - 14th, 2020
Roche C., Flood, M, Lynch, M. & Sahm, L., Balancing Assessment with "In-Service Practical Training": A Case Report on Collaborative Curriculum Design for Delivery in the Practice Setting, Pharmacy, 7, (3), 2019, p1-25
Codes of Conduct/ Ethics in pharmacy practice in, editor(s)Zaheer-Ud-Din Babar Section Editor: Zubin Austin , ENCYCLOPEDIA OF PHARMACY PRACTICE AND CLINICAL PHARMACY, United Kingdom, Elsevier, 2019, pp1-29 , [Roche, Cicely]
Ryan, T.J.; Grimes, T.; Henman, M.C.; Sheachnasaigh, E.N.; O'Dwyer, M.; Roche, C.; Ryder, S.A.; Sasse, A.; Walsh, J.J. & D'Arcy, D.M, Design and Implementation of an Integrated Competency-Focused Pharmacy Programme: A Case Report., Pharmacy, 7, (3), 2019, pdoi.org/10.3390/pharmacy703012
Cicely Roche, Rubrics in support of Learning and assessment: how to design and integrate to curriculum planning., New frontiers in educational and curriculum development, Leeds, UK, 14th & 15th November, 2019
Cicely Roche Tamasine Grimes, Jack Kavanagh & Emer Guinan,, Spotlight on role-play and peer interaction in dilemma resolution: a Neo-Kohlbergian approach to Interprofessional education, Working With Others, Ballymascanlon, Ireland, 15th October, 2019
Roche, Cicely, From Competencies to Public Health, Health Outcomes and Social Pharmacy, Belgrade, 23-24 March 2018, 2018
Roche C, Radomski M, Grimes T, Thoma SJ. , Promoting Peer Debate in Pursuit of Moral Reasoning Competencies Development: Spotlight on Educational Intervention Design., Innovations in Pharmacy, 8, (4), 2017, p1 - 14
Roche, Cicely, New and innovative health technologies for enhanced public health - challenges and ethical issues. (Plenary Session)., Emerging technologies in Healthcare, Belgrade, Serbia, 17th August,, 2017, European Society for Philosophy of Medicine and Healthcare
Roche C, Thoma SJ. , Insights from the Defining Issues Test on Moral Reasoning Competencies Development in Community Pharmacists. , American Journal of Pharmaceutical Education. , 7, (3), 2017, p1 - 19
Aziz C, Grimes T, Deasy E, Roche C, Compliance with the Health Information and Quality Authority of Ireland National Standard for Patient Discharge Summary Information -A Retrospective Study in Secondary Care, European Journal of Hospital Pharmacy, 23, 2016, p272 - 277
Roche, C., Thoma, SJ., Wingfield, J., Grimes, T., Radomski, M., Spotlight on Moral Reasoning: a blended learning approach to CPD that demonstrates measurable improvement in relevant competencies, 7th All Ireland Pharmacy Conference, Ballymascanlon, Ireland, 27th January, 2015
Roche, C., Thoma, S. & Wingfield, J., From Workshop to E-Learning: Using Technology-Enhanced "Intermediate Concept Measures" As a Framework for Pharmacy Ethics Education and Assessment, Pharmacy. Special Issue: eLearning, 2, (2), 2014, p137 - 160
Roche, C., 'Addiction Pharmacy' and the professionalisation process: technology-enhanced assessment of reflective practice and teamwork., Pharmacy, Special Issue: Online Learning., 2, (2), 2014, p175 - 194
Kelliher, F & Roche, C., I wish I was there: Emulating the sense of 'being' in an eClassroom. , Irish Academy of Management, University of Limerick, Sept 3rd-5th, 2014
Roche, C. & Kelliher, F. , Giving 'best advice': Proposing a Framework of Community Pharmacist Professional Judgement Formation., Pharmacy, Special Issue: Rural and Regional Pharmacy Education and Leadership. , 2, (1), 2014, p74 - 85
Roche, C. & Kelliher, F., Educating community pharmacists: exploring influences on professional judgement formation in a commercial environment. , Irish Academy of Management , WIT Waterford, Sept 2-4, 2013
Roche, Cicely, Development and assessment of moral reasoning competencies: a blended learning approach to dilemma review and resolution , The International Pharmaceutical Federation (FIP) 73rd World Congress., Dublin, 2013
Roche, Cicely, The professionalization of pharmacist students in the final semester: a 'blended learning' approach to assessment of reflective practice and teamwork following workshops with external practitioners, The International Pharmaceutical Federation (FIP) 73rd World Congress. , Dublin, September, 2013
Roche, Cicely., Online assessment incorporating reflective practice and teamwork: Technology-Enhanced Learning in the final semester., Blackboard European teaching and learning conference, Birmingham, April, 2013
Roche, Cicely., In Pursuit of Excellence: Facilitating 'Right Advice' in Retail Pharmacy Practice., Irish Academy of Management, Sept 2-4, 2013
