Canadian Pharmacists Journal最新文献

{"title":"Interprofessional collaboration in pharmacist-led primary care clinics.","authors":"Kerry Wilbur, Debbie Kelly, Derek Jorgenson","doi":"10.1177/17151635241312423","DOIUrl":"https://doi.org/10.1177/17151635241312423","url":null,"abstract":"<p><strong>Background: </strong>Pharmacists are essential to team-based care, contributing knowledge and expertise that positively impact patient care. However, it is less clear how interprofessional collaboration is enacted by pharmacists in single-disciplinary outpatient practice environments.</p><p><strong>Methods: </strong>We recruited pharmacists from 3 university-affiliated, pharmacist-led primary care clinics in Canada. Employing a social network analysis approach, the data collection encounter explored the nature and composition of collaboration in patient care. We conducted semistructured interviews, including participant drawings (sociograms), to illustrate their network experiences caring for specific patients. Transcripts from the data collection encounters were systematically coded and analyzed in an iterative process. Initial codes were generated inductively and broader categories refined through constant comparison and finalized by author discussion.</p><p><strong>Results: </strong>Eleven (78%) pharmacists were interviewed and drew 28 sociograms. Pharmacist networks encompassed a wide array of health professionals and patient family members. Despite the physical distribution of interprofessional members, pharmacists formed and maintained relationships to support patient care through conscientious communication and medication management decision-making. Network relationships and system factors influenced collaboration and patient care, often resulting in practice paralysis and/or the need to re-emphasize patient self-advocacy.</p><p><strong>Interpretation and conclusion: </strong>Our findings underscore the dynamic nature of pharmacist networks and how they are navigated to support pharmacist-led medication management. Primary care pharmacists attempt to overcome encountered barriers to implementing patient care plans through various strategies, including leveraging new and existing network relationships. System obstacles impeding effective and efficient patient care could in part be overcome through pharmacist scope of practice expansion.</p>","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":" ","pages":"17151635241312423"},"PeriodicalIF":1.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and evaluation of an educational module and workshop for pharmacists managing suicidal ideation.","authors":"Shelby McGraw, Amy Jradi, Robert T Pammett","doi":"10.1177/17151635251317443","DOIUrl":"10.1177/17151635251317443","url":null,"abstract":"","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":" ","pages":"17151635251317443"},"PeriodicalIF":1.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reporting on knowledge, attitudes, and behaviours of pharmacists regarding the active offer of French language health services in Ontario: A quantitative survey study.","authors":"Patrick Timony, Arielle Leone, Carolanne Caron, Pierre Giguère, Pierre Thabet, Alain Gauthier, Nancy M Waite, Christine Landry","doi":"10.1177/17151635241308874","DOIUrl":"10.1177/17151635241308874","url":null,"abstract":"<p><strong>Background: </strong>Patient-provider language discordances can negatively affect the availability, accessibility, acceptability, and quality (AAAQ) of pharmacy services as described by the AAAQ framework. With nearly 600,000 residents of Ontario identifying French as their mother tongue, the active offer (AO) of French language pharmacy services should be provided, yet little is known about pharmacists' familiarity and use of AO.</p><p><strong>Methods: </strong>Ontario pharmacists completed an online survey measuring their knowledge, attitudes, and behaviours (KAB) regarding the AO for French language services (FLS). Demographics, including ability to converse in French, were collected. KAB AO scores were calculated and compared using descriptive and inferential statistics.</p><p><strong>Results: </strong>A total of 360 pharmacists completed the survey. The majority (65.1%) practiced in a primary care setting, 21.1% spoke French, and 71.8% lived in an area where less than 10% of the population were Francophone. Overall, AO scores were highest for attitude (3.8/5) and lowest for behaviours (2/5) and knowledge (1.8/5). Most pharmacists (62.8%) indicated an interest in AO training.</p><p><strong>Discussion: </strong>Gaps in KAB regarding AO for FLS by Ontario pharmacists resemble those observed throughout the health care system. Further training is suggested to address the lack of knowledge regarding AO, particularly its proactive nature, as well as strategies for its implementation.</p><p><strong>Conclusion: </strong>Although most participating pharmacists demonstrated gaps in AO knowledge and behaviour, many had favourable attitudes toward the importance of AO in the pharmacy setting and agreed that further training would be needed to improve their KAB. Further, the AO can address all 4 elements of the AAAQ framework.</p>","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":" ","pages":"17151635241308874"},"PeriodicalIF":1.