International Journal of Pharmacy Practice最新文献

{"title":"Redefining medicines optimisation: driving sustainable medicines use with the Greener Pharmacy Toolkit.","authors":"Min Na Eii, Madeleine Winder","doi":"10.1093/ijpp/riaf137","DOIUrl":"10.1093/ijpp/riaf137","url":null,"abstract":"","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"704-707"},"PeriodicalIF":2.5,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105339","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 Australian community pharmacists' experiences of regulatory change: a qualitative study.","authors":"Yalin Ozucelik, Jessica L Pace, Jack C Collins","doi":"10.1093/ijpp/riag022","DOIUrl":"10.1093/ijpp/riag022","url":null,"abstract":"<p><strong>Objectives: </strong>Shifts in primary healthcare needs and expanding scope of practice have spearheaded regulatory change in Australian pharmacy practice. The effect of regulation on pharmacists has implications for regulators and other stakeholders within the regulatory system. The aim of this study was to explore practising community pharmacists' personal experiences of regulatory change, focussing on their awareness and implementation of these changes, as well as the perceived impacts on their own practice, other healthcare professionals, and patients.</p><p><strong>Methods: </strong>Individual semi-structured interviews were conducted on Zoom® with community pharmacists, who were recruited via social media posts and newsletters. Questions covered core topic areas of demographics, impacts of regulatory changes, communication of those changes, and their enforcement. After transcription, qualitative content analysis was undertaken.</p><p><strong>Key findings: </strong>Fourteen pharmacists were interviewed. Most were early career pharmacists (≤6 years post-registration experience), identified as female (n = 11), and practiced in New South Wales (n = 13). Four categories were generated from the analysis: (1) Challenges of maintaining currency, (2) Burdens imposed by regulatory change, (3) Benefits of regulatory change, and (4) Achieving successful implementation.</p><p><strong>Conclusions: </strong>The findings indicated that regulatory oversight organizations need to invest more in consultation during regulatory design, communicate change in a timely way with all healthcare professionals, and provide supportive implementation strategies to aid compliance. It is hoped that this research will be leveraged by regulators and stakeholders to enable optimization of future regulation.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"632-639"},"PeriodicalIF":2.5,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147365209","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":"Pharmacy students' and pharmacy professionals' knowledge, perception, and attitude regarding environmental sustainability in pharmacy practice: a systematic review.","authors":"Nortan Hashad, Sima Jabbari, Ahmed M Fahmy, Hend Ahmed, Ivna Debelić, Kareem Arafat, Kevin Cortes-De Guzman, Mohammad W Abohabsa, Sama H Ghozlan, Tasneem E Hussien","doi":"10.1093/ijpp/riag010","DOIUrl":"10.1093/ijpp/riag010","url":null,"abstract":"<p><strong>Objectives: </strong>The environmental impact of healthcare systems represents a significant global challenge. Evaluating how pharmacy students and pharmacy professionals understand and perceive environmentally sustainable practices is crucial for reducing the healthcare industry's ecological footprint. This systematic review aimed to critically assess and synthesize the existing evidence on the knowledge, attitudes, and perceptions of pharmacy students and pharmacy professionals regarding environmental sustainability (ES) in pharmacy practice, identifying facilitators and barriers that influence their engagement.</p><p><strong>Methods: </strong>A systematic review was conducted following Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. Seven databases were searched using a prespecified search string for studies published in English between 2011 and 2024. Quality assessment was performed using the National Heart, Lung, and Blood Institute tool for cross-sectional studies, Consolidated Criteria for Reporting Qualitative Research checklist for qualitative research, and Mixed Methods Appraisal Tool for mixed-methods studies. Data were synthesized narratively due to methodological heterogeneity.</p><p><strong>Key findings: </strong>Fifteen studies from 11 countries were included. While most pharmacy students and pharmacy professionals recognized environmental risks associated with pharmaceutical waste, significant knowledge gaps existed regarding proper disposal practices, ecopharmacovigilance, and broader ES concepts. Despite positive attitudes toward ES, participants often struggled to translate awareness into action, citing barriers such as a lack of formal training, unclear guidelines, and limited systemic support. Both students and pharmacy professionals expressed a strong interest in enhancing ES education and training.