Exploratory research in clinical and social pharmacy最新文献

{"title":"A proficiency test system for medication reviews with virtual patients – Displaying process fidelity and quality of results","authors":"Carolin Christ, Carina John, Isabel Waltering, Oliver Schwalbe, Ulrich Jaehde, Ronja Woltersdorf","doi":"10.1016/j.rcsop.2026.100768","DOIUrl":"10.1016/j.rcsop.2026.100768","url":null,"abstract":"","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"23 ","pages":"Article 100768"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149153852","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":"Measured and perceived affordability of asthma medications and their associations with medication adherence among adult patients in Ethiopia: A cross-sectional study","authors":"Abraham Nigussie Assefa,&nbsp;Fisseha Nigussie Dagnew,&nbsp;Muluken Adela Alemu,&nbsp;Achenef Bogale Kassie,&nbsp;Yohannes Shumet Yimer","doi":"10.1016/j.rcsop.2026.100832","DOIUrl":"10.1016/j.rcsop.2026.100832","url":null,"abstract":"<div><h3>Introduction</h3><div>Effective asthma management depends on regular use of essential medications, yet high costs and low affordability often hinder adherence. This study assessed measured and perceived affordability of asthma medications, examined their associations with medication adherence, and identified factors associated with perceived affordability among patients in the Amhara Region, Ethiopia.</div></div><div><h3>Methods</h3><div>An institution-based cross-sectional study was conducted from May to August 2024, including 312 eligible asthma patients attending four high-volume hospitals in the region. A total of 296 patients were consecutively sampled during the study period, utilizing structured interviewer administered questionnaires to collect data on socio-demographic, clinical, economic, and perceptions of medication affordability. Validity and reliability of the instruments were established through expert review, factor analysis, and Cronbach's alpha, ensuring accurate measurement of perceived affordability and adherence, with affordability assessed via income-based thresholds and medication adherence measured by the MARS scale. Analysis in SPSS involved descriptive statistics, Spearman's correlation, and multivariable logistic regression to explore relationships and predictors related to affordability and adherence.</div></div><div><h3>Results</h3><div>Measured affordability was not significantly correlated with perceived affordability (ρ = −0.013, <em>p</em> = 0.826) or adherence (ρ = −0.024, <em>p</em> = 0.678). In contrast, perceived affordability showed a moderate positive correlation with adherence (ρ = 0.333, <em>p</em> &lt; 0.001). Factors significantly associated with higher perceived affordability included health insurance coverage (AOR =2.693, 95% CI:1.202–6.036, <em>p</em> = 0.016), being prescribed fewer than two medications (AOR =3.444, 95% CI: 1.777–6.687, <em>p</em> &lt; 0.001), medication availability in hospital pharmacy dispensaries (AOR = 5.549, 95% CI: 2.777–11.09, <em>p</em> &lt; 0.001), absence of hospitalization (AOR =2.299, 95% CI: 1.15–4.13, <em>p</em> = 0.018), and irregular follow-up (AOR =3.413, 95% CI: 1.416–8.23, <em>p</em> = 0.006). Conversely, government employment (AOR =0.244, 95% CI: 0.08–0.0.748, <em>p</em> = 0.014) and higher travel costs (AOR = 0.986, 95% CI: 0.976–0.997, <em>p</em> = 0.01) reduced perceived affordability.</div></div><div><h3>Conclusion</h3><div>Perceived affordability, rather than measured affordability, significantly influences medication adherence among patients with asthma. Enhancing perceived affordability through expanded health insurance, consistent drug availability, reduced indirect costs, and promoting regular follow-up may improve treatment adherence and asthma outcomes by considering telemedicine, mobile health, or community-based follow-ups to cut transportation costs and save patients time.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"23 ","pages":"Article 100832"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148854015","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":"Assessing animated medication information and proactive telephone counselling in type 2 diabetes care","authors":"Nitza Hooi,&nbsp;Bart Van den Bemt,&nbsp;Jacqueline Hugtenburg,&nbsp;Kimberley Greaux,&nbsp;Liset Van Dijk","doi":"10.1016/j.rcsop.2026.100781","DOIUrl":"10.1016/j.rcsop.2026.100781","url":null,"abstract":"","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"23 ","pages":"Article 100781"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149153372","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":"Implementing ambient listening technology in medication reviews: a pilot study in Belgian community pharmacies","authors":"Maja Brumer,&nbsp;Lena Vandersteen,&nbsp;Nathalie Duquet,&nbsp;Goedele Strauven,&nbsp;Eva De Sadeleer,&nbsp;Guido De Meyer,&nbsp;Hans De Loof","doi":"10.1016/j.rcsop.2026.100752","DOIUrl":"10.1016/j.rcsop.2026.100752","url":null,"abstract":"","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"23 ","pages":"Article 100752"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149153463","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":"Evaluating simulation-based education in a Doctor of Pharmacy program: aligning