Exploratory research in clinical and social pharmacy最新文献

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Patient experiences of their current asthma care and their views toward providing support for patients with asthma in community pharmacy: A Qualitative study 患者对当前哮喘护理的体验以及他们对社区药房为哮喘患者提供支持的看法:定性研究
Exploratory research in clinical and social pharmacy Pub Date : 2024-05-22 DOI: 10.1016/j.rcsop.2024.100454
Aseel Mahmoud , Rachel Mullen , Peter E. Penson , Charles Morecroft
{"title":"Patient experiences of their current asthma care and their views toward providing support for patients with asthma in community pharmacy: A Qualitative study","authors":"Aseel Mahmoud ,&nbsp;Rachel Mullen ,&nbsp;Peter E. Penson ,&nbsp;Charles Morecroft","doi":"10.1016/j.rcsop.2024.100454","DOIUrl":"10.1016/j.rcsop.2024.100454","url":null,"abstract":"<div><h3>Background</h3><p>An estimated 300 million people live with asthma globally. In England, a significant percentage live with poorly controlled asthma symptoms. Community pharmacists might be able to play a role in filling gaps in asthma care as they have the expertise and are in regular contact with patients with long term conditions. This study described patients' experiences of the management of their asthma in the general physician (GP) practice and community pharmacy settings and explored patients' views on providing support for them in community pharmacy.</p></div><div><h3>Method</h3><p>This is a descriptive qualitative study. Thirteen adult asthma patients were recruited from a GP practice in the Northwest of England. Semi-structured qualitative interviews were conducted face-to-face or by telephone. The interviews were recorded, transcribed and analysed using a thematic analysis approach. Ethics approval was obtained before the study commenced and all participants gave informed written consent to participate.</p></div><div><h3>Results</h3><p>We identified challenges in the current asthma care provided to patients with asthma including lack of continuity of care, inability to book an appointment and other experienced differences in the quality of asthma care provided to them and/or access to annual asthma reviews across different GP practices. Additionally, there is lack of awareness of services provided in community pharmacy. These challenges along with having comorbidities alongside asthma may negatively affect asthma patients' engagement with their asthma appointments and their behaviour toward their asthma.</p></div><div><h3>Conclusions</h3><p>Patients showed trust in community pharmacists same as other HCPs to support them with their asthma care. Patients thought that being provided with regular asthma care including reviews in community pharmacy might be a suitable approach to respond to patients' needs and preferences in terms of their asthma management because of ease of access to community pharmacy. Pharmacists could be involved in the provision of community pharmacy-based asthma interventions that involve more than inhaler technique education. Further research should focus on developing structured approaches for asthma patient education that can be implemented consistently in the context of community pharmacy in England.</p></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667276624000519/pdfft?md5=10a3e70f46a02c567255886314cc2560&pid=1-s2.0-S2667276624000519-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140979","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}
引用次数: 0
Genesis of People’s Medicine Centre (PMC) for popularisation of generic medicine: A critical qualitative inquiry 人民医学中心(PMC)在普及非专利药品方面的创举:批判性定性调查
Exploratory research in clinical and social pharmacy Pub Date : 2024-05-22 DOI: 10.1016/j.rcsop.2024.100455
Ranjit Kumar Dehury , Imteyaz Ahmad , Manas Ranjan Behera , Varalakshmi Manchana , Parthsarathi Dehury , Deepanjali Behera , Nafisa Vaz e Desouza
