International Journal of Pharmacy Practice最新文献

{"title":"Integrating community pharmacies into clinical research: lessons learned from the RAPID IMMUNE TEST study.","authors":"Andrew Turner, Alastair D Hay, Jonathan Campbell, Sharon Burge, Emily L Brown","doi":"10.1093/ijpp/riag149","DOIUrl":"https://doi.org/10.1093/ijpp/riag149","url":null,"abstract":"","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharmacist contribution in rare diseases.","authors":"Margaux Jeatrice Alaba, Janis Vella Szijj, Lilian M Azzopardi","doi":"10.1093/ijpp/riag147","DOIUrl":"https://doi.org/10.1093/ijpp/riag147","url":null,"abstract":"<p><strong>Objectives: </strong>Rare diseases (RDs) present major challenges in diagnosis, treatment access, and care coordination. Pharmacists are increasingly recognized as important contributors in the management of patients with RDs. The aim of this study was to assess pharmacist contributions in RD management and to develop a framework to strengthen their involvement in patient care.</p><p><strong>Methods: </strong>A mixed-methods design was adopted. Semi-structured interviews were conducted with healthcare stakeholders and patient support groups. Interview data was thematically analysed to identify key patterns and insights regarding the current landscape of RD care and pharmacist involvement. Findings informed the development of a pharmacist-led contributions framework, which was subsequently refined through two Delphi rounds involving an expert panel.</p><p><strong>Key findings: </strong>Stakeholders highlighted barriers to effective RD management including fragmented coordination, limited clinical expertise, and challenges in medicine access and procurement. Pharmacists were recognized for their key roles in navigating medication access, management of treatment costs, ensuring medication safety, and providing patient education and support. The expert-informed framework outlined strategies to strengthen pharmacist contributions through formal integration of pharmacists within multidisciplinary teams, enhanced collaboration with patient support groups, and streamlined procurement systems.</p><p><strong>Conclusions: </strong>The work demonstrates significant pharmacist contribution in RD care and introduces an expert-informed framework to guide their involvement. By promoting formal integration of pharmacists into multidisciplinary teams, and improving system coordination, the framework provides a foundation for supporting patients with RDs and their medication needs with the potential of improving access, safety, and sustainability of care.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharmacists at the frontline: a qualitative investigation of the acceptability and feasibility of an ethical framework for preventing opioid-related harm in pharmacy practice.","authors":"William M Olsen, Christopher Freeman, Adam La Caze","doi":"10.1093/ijpp/riag146","DOIUrl":"https://doi.org/10.1093/ijpp/riag146","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the acceptability and feasibility of a proposed ethical framework that describes pharmacists' responsibilities when dispensing opioids.</p><p><strong>Methods: </strong>Qualitative methods were used to assess the views of pharmacists regarding the proposed framework. Registered pharmacists in Australia were recruited via online advertising on social media platforms. A mixture of focus groups and semi-structured interviews was conducted, and transcripts were analyzed using thematic analysis to evaluate whether the framework was seen as acceptable and feasible, and whether pharmacists were likely to enact the responsibilities outlined in the framework.</p><p><strong>Key findings: </strong>Seventeen pharmacists from both hospital and community pharmacy settings participated across five focus groups and five semi-structured interviews. Four key themes emerged: (i) whether the responsibilities outlined in the framework were obligatory, (ii) whether the framework provided sufficient guidance, (iii) whether-or what-external factors were reasons not to fulfil a certain obligation, and (iv) the relationship between individual professional autonomy and the responsibilities of others. While participants varied in views regarding these themes, the framework was generally viewed as acceptable and feasible.</p><p><strong>Conclusions: </strong>Pharmacists generally endorsed the ethical framework and judged the implementation of the framework as feasible, but different views regarding the potential enactment of advice provided in the framework reflected differences in professional identity and perceived control. Future work should test the implementation of the framework in a range of settings and with other stakeholders to address variation in professional identity and optimize harm prevention.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simulating workplace legal scenarios: preparing students through Objective Structured Clinical Examination-based training.","authors":"Carmen Abeyaratne, Angelina Lim, Emily Stokes, Simon James, Narges Mahdavian","doi":"10.1093/ijpp/riag142","DOIUrl":"https://doi.org/10.1093/ijpp/riag142","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to evaluate whether Objective Structured Clinical Examinations (OSCEs) are a viable assessment tool for testing pharmacy legal concepts, and to compare performance across OSCE and written assessments while exploring student and examiner perspectives.</p><p><strong>Methods: </strong>A convergent mixed-methods study was conducted with final-year pharmacy undergraduates completing a legal OSCE station and a short-answer written legal examination. Quantitative analyses compared criterion-level OSCE performance across four legal domains and examined association with written examination scores. Qualitative analyses of student reflections and examiner comments used framework analysis mapped to activity theory.