Roche, Cicely, Technology enhanced pharmacy education: Using the virtual learning environment to support the development of professional attributes., the FIP Centennial Congress of Pharmacy and Pharmaceutical Sciences, 2012., Amsterdam, October 2012, 2012
Cicely Roche, FORMATIVE ASSESSMENT FOR 'GRADUATE ATTRIBUTES': TECHNOLOGY-ENHANCED LEARNING IN THE FIRST SEMESTER., Edulearn12 Proceedings. Barcelona, Spain., Online, (July 2nd - 4th), 2012, p5129 - 5137
Roche, Cicely, ETHICAL AND LEGAL ISSUES IN HEALTHCARE: Children and the Law: Dispensing Prescriptions to Minors , Irish Pharmacy Journal, 88, (1,2 & 3; Jan - March), 2010, p168 - 169
Roche, Cicely & Gallagher, Paul., Developing Moral Reasoning skills in the Virtual Learning Environment (VLE), AMEE Association of Medical Education, Glasgow, September, 2010
Roche, Cicely, ETHICAL AND LEGAL ISSUES IN HEALTHCARE: Residential Care: Pharmacist dilemmas and issues of 'covert' medication. , Irish Pharmacy Journal, 89, (June-August), 2010, p203 - 2204
Roche, Cicely, ETHICAL AND LEGAL ISSUES IN HEALTHCARE: Research Ethics and the Ethics of Research., Irish Pharmacy Journal, 87, (2 & 3), 2009, p52 - 52
Roche, Cicely, ETHICAL AND LEGAL ISSUES IN HEALTHCARE: Collegiality Challenged, Irish Pharmacy Journal, 87, (5, 6 & 7. May-July), 2009, p92 - 92
Roche, Cicely, ETHICAL AND LEGAL ISSUES IN HEALTHCARE: Capacity: the pharmacist's judgement of the ability to decide, Irish Pharmacy Journal, 86 & 87, (12 & 1), 2009, p22 - 23
Roche, Cicely, Ethical and legal Issues in healthcare: Is pharmacy a profession?, Irish Pharmacy Journal, (November/December), 2009, p144 - 144
Roche, Cicely & Kelliher, Felicity, Exploring the Patient Consent Process in Community Pharmacy Practice, Journal of Business Ethics, 86, (1), 2009, p91 - 99
Roche, Cicely, ETHICAL AND LEGAL ISSUES IN HEALTHCARE: Link Selling., Irish Pharmacy Journal, 87, (8, 9 & 10. Aug - Oct), 2009, p122 - 123
Sahm, L., MacCurtain, A., Hayden, J., Roche, C & Richards, H.L., Electronic reminders to improve medication adherence - are they acceptable to the patient?, Pharm World Sci, 31, (6), 2009, p627 - 629
Roche, Cicely., ETHICAL AND LEGAL ISSUES IN HEALTHCARE: Conscientious Objection: the right to refuse to dispense. , Irish Pharmacy Journal, 86, (2), 2008, p18 - 19
Roche, Cicely., ETHICAL AND LEGAL ISSUES IN HEALTHCARE: Balancing Paternalism and Autonomy in professional practice. , Irish Pharmacy Journal, 86, (5 ), 2008, p122-
Roche, Cicely., ETHICAL AND LEGAL ISSUES IN HEALTHCARE: The ethics of resource management in Pharmacy., Irish Pharmacy Journal, 86, (7), 2008, p170 - 171
Roche, Cicely, ETHICAL AND LEGAL ISSUES IN HEALTHCARE: Standards of Care and the 'Best Interests' principle, Irish Pharmacy Journal, 86, (10 & 11), 2008, p208 - 210
Roche, Cicely., ETHICAL AND LEGAL ISSUES IN HEALTHCARE: The doctrine of double effect: implications for end-of-life healthcare. , Irish Pharmacy Journal, 86, (3), 2008, p48 - 49
Roche, Cicely., ETHICAL AND LEGAL ISSUES IN HEALTHCARE: Professional Judgement, Irish Pharmacy Journal, 86, (8 & 9), 2008, p202 - 203
Roche, Cicely., ETHICAL AND LEGAL ISSUES IN HEALTHCARE: The right not to know: Issues in genetic testing, Irish Pharmacy Journal, 86, (6), 2008, p142 - 143
Roche, Cicely., ETHICAL AND LEGAL ISSUES IN HEALTHCARE: Duty of Care in Matters of Confidentiality and Privacy., Irish Pharmacy Journal, 86, (4), 2008, p81 - 82
Roche, Cicely., ETHICAL AND LEGAL ISSUES IN HEALTHCARE: What is a prescription?, Irish Pharmacy Journal, 85 & 86, (12 & 1), 2007, p492 - 492
Roche, C, Does co-location of prescribers and dispensers in Primary Care compromise the patient's right to consent?, Irish Pharmacy Journal, 85, (5), 2006, p142 - 146
Kelliher, Cicely, An Evaluation of the Advent of Computers in Irish Community Pharmacy, Irish Pharmacy Journal, 63, (4), 1985, p123 - 124
Non-Peer-Reviewed Publications
Roche, C, Can we teach professional judgement and reasoning? Experiences from research and practice. , A professional update day for academics and pharmacy trainers, Birmingham, England, 9th September, 2014
Roche, Cicely, Online assessment incorporating reflective practice and teamwork: Technology-Enhanced Learning in the final semester., EdTech 2013, University College Cork, May, 2013
Roche C., Grimes T., Conscientious Objection by Pharmacists: Protection of Life During Pregnancy Act, 2013, IPU Review, September 2013., 2013, p20 - 22