</p><p><strong>Conclusions: </strong>This review highlighted the need for comprehensive integration of ES principles in pharmacy education and practice using a structured approach. Additionally, future efforts should focus on developing clear guidelines, enhancing professional training, and establishing supportive infrastructure for ES in pharmacy practices.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"543-561"},"PeriodicalIF":2.5,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197561","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":"Barriers and opportunities for collaboration between community pharmacists and nurses in the prevention and management of diabetic foot ulcers in South Africa.","authors":"Cosette Greyling, Ilse Truter, Janet Barry","doi":"10.1093/ijpp/riaf135","DOIUrl":"10.1093/ijpp/riaf135","url":null,"abstract":"<p><strong>Objectives: </strong>Diabetes mellitus has become more prevalent over the years. This chronic disease can lead to complications, such as diabetic foot ulcers. The objective of this study was to explore the barriers and opportunities of community pharmacists and nurses collaborating on managing diabetic foot ulcers (DFUs) in community pharmacies in South Africa.</p><p><strong>Methods: </strong>Two online focus group discussions were conducted in South Africa in 2023 on MS Teams®. Participants included community pharmacists, Primary Care Drug Therapy pharmacists, and academic nursing staff.</p><p><strong>Key findings: </strong>Two themes emerged. The first theme was challenges in DFU management. Pharmacists reported firstly a need for coordinated, multidisciplinary care; secondly the time-intensive nature of DFU management, with limited capacity in community settings; and thirdly complex referral pathways that impede timely specialist access. The second theme was training for DFU management. Participants highlighted firstly cost-related constraints that hinder optimal care, particularly when specific competencies are lacking; and secondly a clear deficit in accessible, practice-oriented DFU training for community pharmacists. Overall, the findings indicated that structural (team-based), operational (time and referral), and educational (training availability) gaps collectively limit the quality and consistency of DFU care in community pharmacy.</p><p><strong>Conclusions: </strong>Pharmacist's involvement in offering advice on optimizing antidiabetic therapy to prevent DFUs is vital. The incidence of DFUs can potentially be decreased if community pharmacists and nurses collaborate.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"583-589"},"PeriodicalIF":2.5,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146051863","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":"Quality use of medicines: from national policy to local implementation in Saudi Arabia.","authors":"Fahad Aldhafeeri, Andrew Wilson, Shaun Larkin","doi":"10.1093/ijpp/riag009","DOIUrl":"10.1093/ijpp/riag009","url":null,"abstract":"<p><strong>Objectives: </strong>Quality use of medicines (QUM) helps ensure patient safety and optimal healthcare outcomes. This study aims to examine issues in the implementation of Saudi Arabia's national QUM policies and programs using a case study of practice in a major regional hospital.</p><p><strong>Methods: </strong>In 2024, a qualitative research design was employed using semi-structured interviews with 13 relevant hospital staff, including the hospital manager, medical director, quality officer, pharmacists, physicians, and nurses. An interview guide was developed based on a review of national policies and international practice. Thematic analysis was employed to identify key issues from the interviews.</p><p><strong>Key findings: </strong>Two broad themes with subthemes emerged: (i) Strengths of the system, with subthemes of: Comprehensiveness of QUM policies and procedures, Multiplicity of QUM programs and initiatives, Staff training and continuing education programs, and Regular monitoring and evaluation. (ii) Challenges to QUM with subthemes of: Adherence and knowledge gaps, Workforce limitations, and Limited strategic research. Comprehensive policies and procedures for medication management have been implemented as required under accreditation standards, including medication reconciliation, patient education programs, and antibiotic stewardship. However, interviewees identified several factors that impacted the effectiveness of practice, including staff shortages, limited resources, and gaps in adherence to QUM protocols.</p><p><strong>Conclusions: </strong>The findings highlight that at the hospital and clinical care level, effectively achieving the aims of QUM policy requires an ongoing commitment to training, resourcing, technical support, and protocol development and review. Commitment to research should also be better supported as part of QUM.