Canadian Pharmacists Journal最新文献_第4页

Navigating rare disease medications: A pharmacist's primer. 罕见病药物导航：药剂师入门指南。

IF 1.5

Canadian Pharmacists Journal Pub Date : 2024-01-30 eCollection Date: 2024-03-01 DOI: 10.1177/17151635241228274

Ahmad Shakeri, Yasmin Abdul Aziz, Mina Tadrous

引用次数: 0

Buprenorphine-naloxone in chronic pain: Overcoming stigma for safer opioid management. 慢性疼痛中的丁丙诺啡-纳洛酮：克服耻辱感，实现更安全的阿片类药物管理。

IF 1.6

Canadian Pharmacists Journal Pub Date : 2023-11-28 eCollection Date: 2024-01-01 DOI: 10.1177/17151635231214508

Naomi Steenhof, Karen Ng

引用次数: 0

Health professional perceptions of a pharmacist-led interprofessional chronic pain clinic. 医护人员对药剂师主导的跨专业慢性疼痛诊所的看法。

IF 1.6

Canadian Pharmacists Journal Pub Date : 2023-11-28 eCollection Date: 2024-01-01 DOI: 10.1177/17151635231213326

Derek Jorgenson, Katelyn Halpape, Michael Siton

引用次数: 0

INvestigation of the impact of a Pharmacist in a Hospital At Home Care Team (IN PHACT) 药师对医院居家护理团队的影响调查

Canadian Pharmacists Journal Pub Date : 2023-10-26 DOI: 10.1177/17151635231200233

Morgan E. Patrick, Curtis K. Harder, Sean P. Spina

{"title":"INvestigation of the impact of a Pharmacist in a Hospital At Home Care Team (IN PHACT)","authors":"Morgan E. Patrick, Curtis K. Harder, Sean P. Spina","doi":"10.1177/17151635231200233","DOIUrl":"https://doi.org/10.1177/17151635231200233","url":null,"abstract":"Background: In November 2020, Island Health, with the support of the British Columbia Ministry of Health, introduced the Hospital at Home (HaH) care model at Victoria General Hospital in Victoria, British Columbia. Given the acuity of the patients anticipated to receive care through this model, questions arose regarding how the delivery of clinical pharmacy services on which inpatients rely on could be included. With limited supporting evidence for the inclusion of a clinical pharmacist, Island Health launched the HaH program with 2 clinical pharmacists who provide services 7 days a week during daytime hours. The aim of this study is to assess the impact of the HaH pharmacist on patient care, from the perspective of the pharmacists serving in this role, patients, caregivers and program stakeholders. Methods: This prospective, observational mixed-methods study was conducted from December 2021 to March 2022. Data collection involved the HaH pharmacist documenting daily clinical activities and resolving drug therapy problems, patients and caregivers completing a 4-question postdischarge phone survey and program stakeholders completing a 9-question online survey and an optional 7-question interview. Results and Interpretation: It was found that one of the most significant roles the pharmacist plays is in identifying indications for medication therapy and making recommendations to initiate therapy where there is an absence. There was high congruence between patient, caregiver and stakeholder perceptions that the HaH pharmacist positively affects patient care within the Island Health model. Conclusion: This study provides support for the integration of a dedicated clinical pharmacist in the HaH care model.","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136382258","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}

引用次数: 0

Renewal and excitement mark the start of the fall season: A CPhA priorities update 更新和兴奋标志着秋季的开始:cfa优先更新

Canadian Pharmacists Journal Pub Date : 2023-10-16 DOI: 10.1177/17151635231206564

Glen Doucet

引用次数: 0

Tensions between Western and Indigenous worldviews in pharmacy education and practice: Part III 西方与本土世界观在药学教育与实践中的矛盾:第三部分

Canadian Pharmacists Journal Pub Date : 2023-10-13 DOI: 10.1177/17151635231202982

Jaris Swidrovich

引用次数: 0

Understanding the experiences of Black Nova Scotians with community pharmacists 了解新斯科舍省黑人与社区药剂师的经验

Canadian Pharmacists Journal Pub Date : 2023-10-12 DOI: 10.1177/17151635231202754