</p><p><strong>Key findings: </strong>Data were available for 272 students. Across legal domains, students more frequently achieved a correct ethical‑legal response than a correct justification or appropriate follow-up advice. The association between legal OSCE scores and legal written examination scores within domains was not statistically significant; however, students in the top decile for one modality were more likely to perform strongly in the other. Reflections highlighted that simulated assessments demanded on-the-spot problem-solving, personalized communication, and time management, and were perceived as more stressful yet more authentic and rewarding.</p><p><strong>Conclusions: </strong>OSCEs are a practical and effective way to assess students' ability to apply legal concepts within pharmacy education. Because OSCEs take place in a distinct, practice-oriented environment, they serve as a complementary assessment rather than a replacement for traditional written legal exams. They offer the added benefit of evaluating students' reasoning, justification, and communication skills under time pressure conditions that mirror real professional practice.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring influences on intravenous-to-oral antibiotic switching: a qualitative interview study across healthcare professions.","authors":"Jawaad Ellahi, Nazish Khan, Jeff Aston","doi":"10.1093/ijpp/riag143","DOIUrl":"https://doi.org/10.1093/ijpp/riag143","url":null,"abstract":"<p><strong>Objectives: </strong>Intravenous antibiotics are often continued longer than necessary leading to prolonged admission and increased infection risk. Existing research has reported barriers to IV-to-oral switch (IVOS) predominantly from a physician's perspective, leaving gaps in understanding how other healthcare professionals may influence IVOS decisions. This study aimed to explore influencers to IVOS among different healthcare professions.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with doctors, nurses, pharmacists, and pharmacy technicians at an acute UK NHS hospital trust, selected through purposive sampling, to identify themes influencing IVOS. Interviews were audio recorded and transcribed verbatim. Thematic analysis was conducted following Braun and Clarke's six-phase framework.</p><p><strong>Key findings: </strong>Identified themes were organized as barriers and enablers to IVOS. Prominent barriers included insufficient education and deference to perceived greater expertise of other professional groups. The perception that IVOS expertise resided with doctors discouraged other participants from advocating for IVOS. Additional barriers included fear of negative outcomes and low priority for IVOS. Strong enablers included collaborative teamwork, discharge readiness, and guidelines, which provided reassurance and reframed IVOS from individual risk to a collective responsibility.</p><p><strong>Conclusion: </strong>This study underscores the complexity and persistence of barriers to IVOS despite established antimicrobial stewardship (AMS) initiatives. The findings of this study suggest that no single factor is responsible for this, but reflects the compounding effect of educational, hierarchical, and organizational challenges. For the successful introduction of IVOS, interventions must address these multiple components. Future efforts should focus on creating supportive systems which reposition IVOS as an expected standard of care across all healthcare professional groups.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How community pharmacies can raise uterine cancer awareness among women from ethnic minority populations.","authors":"Hafsa Omar, Anisha Chitrakar, Mahendra Patel, Natalie Darko, Esther L Moss","doi":"10.1093/ijpp/riag140","DOIUrl":"https://doi.org/10.1093/ijpp/riag140","url":null,"abstract":"<p><strong>Objectives: </strong>Community pharmacies are a potential route to reach underserved groups due to their locations and staff, who often reflect the diversity of the populations they serve. This study aimed to explore the potential for a uterine cancer awareness campaign encouraging earlier presentation of red-flag symptoms among ethnic minority women conducted through community pharmacies.</p><p><strong>Methods: </strong>Semi-structured qualitative interviews were conducted with pharmacy staff to explore the role of the pharmacy in cancer awareness, the impact of language and cultural sensitives on discussions, and signposting for red-flag symptoms using a pre-designed interview schedule. Interviews were analysed using reflexive thematic analysis.</p><p><strong>Key findings: </strong>Fifteen pharmacy staff (pharmacists, technicians, and managers) working in a variety of clinical settings participated in an interview. The identified themes were: diversity and demographics; the community and its pharmacy; and women's health. Although all participants reported low awareness of uterine cancer and its red-flag symptoms, they saw the potential for pharmacies to reach women in their communities and identified the need for formal standardized training to ensure accuracy knowledge dissemination.</p><p><strong>Conclusions: </strong>This study has shown the potential of community pharmacies to address cancer inequities through culturally tailored, co-designed interventions. However, structured staff education, ensuring the accuracy of information disseminated, and formal signposting or pathways for symptomatic patients would be needed to enable timely onward referral for investigation.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community pharmacists' perceptions and practices regarding medication home delivery service: a cross-sectional study in the United Arab Emirates.","authors":"Hala Alobaidi, Feras Jirjees, Mohanad Odeh, Amna M Othman, Zelal Kharaba, Abderraouf Haitamar, Abdulrahman Alzyoud, Yahya H Dallal Bashi, Mamoon A Aldeyab, Ahmad Al-Azayzih, Khalid Al-Kubaisi, Rana K Abu-Farha, Nermin Eissa, Karem H Alzoubi","doi":"10.1093/ijpp/riag004","DOIUrl":"10.1093/ijpp/riag004","url":null,"abstract":"<p><strong>Objectives: </strong>The healthcare sector is evolving with a growing emphasis on remote services and patient-centred care. Medication Home Delivery (MHD) service has become essential in enhancing accessibility, allowing patients to receive medications at home. This study evaluates the perceptions, practices, challenges, and benefits of the MHD service among community pharmacists in the United Arab Emirates (UAE), providing insights for policy and practice improvements.