educational practice with best practice frameworks","authors":"Kerry Whitelaw,&nbsp;Amanda Mannolini,&nbsp;Liza Seubert","doi":"10.1016/j.rcsop.2026.100756","DOIUrl":"10.1016/j.rcsop.2026.100756","url":null,"abstract":"","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"23 ","pages":"Article 100756"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149153459","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 complexity: Investigators' cognitive work in implementing a complex intervention in a dynamic health system","authors":"Ayesha Iqbal,&nbsp;Jordan Tate,&nbsp;Puneeta Tandon,&nbsp;Lee Green,&nbsp;Denise Campbell-Scherer","doi":"10.1016/j.rcsop.2026.100755","DOIUrl":"10.1016/j.rcsop.2026.100755","url":null,"abstract":"","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"23 ","pages":"Article 100755"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149153546","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":"Evaluating the implementation of a deprescribing intervention in Swiss nursing homes: An observational study using qualitative and quantitative methods","authors":"Stephanie Mena ,&nbsp;Julie Dubois ,&nbsp;Florent Macé ,&nbsp;Joanna Moullin ,&nbsp;Damien Cateau ,&nbsp;Marie Schneider ,&nbsp;Anne Niquille","doi":"10.1016/j.rcsop.2026.100713","DOIUrl":"10.1016/j.rcsop.2026.100713","url":null,"abstract":"<div><div>Deprescribing, the withdrawal of inappropriate medications, is an appropriate approach to addressing polypharmacy in older adults. However, implementing deprescribing interventions in routine practice remains challenging. This study evaluated the implementation of medication reviews focused on deprescribing, called Individual Deprescribing Intervention (IDeI), in Swiss nursing homes.</div><div>Using a hybrid type 2 effectiveness-implementation design, we conducted a qualitative evaluation through semi-structured interviews with nurses, physicians and pharmacists, based on the Framework for the Implementation of Pharmacy Services (FISpH). Quantitative data were collected from administrative sources.</div><div>IDeI was successfully implemented in six of seven nursing homes and most healthcare professionals (HCPs) were satisfied. Fidelity was considered good, as only minor intervention adaptations were made. Five main determinants influenced implementation: interprofessional collaboration (facilitator), pharmacist access to medical records (facilitator), motivation fostered by the structured process (facilitator), resident/family resistance to deprescribing (barrier), and resident/staff turnover (barrier). Integration into routine practice was deemed feasible but sustained in only two nursing homes one year later.</div><div>IDeI achieved good reach, adoption and HCP satisfaction, providing insights for sustainability. Recommendations include financial incentives, pharmacist training, audit &amp; feedback and greater involvement of residents/families. Findings align with existing literature, emphasizing the need to reinforce interprofessional collaboration and long-term maintenance strategies.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"22 ","pages":"Article 100713"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192904","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":"Automated dispensing cabinets and nurse-related medication errors in inpatient settings: A systematic review","authors":"Arab Elsadig Salih Osman ,&nbsp;Nour Isleem ,&nbsp;Dena Al-Thani ,&nbsp;Aya Elsakka","doi":"10.1016/j.rcsop.2026.100714","DOIUrl":"10.1016/j.rcsop.2026.100714","url":null,"abstract":"<div><h3>Background</h3><div>Automated Dispensing Cabinets (ADCs) are computerized medication storage and dispensing systems increasingly used in inpatient hospital settings to support safe medication administration. As nurses represent the final point of medication delivery to patients, understanding the impact of ADCs on nurse-related medication errors is critical. This systematic review aimed to assess the association between ADC implementation and medication errors involving nurses in inpatient hospital settings.</div></div><div><h3>Methods</h3><div>A systematic search of PubMed, MEDLINE, Scopus, and Google Scholar identified 16 eligible studies published between 2008 and 2025 from 184 retrieved records. Included studies employed quantitative, qualitative, and mixed-methods designs. Risk of bias was assessed using the Mixed Methods Appraisal Tool (MMAT), and findings were synthesized narratively due to heterogeneity in study designs and outcome measures.</div></div><div><h3>Results</h3><div>Across quantitative studies, ADC implementation was generally associated with reductions in reported medication errors, particularly omission errors and wrong drug or wrong dose events, although reported reductions varied widely. Some studies reported maintenance of previously low error rates. Qualitative findings described perceived improvements in workflow efficiency, medication access, and nurses' confidence in medication safety, alongside temporary workflow challenges during early implementation.</div></div><div><h3>Conclusions</h3><div>Overall, the evidence suggests that ADCs may support safer medication administration and nursing workflows when appropriately implemented. However, evidence quality is limited by largely observational designs, heterogeneous error definitions, and inconsistent outcome reporting, highlighting the need for more standardized and methodologically robust research.