{"title":"Genesis of People’s Medicine Centre (PMC) for popularisation of generic medicine: A critical qualitative inquiry","authors":"Ranjit Kumar Dehury ,&nbsp;Imteyaz Ahmad ,&nbsp;Manas Ranjan Behera ,&nbsp;Varalakshmi Manchana ,&nbsp;Parthsarathi Dehury ,&nbsp;Deepanjali Behera ,&nbsp;Nafisa Vaz e Desouza","doi":"10.1016/j.rcsop.2024.100455","DOIUrl":"10.1016/j.rcsop.2024.100455","url":null,"abstract":"<div><h3>Introduction</h3><p>The concerns of inaccessibility to essential medicines in India are well-studied and documented. Pradhan Mantri Bhartiya Janaushadhi Priyojana (PMBJP) is one of the policy initiatives to address the inaccessibility of essential medicine. Janaushadhi Kendra (People's Medicine Centre), which is part of PMBJP is being enquired in a limited way to understand its effectiveness. The province of Odisha has been chosen as the study area for the evaluation of People's Medicine Centres.</p></div><div><h3>Objective</h3><p>The present study intends to inquire into the nature of People's Medicine Centre ownership, pharmacists' motivations and incentives to engage in business, perceived customers' trust and satisfaction, scheme beneficiaries, and challenges.</p></div><div><h3>Methods</h3><p>A qualitative research approach has been adopted to evaluate the broader subjective accounts of the pharmacists and People's Medicine Centre. An open-ended interview guide was used. The topics of ownership, motivation, incentives, trust, satisfaction, perceived benefits, and challenges has been recorded from the participants. A total of seventeen in-depth interviews were conducted in the province of Odisha, India.</p></div><div><h3>Results</h3><p>The study found that the ownership of People's Medicine Centre was of two types in the province of Odisha: public-NGO-owned People's Medicine Centres and public-private-owned People's Medicine Centres. The financial incentive provisions in the scheme attracted the private pharmacists. Pharmacists highlighted about the lower price of generic medicines compared to branded medicines, which is very popular among patients. They also pointed out that there is no difference in the efficacy of both medicines. The attitude of physicians, especially private physicians, were considered problematic for popularity and acceptance.</p></div><div><h3>Conclusion</h3><p>The People's Medicine Centres in Odisha established themselves as trusted outlets despite physicians' unfavourable attitudes. Although the centres have not reached the required geographical coverage, economically developed regions have large number of centres, while backward regions have minimal presence. The scheme needs to be more conducive to the welfare of the masses living in remote and rural areas.</p></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667276624000520/pdfft?md5=92f84c286718b66f26af931bb3d65786&pid=1-s2.0-S2667276624000520-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141134214","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}
引用次数: 0
Psychological safety perception in community pharmacies: A randomized controlled trial of agile interventions 社区药房的心理安全感:敏捷干预的随机对照试验
Exploratory research in clinical and social pharmacy Pub Date : 2024-05-17 DOI: 10.1016/j.rcsop.2024.100452
Dragana Jocic
{"title":"Psychological safety perception in community pharmacies: A randomized controlled trial of agile interventions","authors":"Dragana Jocic","doi":"10.1016/j.rcsop.2024.100452","DOIUrl":"10.1016/j.rcsop.2024.100452","url":null,"abstract":"<div><h3>Background</h3><p>Agile coaching, recognized as a more advanced methodology compared to education, is hypothesized to yield superior outcomes in enhancing psychological safety perception.</p></div><div><h3>Objective</h3><p>Investigating the effectiveness of agile interventions versus no intervention on psychological safety perception, this randomized controlled trial aimed to clarify outcomes.</p></div><div><h3>Methods</h3><p>The survey sample consisted of 54 licensed pharmacists, with each group comprising 18 participants: E1 underwent Agile Coaching, E2 underwent Agile Education, and C served as the control. After six weeks, psychological safety perception was measured using a validated scale, and statistical analyses, including the Kruskal-Wallis test and Mann-Whitney <em>U</em> test, were conducted.</p></div><div><h3>Results</h3><p>The group undergoing agile coaching showed the most substantial enhancements in psychological safety perception compared to others. Mann-Whitney <em>U</em> test revealed no significant difference in psychological safety perception between E1 and E2 groups before (Z = −0.938, <em>p</em> = 0.348) and after intervention (Z = −1.269, <em>p</em> = 0.204). Significant differences were observed between E1 and C both before (Z = −2.693, <em>p</em> = 0.007) and after intervention (Z = −1.414, <em>p</em> = 0.157). Significant differences were found between E2 and C before (<em>p</em> = 0.038) but not after intervention (<em>p</em> = 0.962).</p></div><div><h3>Conclusions</h3><p>The findings suggest that agile coaching could be an effective intervention for enhancing psychological safety in organizational settings, particularly in community pharmacies. Further research is warranted to explore long-term effects and generalize findings to broader contexts.</p></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667276624000490/pdfft?md5=0587fb500cb8153af3de5d95f5f4f3cd&pid=1-s2.0-S2667276624000490-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141036586","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}