Afomia Gebre, Susan Bowles, Laura V. Minard, Natalie Borden

{"title":"Understanding the experiences of Black Nova Scotians with community pharmacists","authors":"Afomia Gebre, Susan Bowles, Laura V. Minard, Natalie Borden","doi":"10.1177/17151635231202754","DOIUrl":"https://doi.org/10.1177/17151635231202754","url":null,"abstract":"Background: A history of medical abuse and social inequality confounded by persistent racial discrimination in health care has triggered mistrust between Black patients and health care providers. Although the consequences of systemic racism on health outcomes are well understood, little is known about how they manifest in pharmacy practice. The objective of this study was to explore the experiences of Black Nova Scotians with community pharmacists. Methods: This was a qualitative study that used focus groups and one-on-one interviews. Black Nova Scotians 18 years of age and older who have had interactions with community pharmacists were invited to participate. Focus groups and interviews were audio-recorded, transcribed and analyzed thematically. Results: Two focus groups ( n = 10) and 6 one-on-one interviews were held between May and June 2021. Three major themes were identified: 1) difficulties navigating a pharmacy as a Black person, 2) lack of inclusivity and cultural competence in the pharmacy and 3) transactional relationships with pharmacists. Discussion: Most participants felt their race negatively affected the quality of care they received from the pharmacist and that pharmacists were not culturally competent. Most participants did not consider pharmacists to be part of their health care team and described feeling unsafe or uncomfortable in the pharmacy. Conclusions: Pharmacists have an important role in closing the health equity gap. This research highlights the need for pharmacy education to include cultural competence and will be used to guide strategies to improve access to culturally safe pharmacy services for Black Nova Scotians.","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136012557","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}

引用次数: 0

Patient perspectives on the environmental impact of inhalers: A survey in British Columbia 患者对吸入器对环境影响的看法:不列颠哥伦比亚省的一项调查

Canadian Pharmacists Journal Pub Date : 2023-10-11 DOI: 10.1177/17151635231202980

Darryl Quantz, Gigi Y.C. Wong, Kevin Liang

引用次数: 0

Pharmacists provide exceptional patient-centred care (but what if you’re Black?) 药剂师提供卓越的以病人为中心的护理(但如果你是黑人呢?)

Canadian Pharmacists Journal Pub Date : 2023-10-11 DOI: 10.1177/17151635231204872

Ross T. Tsuyuki

引用次数: 0

Appropriateness of proton pump inhibitor therapy in an ambulatory geriatrics clinic: A retrospective cross-sectional analysis 质子泵抑制剂治疗在老年门诊的适宜性:回顾性横断面分析

Canadian Pharmacists Journal Pub Date : 2023-10-11 DOI: 10.1177/17151635231203214

Ryan Dixon, Jennifer Bolt

{"title":"Appropriateness of proton pump inhibitor therapy in an ambulatory geriatrics clinic: A retrospective cross-sectional analysis","authors":"Ryan Dixon, Jennifer Bolt","doi":"10.1177/17151635231203214","DOIUrl":"https://doi.org/10.1177/17151635231203214","url":null,"abstract":"Background: Proton pump inhibitors are considered potentially inappropriate medications in the geriatric population. The use of proton pump inhibitors by older adults has increased over the past several decades; however, existing literature suggests that only one-third of patients prescribed these medications have a valid indication for use. The aim of this study was to assess the appropriateness of proton pump inhibitor therapy in a population of ambulatory geriatric patients and to determine the impact of an interdisciplinary clinic on their use. Methods: This was a retrospective, cross-sectional study of patients referred to an ambulatory geriatrics clinic between October 2017 and March 2021. Participants were eligible for inclusion if they were taking a proton pump inhibitor at the time of clinic admission. Appropriateness of proton pump inhibitor therapy was assessed based on indication and dosing regimen. Results: In total, 280 participants were included. The mean age was 79.6 years (SD 7.7) and 60% were female. Overall, 94 of 280 (33.6%) participants had a documented valid indication for their proton pump inhibitor. The clinic team intervened to reduce the dose or discontinue 76 of 186 (40.8%) inappropriate proton pump inhibitors. Interpretation: Only one-third of proton pump inhibitors used by ambulatory geriatric patients have a documented appropriate indication for use. Given the medical complexity of this population and their vulnerability to adverse effects, the ambulatory geriatric population should be a priority target for proton pump inhibitor deprescribing initiatives.","PeriodicalId":46612,"journal":{"name":"Canadian Pharmacists Journal","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136212000","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}

引用次数: 0