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"22 ","pages":"Article 100714"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192935","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":"Discretion at the margins: An observational study of community pharmacists' adaptive practices in supporting migrant and ethnic minority health","authors":"Charlotte Sente ,&nbsp;Veerle Foulon ,&nbsp;Karina Kielmann","doi":"10.1016/j.rcsop.2026.100715","DOIUrl":"10.1016/j.rcsop.2026.100715","url":null,"abstract":"<div><h3>Background</h3><div>Migrants and ethnic minorities (MEM) often face health challenges and structural and social barriers in accessing primary care. Pharmacists, as accessible healthcare professionals with expertise in medication management can address some of these barriers, however, their roles in serving MEM remain underexplored.</div></div><div><h3>Objectives</h3><div>This study explored the adaptive communication and care practices of community pharmacists in responding to MEM clients in Flanders, Belgium.</div></div><div><h3>Methods</h3><div>We conducted 42 h of non-participant observation and short reflective consultations with pharmacy staff of seven community pharmacies in two cities during February and March 2025. Field notes were structured using a semi-structured topic guide covering duration and content of pharmacist-client interactions; modes of communication; and delivery of pharmaceutical care. Framework analysis was used to code and categorize field notes according to micro-, meso-, and macro-level factors identified as influencing interactions between pharmacy staff and MEM clients.</div></div><div><h3>Results</h3><div>Community pharmacy staff bridge healthcare gaps for MEM clients through multiple strategies, shaped by the dual logics of retail and healthcare. They were observed to accommodate diverse languages and proficiency levels; support medication and health (systems) literacy; address socio-economic challenges; and show sensitivity towards socio-cultural dynamics of care-seeking. Reflecting pharmacists' personal and professional motivations, these adaptive practices are shaped by meso-level factors such as staff composition, pharmacy layout, and social norms, as well as pharmacy-level discretionary actions within the Belgian health system and migration policy contexts.</div></div><div><h3>Conclusions</h3><div>While well positioned to guide MEM clients through a fragmented health system, community pharmacists require systemic policy support to serve diverse population needs effectively.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"22 ","pages":"Article 100715"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192936","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":"Identifying patient data that should be available in community pharmacies for statutory dispensing and providing clinical pharmacy services: A Delphi study","authors":"Johanna Laakso ,&nbsp;Sonja Kallio ,&nbsp;Marja Airaksinen ,&nbsp;Maarit Dimitrow","doi":"10.1016/j.rcsop.2026.100716","DOIUrl":"10.1016/j.rcsop.2026.100716","url":null,"abstract":"<div><h3>Background</h3><div>Community pharmacy practice has evolved from dispensing and medication counseling towards clinical pharmacy services such as medication reviews to ensure rational pharmacotherapy. These functions require better access to patient data than are currently available in community pharmacies. This study aimed to identify and prioritize patient data that should be available in Finnish community pharmacies for 1) statutory dispensing, including medication counseling, and 2) clinical pharmacy services promoting rational pharmacotherapy.</div></div><div><h3>Materials and methods</h3><div>This study applied a three-round Delphi survey with an expert panel of 20 clinical pharmacists. A consensus was formed using a preliminary list of patient data (39 items) important for managing major long-term diseases and related pharmacotherapies in outpatient care. The list was based on literature and research group's expertise. A consensus ≥80% was required. The responses were analyzed quantitatively and qualitatively.</div></div><div><h3>Results</h3><div>Most panelists (<em>n</em> = 15/19) perceived the current patient data available in community pharmacies insufficient. More patient data should be available, especially for providing clinical pharmacy services, but also for dispensing and related medication counseling (34 vs. 11 items reached a consensus, respectively). For both purposes, patient data on diagnoses, kidney function, and blood pressure were rated most important to be available. Panelists expressed some concerns about community pharmacists' resources and competence to use the data.</div></div><div><h3>Conclusion</h3><div>Consensus was reached for a relatively large set of patient data items to be available in community pharmacies, especially for providing clinical pharmacy services.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"22 ","pages":"Article 100716"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192903","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}