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the influence of professional abstinence on pharmacy students: Observations and solutions from their perspective.","authors":"Jill J Hall, Haley Tong, Kaitlyn E Watson, Ross T Tsuyuki, Catherine Biggs, Theresa L Charrois","doi":"10.1177/17151635241306458","DOIUrl":"10.1177/17151635241306458","url":null,"abstract":"<p><strong>Purpose: </strong>As the scope of practice continues to evolve for pharmacists, professional abstinence is being observed by students in workplaces and practicums. Professional abstinence is defined as \"consciously choosing not to provide the full scope of patient care activities\". Exposure of students to professional abstinence may cause cognitive dissonance, as they are challenged by practices that do not match what they are taught in school. This study explores pharmacy student perspectives on professional abstinence in community practice settings and their thoughts on how it could be addressed.</p><p><strong>Methods: </strong>Pharmacy students enrolled at an accredited Canadian pharmacy school with previous experience at a community practice site were invited to participate via email and social media. Data were collected between March and November 2021 through virtual individual interviews using a semistructured guide and the Zoom platform. Recordings were transcribed verbatim, and data were analyzed using cognitive dissonance theory to guide the inductive coding and interpretation of results.</p><p><strong>Results: </strong>Twenty students representing 6 pharmacy schools were recruited. Themes identified regarding students' experiences with professional abstinence were \"introspection and reflection\" and \"the system\", with the subthemes of emotion, excuses, professional identity and infrastructure, and inertia/disengagement, respectively. Regarding how to address professional abstinence, the themes \"self as professional\" and \"empowering professionals\" emerged. Self as professional included the subthemes of continuous learning, role modelling/mentorship, and internal drive/initiative, while empowering professionals included improved logistics, self-care, and advocacy.</p><p><strong>Conclusion: </strong>Students' experiences with professional abstinence led to mixed feelings and influences on their professional identity. Pharmacy schools should be made aware of the phenomenon of professional abstinence and its effect on students, as they can potentially help manage learners' cognitive dissonance and best prepare them for their future full-scope practices.</p>","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":" ","pages":"17151635241306458"},"PeriodicalIF":1.6,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharmacist accessibility for non-native Japanese speakers: A cross-sectional study in Japan.","authors":"Shota Suzuki, Yoshitaka Nishikawa, Takeo Nakayama, Hiroshi Okada","doi":"10.1177/17151635241305375","DOIUrl":"10.1177/17151635241305375","url":null,"abstract":"<p><strong>Background: </strong>Pharmacists, being one of the more readily accessible primary health care professionals, must ensure accessibility. With growing internationalization, those in Japanese community pharmacies increasingly interact with non-Japanese speakers. This study aimed to understand how Japanese pharmacies can fulfill accessibility needs by accounting for patients' native language and culture.</p><p><strong>Methods: </strong>A cross-sectional survey of community pharmacies in 2 Japanese municipalities (Hirakata and Suma) was conducted between September and October, 2022. The survey questionnaire included questions on \"interaction with non-native Japanese speakers\", \"impressions during dialogue\", and \"characteristics and preparedness of pharmacies\". The responses were analyzed using descriptive statistics.</p><p><strong>Results: </strong>The response rate was 30.9% (46/149) in Hirakata and 50.0% (29/58) in Suma. The frequency of contact with non-native Japanese speakers at least once a month was 47.8% (22/46) in Hirakata and 55.2% (16/29) in Suma. The main purpose of the visits was to obtain prescription medicines. English was the most commonly used language, as seen on the website, patient forms, medicine bags, informational materials, and staff language skills. However, fewer than half of the stores offered this service. Chinese, Korean, and Vietnamese were even less common.</p><p><strong>Discussion: </strong>Pharmacists, often recognized for their accessibility among primary health care providers, demonstrated limited readiness to serve non-native Japanese speakers in the surveyed regions. To enhance service to diverse pharmacy visitors, improved preparedness for linguistic and cultural differences and cultural competence education are recommended.</p><p><strong>Conclusion: </strong>Japanese pharmacies face barriers in providing language-aligned care to service visitors with diverse linguistic and cultural backgrounds. By preparing for linguistic differences and providing cultural competency education, pharmacies can improve accessibility to effectively serve diverse populations.</p>","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":" ","pages":"17151635241305375"},"PeriodicalIF":1.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Break the Habit: A Pharmacist's Toolkit for Smoking Cessation Counselling.","authors":"Sadaf Faisal","doi":"10.1177/17151635241290111","DOIUrl":"https://doi.org/10.1177/17151635241290111","url":null,"abstract":"","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":"157 6","pages":"285"},"PeriodicalIF":1.6,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11603494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A stepwise approach for pharmacists in selecting climate-conscious inhaled therapy for COPD.","authors":"Joyce Goldak, Samantha Tri, Caitlin Roy, Logan Underwood","doi":"10.1177/17151635241273754","DOIUrl":"10.1177/17151635241273754","url":null,"abstract":"","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":"158 1","pages":"12-19"},"PeriodicalIF":1.