引用次数: 0
Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: A systematic review 自动配药柜及其对漏服和延迟服药率的影响:系统回顾
Exploratory research in clinical and social pharmacy Pub Date : 2024-05-08 DOI: 10.1016/j.rcsop.2024.100451
Emma Jeffrey, Melanie Dalby, Áine Walsh, Kit Lai
{"title":"Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: A systematic review","authors":"Emma Jeffrey,&nbsp;Melanie Dalby,&nbsp;Áine Walsh,&nbsp;Kit Lai","doi":"10.1016/j.rcsop.2024.100451","DOIUrl":"https://doi.org/10.1016/j.rcsop.2024.100451","url":null,"abstract":"<div><p>Use of automated dispensing cabinets (ADCs) is increasing in hospital settings. ADCs bring various potential benefits, among which are improvements to patient safety and reduction of medication errors. A core function of ADCs is to prevent medication stock outs by triggering an order when stock is reaching low levels. A quantifiable patient safety measure is the occurrence of omitted or delayed doses, which can range in severity from being negligible, to potentially fatal. The purpose of this review is to identify and synthesise the existing evidence regarding the impact of ADCs situated in secondary and tertiary care inpatient settings, on the rate of omitted and delayed doses as a specific subsection of medication errors. In April 2024 searches were conducted in Embase, PubMed and CINAHL, with additional articles discovered through citation searching and from colleagues. A total of 375 articles were returned from the search. Nine articles met the inclusion criteria. The most common reason for exclusion was due to lack of relevance. The included papers were focused on centres which had implemented six or fewer ADCs. The studies mostly presented findings which suggest ADCs have a positive impact on the rate of omitted or delayed doses, although crucially only two papers correlated missed doses due to unavailability of medications The studies highlighted other factors which should be considered prior to the implementation of ADCs. Factors included staffing requirement, type of stock held in the cabinets, and interoperability with other systems. Studies only reported omitted or missed doses, none reported results on delayed doses. It is widely accepted that ADCs can prevent medication unavailability but there is a paucity of evidence linking the improved availability of medications through the utilisation of ADCs with the perceived impact on missed or delayed doses. Further multi-centre studies are needed to determine this causality.</p></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667276624000489/pdfft?md5=eedc2895f9626c31e74a1774533fbaaf&pid=1-s2.0-S2667276624000489-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140910388","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}
引用次数: 0
Adherence to Parkinson's disease medication: A case study to illustrate reasons for non-adherence, implications for practice and engaging under-represented participants in research 帕金森病药物治疗的依从性:通过案例研究说明不坚持服药的原因、对实践的影响以及让代表性不足的参与者参与研究的意义
Exploratory research in clinical and social pharmacy Pub Date : 2024-05-07 DOI: 10.1016/j.rcsop.2024.100450
Delyth James , Joshua Smith , Emma Lane , Rhian Thomas , Sarah Brown , Heidi Seage
{"title":"Adherence to Parkinson's disease medication: A case study to illustrate reasons for non-adherence, implications for practice and engaging under-represented participants in research","authors":"Delyth James ,&nbsp;Joshua Smith ,&nbsp;Emma Lane ,&nbsp;Rhian Thomas ,&nbsp;Sarah Brown ,&nbsp;Heidi Seage","doi":"10.1016/j.rcsop.2024.100450","DOIUrl":"https://doi.org/10.1016/j.rcsop.2024.100450","url":null,"abstract":"<div><p>Parkinson's disease (PD) is a progressive neurodegenerative disease which primarily presents with the core symptoms of rigidity, postural instability, tremor, and bradykinesia. Non-adherence to prescribed PD treatments can have significant ramifications, such as poor symptom control and greater disease burden. Reasons for poor adherence are multifaceted, particularly when medication regimens are complex and often based on perceptual and practical barriers. Additionally, engaging fully non-adherent patients in research is challenging since they may have dropped out of service provision, yet their contribution is vital to fully understand the rationale for non-adherence.