Roche, Cicely., Challenging the 21st Century Learner:Supporting the development of reasoning competencies, Dublin eLearning Summer School, Dublin DIT, June , 2011
Roche, Cicely., Cholesterol testing in Demand? , Counterintelligence online, February, 2008, p4
Roche, Cicely., Is Irish Pharmacy ready for MURs? , IPU Review, September, 2008, p32 - 35
Research Expertise
Description
Moral reasoning Competencies Development in Community Pharmacists in Ireland. (PhD thesis). Professional ethics education as proposed in 'Moral Development in the Professions: Psychology and Applied Ethics' (Rest & Narvaez, 1994) incorporates the Four Component Model (FCM) of morality, namely moral sensitivity, reasoning , motivation and implementation, as interactive elements in the development of a professional (Bebeau & Monson, 2008; Bebeau, 2002; Bebeau & Thoma, 1999). Moral reasoning is the component specifically considered in this study, which reviews the development of moral reasoning competencies, as measured by a psychometric measure known as the DIT2 (Rest et al, 1999a, 1999b), following an educational intervention incorporating profession-specific dilemmas. Participants in the educational intervention had all been, at the time, registered pharmacists for at least three years and working in community pharmacies, referred to as Retail Pharmacy Businesses (RPBs) in the Pharmacy Act (Pharmacy Act, 2007). Research in other professions, e.g. dentistry (Bebeau, 2002) and business (Jones, 2008), indicates that even relatively short profession-specific educational programmes (referred to as an intervention for the purposes of this research) can lead to significant improvements in moral reasoning competencies, especially when the design, development and delivery of the intervention is context-appropriate. The question that this research aimed to address was whether a similar intervention could impact on community pharmacists using the Irish context as a study environment. This study therefore included the design, development and delivery of a profession-specific educational intervention, delivered over 16 weeks as a blended learning programme, in order to consider its impact on moral reasoning competencies in community pharmacists in Ireland as measured by the DIT2.Recognition
Representations
MPharm Integrated Programme Academic Online Module year 4 Implementation Group Lead (TCD/ UCC/ RCSI Collaboration)
MPharm integrated Programme Academic Online Module Development group (TCD/ UCC/ RCSI collaboration): TCD representative
Chair, Fitness to Practice - Committee of Inquiry (Health), Pharmaceutical Society of Ireland
President, Pharmaceutical Society of Ireland
Irish Medicines Board (Board Member)
Chair, Pharmacy Law and Ethics Association
Chair, Joint working group PSI/ICCPE/HSE/DoH, Engagement of pharmacists in Joint Continuing Education initiatives
Irish Centre for Continuing Pharmaceutical Education (Board Member)
Pharmaceutical Society of Ireland: Accreditation Standards development (Level 8, Level 9 and 5-year integrated programmes)... Expert groups.
Pharmaceutical Society of Ireland - Core Competency Framework Development Group
President, Pharmaceutical Society of Ireland Benevolent Fund (Reg. CHY)
Asthma Society of Ireland Medical Committee
Director, Pharmacy Bevenvolent Fund (Reg CHY)
Director, Gorey Educational Trust Ltd (Reg. CHY)
Awards and Honours
FHS Visiting Professor award 2022 Prof Steve Thoma
Teaching Hero Award 2021 [National Forum for the enhancement of Teaching and Learning in Higher Education] https://openbadgefactory.com/v1/assertion/a800a6a9618ac15e0fdb2336ceee1a606c48c69c
Royal Irish Academy Charlemont Scholar
Dean's Teaching Innovation Award, Faculty of Health Sciences
Provost's teaching award, Trinity College Dublin.
Elected to serve as President of the Pharmaceutical Society of Ireland
Roches Pharmacy Gorey won the Excellence Ireland Foundation Mark National Award. (Integrated QA & continuous improvement system.)
Best Conference Paper, Irish Academy of Management
Irish Management Institute 'Poster Presentation Award' Irish Acadamy of Management Conference
Memberships
Member of the Pharmaceutical Society of Ireland
Reviewer, Journal of Business Ethics
Member of the Pharmacy Law and Ethics Association (Ireland)
Member of the Pharmacy Law and Ethics Association (UK)
Reviewer: Research in Social and Administrative Pharmacy