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 403 licensed community pharmacists in the UAE. Participants completed a self-administered questionnaire assessing their awareness, perceptions, and experiences with the MHD service. Data analysis included descriptive statistics and logistic regression to identify factors influencing service provision.</p><p><strong>Key findings: </strong>Among respondents, 83.6% offered the MHD service, primarily through online platforms. Main factors influencing service provision included participants' age, employment status, pharmacy type, and location (P < .05). Pharmacists raised concerns about patient counseling quality, communication, and medication security, highlighting the need for training to improve regulatory adherence. Major challenges included staffing shortages (51.6%), increased workload (36.5%), and limited time for patient counseling (41.2%). Despite these barriers, most pharmacists recognized MHD's benefits in enhancing pharmacy efficiency (87.2%) and patient convenience (51.3%), particularly for elderly and disabled individuals (86.9%). Those not offering the MHD service cited unclear policies (24.2%) and logistical constraints as primary barriers (24.2%).</p><p><strong>Conclusions: </strong>This study underscores both the opportunities and operational challenges of the MHD service in the UAE community pharmacies. Optimizing the service requires policy refinements, improved logistical frameworks, and targeted training programs to enhance service delivery, regulatory compliance, and patient care outcomes.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"615-624"},"PeriodicalIF":2.5,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using the reliever reliance test in community pharmacies to support asthma care: development and evaluation of a new pathway.","authors":"Darush Attar-Zadeh, Stephanie Bancroft, Christine Heading","doi":"10.1093/ijpp/riag026","DOIUrl":"10.1093/ijpp/riag026","url":null,"abstract":"<p><strong>Objectives: </strong>This service development and evaluation explored the Reliever Reliance Test's application in community pharmacies. It examined specifically: usability, perceived benefits, and potential areas for additional consideration, in adult asthma care.</p><p><strong>Methods: </strong>Using a four-stage programme, a support pathway was designed, then delivered, and evaluated in community pharmacies between November 2022 and March 2023.</p><p><strong>Key findings: </strong>Pharmacists and patients reported that the pathway was useable and helpful for improving patient understanding of their treatment. Limitations to use included remuneration, patient engagement, and language issues.</p><p><strong>Conclusions: </strong>The pathway could be used routinely by community pharmacies to support patients, but some aspects require further consideration.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"708-711"},"PeriodicalIF":2.5,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147432903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing pharmacy research while advancing pharmacy education and practice in Malawi.","authors":"Hanna Stambuli-Kumwenda, Nelson Nyoloka, Hope Michael Chadwala, Frider Chimimba, William Freloh Mpute, Emily K Flores","doi":"10.1093/ijpp/riag012","DOIUrl":"10.1093/ijpp/riag012","url":null,"abstract":"<p><strong>Objective: </strong>Describe current pharmacy education, practice, and related research endeavors for pharmacists in Malawi and comment on advances being made.</p><p><strong>Key findings: </strong>Pharmacists are currently involved in a variety of research endeavors including antimicrobial stewardship, clinical trials, and medication use processes. Advances being made in pharmacy education will advance clinical practice and pharmaceutical care. These advances are expected to further expand research opportunities in the areas of implementation science, population health, and health outcomes.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"688-693"},"PeriodicalIF":2.5,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146213114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of pharmacist-led interprofessional medication reviews on the drug regimen of nursing home residents: an observational study.","authors":"Camille Lanfranchi, Pierre-Alain Jolivot, Joël Wermeille, Mohamed Faouzi","doi":"10.1093/ijpp/riag002","DOIUrl":"10.1093/ijpp/riag002","url":null,"abstract":"<p><strong>Objectives: </strong>We evaluated the impact of pharmacist-led interprofessional medication reviews in nursing homes on the optimization of drug therapy, inappropriate medication use, and costs.</p><p><strong>Methods: </strong>Polypharmacy concerns more than 80% of Swiss nursing home residents, and approximately three-quarters of them receive at least one potentially inappropriate medication (PIM). The residents living in nursing homes where medication reviews by pharmacists were usually performed were allocated to the intervention group if they were included in a medication review during the study period (from July 2020 to September 2021). The control group included residents living in nursing homes where medication reviews were never performed. The primary outcomes were the change in the number of regular drugs prescribed, the number of PIMs, and drug costs over 12 months.</p><p><strong>Key findings: </strong>Eighty-nine residents were included in the intervention group and 85 in the control group. Over 12 months, a truncated negative binomial regression analysis showed a significant decrease of 204 Swiss francs in drug costs per 6 months and a reduction in the number of drugs prescribed over 12 months (mean difference 0.8) in the intervention group compared with the control group. We also found a significant reduction in PIMs in the intervention group.</p><p><strong>Conclusions: </strong>Pharmacist-led interprofessional medication reviews may reduce drug costs and the number of unnecessary and potentially harmful drugs in nursing homes.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"607-614"},"PeriodicalIF":2.5,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146206936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}