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"672-679"},"PeriodicalIF":2.5,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147493988","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' experiences of implementing ethnicity-based eligibility criteria services in community pharmacy.","authors":"Joanna Hikaka, Florence Tauvae Tuiletufuga, Brendon McIntosh, Lisa Kremer, Nora Parore","doi":"10.1093/ijpp/riag025","DOIUrl":"10.1093/ijpp/riag025","url":null,"abstract":"<p><strong>Objectives: </strong>Pharmacists are integral to advancing equitable healthcare, implementing culturally safe practices that address power imbalances, racism, and institutional barriers. Ethnicity-based eligibility criteria (EBEC) have improved treatment access in some settings, but little is known about how community pharmacists experience and implement these criteria in practice. This study aimed to explore pharmacists' perceptions of (i) applying EBEC in community pharmacy; (ii) the extent to which the provision of education or resources would be useful in the future.</p><p><strong>Methods: </strong>A descriptive cross-sectional survey of registered and pre-registrant pharmacists in Aotearoa, New Zealand, was conducted. Participants were recruited via professional and researcher networks, with data collected anonymously using a piloted survey on Qualtrics®. Quantitative responses were analysed with descriptive statistics, and qualitative data were inductively coded and refined through team consensus to identify themes.</p><p><strong>Key findings: </strong>Two hundred and eighteen pharmacists (median age band 36-45 years, median of 20 years pharmacy experience) completed the survey. Although most pharmacists felt comfortable applying EBEC, half felt implementation would have been better supported if training or resources were available. Participants had limited experience discussing ethnicity with patients and wanted to be better equipped to discuss eligibility with those who were eligible, and with those who opposed the use of EBEC. Resources needed to focus on evidence-based justification of EBEC, definitions of ethnicity, and role modelled conversations.</p><p><strong>Conclusions: </strong>When implementing new types of eligibility criteria for community pharmacy services, pharmacists need sufficient and appropriate training and resources for effective implementation.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"646-653"},"PeriodicalIF":2.5,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344204","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":"Beyond dispensing metrics: are we overlooking structural risk accumulation in community pharmacy?","authors":"Ammar Abdulrahman Jairoun, Sabaa S Al-Hemyari, Moyad Shahwan, Abeer M Al-Ghananeem, Ghala Rashid H Alnuaimi, Faris El-Dahiyat, Amjad Alhalaweh, Ammar A S Jaber","doi":"10.1093/ijpp/riag144","DOIUrl":"https://doi.org/10.1093/ijpp/riag144","url":null,"abstract":"","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109330","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":"Turning legislation into care: pharmacy services permitted and provided in South Africa.","authors":"Ziyanda Mfuku, Panjasaram Naidoo, Martie S Lubbe","doi":"10.1093/ijpp/riag141","DOIUrl":"https://doi.org/10.1093/ijpp/riag141","url":null,"abstract":"<p><strong>Objectives: </strong>The study aimed to determine the types of pharmacy services lawfully permitted to be offered and provided in the different categories of pharmacies in South Africa.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted using an online self-administered questionnaire sent to all responsible pharmacists (N = 4334) of pharmacies registered in the different categories under the Pharmacy Act 53 of 1974.</p><p><strong>Key findings: </strong>A total of 217 responses were received, yielding a response rate of 5.0%. Although the participating pharmacies offer a broad spectrum of services, they do not provide all the public health-oriented services for which they are legally permitted to offer. Consequently, they (>80%) focus on more conventional pharmacy services and services related to patients' pharmaceutical care needs. Furthermore, a larger proportion of community (independent and corporate) (>90%) than private institutional pharmacies (<75%) offered services supporting pharmaceutical care (P = .0001), such as assessing patient compliance (Cramér's V = 0.4), patient follow-up (Cramér's V = 0.4), and providing pharmacist-initiated therapy (Cramér's V = 0.7). Overall, the findings confirmed that the participating pharmacies did not provide the full range of legally permitted services. More specifically, there was limited delivery of public health services in institutional pharmacies, whereas independent and corporate community pharmacies provided few primary care drug therapy services.</p><p><strong>Conclusions: </strong>The study highlights an opportunity for pharmacies in South Africa to offer more public health-related services that they are legally permitted to provide. Consequently, the apparently limited provision of these services should be investigated further.