</p><p>This paper aims to present a case study on the perspectives of one person with PD, a participant in a previously published qualitative study investigating the barriers and facilitators to medication adherence in PD. In this paper, the participant's diagnostic journey is described, and experiences of medical consultations are summarised to explain their reasons for not adhering to any of the standard UK PD treatments prescribed. The participant's preferences for using Vitamin B1 (thiamine) injections to manage the symptoms are reported and the rationale for doing so is discussed. We consider the case through the lens of a behavioural science approach, drawing on health psychology theory, the Theoretical Domains Framework (TDF), to inform the review and the practical challenges faced when analysing the data for this participant. Implications for pharmacy practice, in particular, are also put forward with view to ensuring that patients such as Mr. Wilkinson are provided with the opportunity to discuss treatment choices and self-management of long-term conditions such as PD. We also discuss the importance of reaching under-represented members of the population in medication adherence research, which embraces the principles of equality, diversity, and inclusion in research.</p></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667276624000477/pdfft?md5=b6ee1a92767df365337243e676bac000&pid=1-s2.0-S2667276624000477-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140952398","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}
引用次数: 0
Considerations for conducting a scoping review in pharmacy education 开展药学教育范围界定审查的注意事项
Exploratory research in clinical and social pharmacy Pub Date : 2024-04-24 DOI: 10.1016/j.rcsop.2024.100448
Cherie Lucas , Shane P. Desselle
{"title":"Considerations for conducting a scoping review in pharmacy education","authors":"Cherie Lucas ,&nbsp;Shane P. Desselle","doi":"10.1016/j.rcsop.2024.100448","DOIUrl":"10.1016/j.rcsop.2024.100448","url":null,"abstract":"<div><p>Interrogating the literature is among the first steps a researcher undertakes when actuating a research project or also when any scholar might seek to know what has been done in an area, best practices for conducting a certain activity, or simply to seek answers for a question ranging from one's own personal curiosity to those that might affect departmental or institutional guidance. Decisions on the type of review process to undertake is one that is not taken lightly. This methods commentary outlines the reasons for conducting a scoping review versus a systematic review for topics related to pharmacy education. Considerations for conducting the scoping review are outlined including considerations for writing a protocol prior to conducting a scoping review, to potential platforms to use for transparency of sharing data, processes related to guidelines for data extraction and types of search strategies utilized.</p></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667276624000441/pdfft?md5=56531665687fb77bf44e5df10f8aaef0&pid=1-s2.0-S2667276624000441-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140758413","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}
引用次数: 0
Pharmaceutical public health competencies for Thai pharmacists: A scoping review with expert consultation 泰国药剂师的医药公共卫生能力:专家咨询范围审查
Exploratory research in clinical and social pharmacy Pub Date : 2024-04-22 DOI: 10.1016/j.rcsop.2024.100444
Thanayut Auimekhakul , Siritree Suttajit , Puckwipa Suwannaprom
{"title":"Pharmaceutical public health competencies for Thai pharmacists: A scoping review with expert consultation","authors":"Thanayut Auimekhakul ,&nbsp;Siritree Suttajit ,&nbsp;Puckwipa Suwannaprom","doi":"10.1016/j.rcsop.2024.100444","DOIUrl":"10.1016/j.rcsop.2024.100444","url":null,"abstract":"<div><h3>Background</h3><p>Thai pharmacists' roles have increasingly shifted to a system-focused role in providing public health services. A competency framework in this area is essential to workforce development.</p></div><div><h3>Objective</h3><p>This study aimed to summarize and synthesize the literature on pharmaceutical public health competencies of Thai pharmacists.