Canadian Pharmacists Journal最新文献

{"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":"150-160"},"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":"Patients' views and experiences of the first community pharmacy-based medication therapy management clinic in the Middle East and North Africa (MENA): A qualitative study.","authors":"Muhammad Abdul Hadi, Basmah Albabtain, Ghada Bawazeer, Vibhu Paudyal, Ejaz Cheema, Abdulaziz Alqahtani, Ahmed Bahatheq","doi":"10.1177/17151635241300707","DOIUrl":"10.1177/17151635241300707","url":null,"abstract":"<p><strong>Objective: </strong>This qualitative study aimed to describe patients' experiences of a community pharmacy (CP)-based medication therapy management program (MTM).</p><p><strong>Methods: </strong>Qualitative, semistructured, face-to-face interviews were conducted with a purposive sample of patients with uncontrolled diabetes who received care at a CP-based MTM clinic. Interviews were conducted in the MTM clinic of Health Kingdom CP in Riyadh City, Kingdom of Saudi Arabia by a research pharmacist using an interview guide. Data collection was continued until data saturation. All interviews were audiorecorded, transcribed verbatim, and analyzed thematically.</p><p><strong>Key findings: </strong>A total of 16 patients, of whom more than half were male, were interviewed between October 2021 and March 2022. The mean ± standard deviation age of the patients was 52.0 ± 8.9 years, whereas the mean number of years since the first diagnosis of diabetes was 11.2 ± 7.3 years. Three main themes emerged from the interviews: perceived benefits and outcomes of the program, factors driving positive patient experiences, and challenges and recommendations for enhancing MTM service. Generally, patients were satisfied with the quality of advanced care that they received at the clinic and recognized the importance of the pharmacist's role. Furthermore, the program was perceived by patients as an opportunity to transition to a healthier lifestyle. Patients also highlighted a few barriers related to follow-up, such as accessibility, and issues with the service, such as long waiting times. Finally, there were some suggestions for patient improvement. These include expanding the clinic space, initiating educational and follow-up messages, and cooperating with other specialists as required.</p><p><strong>Conclusions: </strong>Patients received the MTM program very positively with noticeable health benefits. Barriers to effective follow-up and care should be addressed before implementing this service in wider community pharmacies in Saudi Arabia and beyond.</p>","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":" ","pages":"110-119"},"PeriodicalIF":1.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025187","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":"140-147"},"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":"La pharmacie et les soins primaires.","authors":"Danielle Paes","doi":"10.1177/17151635241307053","DOIUrl":"https://doi.org/10.1177/17151635241307053","url":null,"abstract":"","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":"158 1","pages":"9-10"},"PeriodicalIF":1.6,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051786","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":"Medication therapy problems detected at community pharmacy INR checks.","authors":"Jeff Nagge, Michelle Moussa, Amleset Zerai, Joey Champigny, Lisa Woodill","doi":"10.1177/17151635241291854","DOIUrl":"10.1177/17151635241291854","url":null,"abstract":"<p><strong>Background: </strong>Despite the shift towards direct-acting anticoagulants, warfarin remains widely used in Canada and is traditionally managed by family physicians through laboratory-based international normalized ratio (INR) testing. The Community Pharmacy Anticoagulation Management Service (CPAMS) in Nova Scotia represents an innovative approach, enabling community pharmacists to conduct point-of-care (POC) INR testing and manage warfarin therapy. A potential benefit of this approach is the opportunity to identify non-warfarin medication therapy problems (nwMTPs) during routine visits.</p><p><strong>Method: </strong>We conducted a prospective, multicentre, observational study across 40 community pharmacies in Nova Scotia, part of CPAMS's second phase. Pharmacists documented nwMTPs identified in patients with atrial fibrillation during routine POC INR visits using the Qualtrics Insight Platform, categorizing them by indication, effectiveness, safety, or adherence, alongside corresponding interventions.</p><p><strong>Results: </strong>Over 6 months, 43 nwMTPs were submitted from 13 unique pharmacies. There were 3404 POC INR tests in patients with atrial fibrillation, yielding an estimated nwMTP detection rate of 1.26 (95% CI, 0.69 to 2.32) per 100 INR tests. The most common nwMTP category was \"Indication,\" primarily requiring additional therapy. Pharmacists frequently intervened by recommending medication adjustments or providing patient education.</p><p><strong>Discussion: </strong>The findings highlight a modest, yet potentially significant role of pharmacists in detecting and managing diverse MTPs during focused warfarin management assessments. The predominance of indication-related problems underscores unmet therapeutic needs in patients on warfarin.</p><p><strong>Conclusion: </strong>This study illustrates the potential of pharmacist-led POC INR testing in community settings to identify and address nwMTPs, contributing to comprehensive patient care.</p>","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":" ","pages":"83-89"},"PeriodicalIF":1.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11618838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796407","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":"Prescription for change: Unveiling burnout perspectives among pharmacy leaders.","authors":"Stefanie Kiriazopoulos, Jason Perepelkin, Heather Alford","doi":"10.1177/17151635241293785","DOIUrl":"10.1177/17151635241293785","url":null,"abstract":"<p><strong>Background: </strong>Burnout among pharmacists is increasingly pertinent, with growing demand for effective interventions. Burnout can lead to reduced productivity, increased job turnover, medical errors, poor patient satisfaction, and other negative outcomes for patients and providers. Growing attention to burnout in the pharmacy profession highlights the need for personal, organizational, and systemic solutions. However, the uptake and relative efficacy of different approaches remain unclear, particularly within community pharmacy practice. This study sought the viewpoint of community pharmacy leaders (i.e., community pharmacy managers, district managers, franchisees, owners, and executives from various pharmacy organizations) to characterize burnout from their perspectives.</p><p><strong>Methods: </strong>This qualitative study followed a grounded theory approach. Community pharmacy leaders were interviewed using a semistructured format to gather in-depth insights into their experiences and perspectives on burnout and engagement.</p><p><strong>Results: </strong>Sixteen people were interviewed; interviews lasted 30 to 65 minutes, averaging 51 minutes long. Six themes were identified: perceived disconnection between front-line staff and pharmacy decision-makers, overwhelming work demands, cautious optimism toward the expanding scope of pharmacy practice, the importance of employee recognition and appreciation, appropriateness and use of existing work resources, and multimodal, systemic responsibility and solutions to burnout.</p><p><strong>Conclusion: </strong>Addressing burnout requires a multifaceted approach involving personal, organizational, and systemic interventions. Evidence from this study provides valuable insights into the feasibility and efficacy of specific interventions, informing future strategies to enhance workplace well-being and engagement. The study highlights the importance of managing job demands and maximizing resources, emphasizing that personal approaches alone are insufficient and that organizational and systemic interventions are crucial.</p>","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":" ","pages":"98-109"},"PeriodicalIF":1.6,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773638","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}