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080909","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":"Pharmacy education, practice, and professional landscape in India: a narrative review.","authors":"Rabea Parveen, Saba Khan, Ashim Malhotra, Javed Ali","doi":"10.1093/ijpp/riag136","DOIUrl":"https://doi.org/10.1093/ijpp/riag136","url":null,"abstract":"<p><strong>Objectives: </strong>Pharmacy plays a critical role in healthcare through medication management, patient counselling, pharmaceutical care, public health services, and pharmaceutical research. India possesses one of the largest pharmacy education systems and pharmaceutical workforces globally; however, the profession continues to face several educational, regulatory, and practice-related challenges.</p><p><strong>Methods: </strong>This narrative review provides a comprehensive overview of pharmacy education, professional practice, regulatory frameworks, career pathways, research culture, and emerging trends in India. Relevant literature was identified from peer-reviewed publications, official reports, policy documents, and regulatory resources obtained through databases including PubMed, Scopus, Google Scholar, and official websites of the Pharmacy Council of India (PCI), Central Drugs Standard Control Organisation (CDSCO), and other governmental and professional organizations.</p><p><strong>Key findings: </strong>The review highlights that India has a well-established pharmacy education infrastructure and a large pharmaceutical workforce. However, several challenges persist, including variability in experiential and clinical training, limited implementation of patient-oriented pharmacy services, underutilization of clinical pharmacists, gaps in regulatory enforcement, inconsistent continuing professional development (CPD) frameworks, and limited outcomes-based evidence supporting pharmacist-led interventions. Opportunities exist for expanding clinical pharmacy services, medication therapy management, antimicrobial stewardship programs, and pharmacist participation in multidisciplinary healthcare teams.</p><p><strong>Conclusions: </strong>Strengthening competency-based education, experiential learning, clinical pharmacy practice, regulatory oversight, CPD, and research capacity will be essential for advancing the profession. Addressing these priorities may improve medication safety, patient outcomes, and the overall contribution of pharmacists to healthcare delivery while aligning pharmacy education and practice in India with evolving global standards.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080837","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":"Assessing behavioural skills in pharmacy education: a scoping review of instruments and evaluation practices.","authors":"Julia Weber, Kirsty Freeman, Samuel Allemann, Rhonda Clifford, Liza Seubert","doi":"10.1093/ijpp/riag139","DOIUrl":"https://doi.org/10.1093/ijpp/riag139","url":null,"abstract":"<p><strong>Objectives: </strong>This scoping review aimed to map assessment instruments used to evaluate behavioural skills in pharmacy education and to identify gaps in assessment approaches.</p><p><strong>Methods: </strong>The review was conducted following the Joanna Briggs Institute methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews reporting guidelines. Seven databases were searched. Peer-reviewed studies published between 1999 and 2025 were included. Sources were screened and reviewed, and data were extracted by two independent reviewers. Findings were presented in tables with a narrative synthesis of patterns and gaps.</p><p><strong>Key findings: </strong>Thirty instruments assessing behavioural skills were identified. Communication was assessed in 21 instruments, while teamwork was assessed in five and professionalism and safety in three each. Among other skills, decision-making and prioritization and critical thinking and problem-solving were each assessed in one instrument. The number of behavioural markers varied widely (2-75), and similar behaviours were often described differently across instruments. Validity evidence was reported in 18 instruments. Most instruments used unanchored ordinal rating scales (19), and five included a qualitative feedback option. Overall, 23 instruments assessed a single skill, while seven assessed multiple skills.</p><p><strong>Conclusions: </strong>Behavioural skills assessment in pharmacy education mainly focuses on communication. Marker definitions vary across instruments and reporting of validity and rating scale design is limited. Current instruments therefore capture only part of the behavioural skills expected in practice. Clearer definitions, broader assessment approaches, and improved reporting can help strengthen behavioural skill assessment in pharmacy education.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069515","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}