</p></div><div><h3>Methods</h3><p>The Scopus, MEDLINE, and Web of Science (Clarivate) databases were searched. The search criteria included “public health”, “health promotion”, “primary care”, “community pharmacy”, “pharmacy” and “pharmacist”. Documents published in English and Thai between January 2011 and December 2020 were also examined. Unpublished documents were included. A 3-step inductive coding technique was used to develop the competency framework. To validate the findings, a 2-round, modified Delphi method was employed with 20 Thai pharmaceutical specialists between August 2022 and January 2023. The Scale-level Content Validity Index (S-CVI) was used to assess validity.</p></div><div><h3>Results</h3><p>The database search yielded 1429 articles. Fifty-seven articles were selected. The analysis identified 5 competency domains. The domains, along with their related competency elements and behavioral statements, were provided for expert assessment. The S-CVI scores in the first and second rounds were 0.78 and 0.93, respectively. The terminology and categories of competencies have been improved. This outcome resulted in a pharmaceutical public health competency framework for Thai pharmacists. The framework consists of 5 competency domains: 1) individual and family health promotion (3 competency elements with 10 behavioral statements), 2) community empowerment for well-being communities (6 competency elements with 23 behavioral statements), 3) information management and evidence-based practice (3 competency elements with 10 behavioral statements), 4) communication for health promotion (3 competency elements with 6 behavioral statements), and 5) pharmacoepidemiology and support for public health emergencies and epidemics (2 competency elements with 5 behavioral statements).</p></div><div><h3>Conclusion</h3><p>Pharmaceutical public health competencies for Thai pharmacists were developed through extensive literature review and expert consultation.</p></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667276624000404/pdfft?md5=3d869070a940db8a905287535c2379c8&pid=1-s2.0-S2667276624000404-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140762601","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}
引用次数: 0
European community pharmacists practice in tackling influenza 欧洲社区药剂师应对流感的实践
Exploratory research in clinical and social pharmacy Pub Date : 2024-04-22 DOI: 10.1016/j.rcsop.2024.100447
Marleen Haems , Mauro Lanzilotto , Andrea Mandelli , Hélder Mota-Filipe , Ema Paulino , Beata Plewka , Olivier Rozaire , Jens Zeiger
{"title":"European community pharmacists practice in tackling influenza","authors":"Marleen Haems ,&nbsp;Mauro Lanzilotto ,&nbsp;Andrea Mandelli ,&nbsp;Hélder Mota-Filipe ,&nbsp;Ema Paulino ,&nbsp;Beata Plewka ,&nbsp;Olivier Rozaire ,&nbsp;Jens Zeiger","doi":"10.1016/j.rcsop.2024.100447","DOIUrl":"10.1016/j.rcsop.2024.100447","url":null,"abstract":"<div><h3>Background</h3><p>In many European countries, flu vaccination coverage rates are below the 75% target. During the COVID-19 pandemic, many pharmacists around Europe were involved as vaccine administrators and demonstrated positive results in improving vaccine uptake. This paper explores the challenges, accomplishments, and best practices of various European pharmacists' associations in administering vaccines and positively contributing to public health.</p></div><div><h3>Methods</h3><p>Eight pharmacists representing various associations from different countries across Europe (Italy, Belgium, Poland, Portugal, France, and Germany) convened to discuss their role as vaccination providers, the advantages, and strategies for improvement, and to identify barriers and gaps in the vaccination administration process, especially focusing on the administration of seasonal flu vaccines.</p></div><div><h3>Results</h3><p>Currently, 15 European countries allow community pharmacists to dispense and administer flu vaccines. Among the ones that attended the meeting, Portugal initiated the flu immunization program at the pharmacy earliest, before the COVID era, but in other countries, the process started only in the last couple of years. Initial hesitancy and reluctance by other HCPs or institutions were overcome as the pilot projects showed positive and cost-effective public health results. Today, pharmacists are considered crucial professional figures to provide immunization services against COVID-19, the flu, and other vaccine-preventable diseases, and pursue important public health goals.</p><p>Key takeaways to enhance the pharmacist's role in providing immunization services against vaccine-preventable diseases include improving interaction with policymakers and the public, generating real-world evidence highlighting public health benefits, and ensuring ongoing professional education and training for pharmacists.