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Informing community pharmacists on COPD case-finding methods: A scoping review.","authors":"Omowumi Idowu, Meghan Sebastianski, Janice Y Kung, Nese Yuksel, Theresa J Schindel, Ross T Tsuyuki, Randy So, Tatiana Makhinova","doi":"10.1177/17151635241284802","DOIUrl":"10.1177/17151635241284802","url":null,"abstract":"<p><strong>Background: </strong>Early detection of chronic obstructive pulmonary disease (COPD) is a strategy to address the increasing human and economic costs of this condition. This study aimed to inform pharmacists' case-finding strategies by providing an overview of case-finding approaches by health care practitioners.</p><p><strong>Methods: </strong>A scoping review was conducted based on the Joanna Briggs Institute and the PRISMA Extension for Scoping Reviews (PRISMA ScR) guidelines. Included studies were analyzed under the following themes: population characteristics, inclusion and exclusion criteria, setting, case-finding strategies and yield, health care practitioners involved, interprofessional collaboration and the provision of preventive services. Studies were then characterized by highest yields (the weighted average of each approach expressed as a percentage of the total number of new COPD cases divided by the total number of patients screened using the same approach).</p><p><strong>Results: </strong>The screening process produced 170 eligible studies. Twenty case-finding approaches with average yields of new COPD cases ranging from 3.8% to 29% were identified. The approach with the highest yield involved the use of a questionnaire, peak flow meter and pre-post spirometry. In 14 of these approaches, the process was initiated with the use of questionnaires. In many of the studies, case-finding was targeted at high-risk and/or symptomatic patients. Characteristics of studies with the highest case-finding yields included provider education/training, patient education, active screening, multistep approaches to case-finding, provider engagement, diagnostic criteria by guidelines and engagement of other health care practitioners.</p><p><strong>Conclusion: </strong>In our scoping review of case-finding methods for patients with COPD, we found the greatest yield from pre-post spirometry following initial screening with a peak flow meter and questionnaire. Pharmacists and health researchers can use these approaches to identify high-risk patients for interventions.</p>","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":" ","pages":"290-303"},"PeriodicalIF":1.6,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Canadian Pharmacists Association: Transforming Primary Care in Canada Summit 2024: White paper.","authors":"Shania Liu, Danielle Paes, Yazid N Al Hamarneh, Ross T Tsuyuki","doi":"10.1177/17151635241285920","DOIUrl":"10.1177/17151635241285920","url":null,"abstract":"","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":" ","pages":"281-284"},"PeriodicalIF":1.6,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying pseudo-resistant hypertension and optimizing diuretic therapy for confirmed resistant cases in primary care.","authors":"Joey Champigny, Jeff Nagge","doi":"10.1177/17151635241281511","DOIUrl":"10.1177/17151635241281511","url":null,"abstract":"<p><strong>Background: </strong>Approximately 10% of individuals with hypertension are expected to have resistant hypertension (RH). Many have pseudo-resistant hypertension (p-RH) due to a variety of factors. To date, the prevalence of p-RH and optimal diuretic therapy in primary care have not been studied.</p><p><strong>Methods: </strong>A retrospective chart review was conducted, including patients referred to the hypertension clinic at the Centre for Family Medicine (CFFM) Family Health Team in Kitchener, ON, from January 2010 to September 2020. Individuals ≥18 years old referred to clinic by their family physician or other health care provider with 2 consecutive blood pressure (BP) readings of ≥140/90 mmHg despite using ≥3 antihypertensive agents were included.</p><p><strong>Results: </strong>Fifty-one patients taking ≥3 antihypertensive agents were referred during the study timeframe. Forty-one patients had ≥2 consecutive BP readings of ≥140/90 and were classified as having presumed RH. Of these, 24 patients (59%) had p-RH after BP was measured systematically in the hypertension clinic. Of the 17 with RH, 5 (29%) were prescribed optimal diuretic therapy upon referral. Most common clinic interventions included initiating or adjusting the dose of a diuretic (47%), adding a different antihypertensive agent (27%) or discontinuing an antihypertensive agent due to side effects (24%).</p><p><strong>Discussion: </strong>To our knowledge, this is the first time that the prevalence of p-RH and optimal diuretic therapy have been studied in primary care. p-RH was common and diuretic therapy was underused in RH.</p><p><strong>Conclusion: </strong>This study suggests that p-RH is prevalent and diuretic therapy underused in primary care. Systematic BP measurement and optimization of diuretic therapy should be prioritized prior to specialist referral.</p>","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":" ","pages":"334-340"},"PeriodicalIF":1.6,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}