</p></div><div><h3>Conclusion</h3><p>Vaccinating pharmacists are gaining recognition of their role and the benefits derived from their broader involvement in the healthcare system, including immunization programs. Further efforts are needed in each country for an adequate recognition of the profession and a broader utilization of pharmacy services to exploit the benefit of immunization, especially against the flu.</p></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266727662400043X/pdfft?md5=64bd1572ab2acc2c60e42d64b65be56d&pid=1-s2.0-S266727662400043X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140790284","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}
引用次数: 0
Healthcare professionals' experiences with the use of antipsychotics in dementia 医护人员在护理痴呆症患者和使用抗精神病药物方面的经验
Exploratory research in clinical and social pharmacy Pub Date : 2024-04-21 DOI: 10.1016/j.rcsop.2024.100446
Sidsel Maria Jørgensen , Laura Victoria Jedig Lech , Charlotte Vermehren , Michaela L. Schiøtz , Jon Trærup Andersen , Kristian Karstoft , Tina Andersen , Stine Vest Hansen , Hanne Birke
{"title":"Healthcare professionals' experiences with the use of antipsychotics in dementia","authors":"Sidsel Maria Jørgensen ,&nbsp;Laura Victoria Jedig Lech ,&nbsp;Charlotte Vermehren ,&nbsp;Michaela L. Schiøtz ,&nbsp;Jon Trærup Andersen ,&nbsp;Kristian Karstoft ,&nbsp;Tina Andersen ,&nbsp;Stine Vest Hansen ,&nbsp;Hanne Birke","doi":"10.1016/j.rcsop.2024.100446","DOIUrl":"10.1016/j.rcsop.2024.100446","url":null,"abstract":"<div><h3>Background</h3><p>Antipsychotics are commonly administered to nursing home residents with dementia, despite the associated risk of severe adverse events.</p></div><div><h3>Objective</h3><p>This study aimed to explore healthcare professionals' experiences in caring for nursing home residents with dementia, with a focus on rationales behind the use of antipsychotics.</p></div><div><h3>Method</h3><p>Twelve semi-structured interviews with healthcare professionals' from Danish nursing homes were conducted and analyzed using the method Systematic Text Condensation.</p></div><div><h3>Results</h3><p>Nonpharmacological interventions were reported as the primary approach to care and the first-choice treatment for behavioral and psychological symptoms of dementia (BPSD). Use of antipsychotics was considered to serve as a last resort, reserved for residents with severe symptoms. However, most informants preferred a more limited use. The study identified four main barriers to reduce the use of antipsychotics: <em>“Scarcity of resources”, “Perceiving antipsychotic use to provide relieve”, “Reluctance towards deprescribing”</em> and <em>“Limited access to medical counseling”,</em> and three potential enablers: “<em>Updating knowledge and nonpharmacological competencies</em>”, “<em>Management support and clear procedures</em>” and “<em>Regularity in interdisciplinary collaboration</em>”.</p></div><div><h3>Conclusion</h3><p>The treatment and care were reported as primarily following guidelines in BPSD. Several barriers were perceived to challenge the healthcare professionals' preference of limited use of antipsychotics. To further reduce the use, this study highlights the importance of understanding the adverse effects caused by limited resources, enhancing employee knowledge and competencies and ensuring regular interprofessional collaboration for assessing and reassessing the need to use antipsychotics.</p></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667276624000428/pdfft?md5=6930f3c4497fe03b980abfbd3c68ea35&pid=1-s2.0-S2667276624000428-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140766477","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}
引用次数: 0
Occupational burnout and job satisfaction among community pharmacists 社区药剂师的职业倦怠和工作满意度
Exploratory research in clinical and social pharmacy Pub Date : 2024-04-17 DOI: 10.1016/j.rcsop.2024.100445
Ilias Katsogiannis , Eirini Manara , Aliki Peletidi , Angeliki Bistaraki , Theodoros Constantinides , Christos Kontogiorgis
{"title":"Occupational burnout and job satisfaction among community pharmacists","authors":"Ilias Katsogiannis ,&nbsp;Eirini Manara ,&nbsp;Aliki Peletidi ,&nbsp;Angeliki Bistaraki ,&nbsp;Theodoros Constantinides ,&nbsp;Christos Kontogiorgis","doi":"10.1016/j.rcsop.2024.100445","DOIUrl":"https://doi.org/10.1016/j.rcsop.2024.100445","url":null,"abstract":"<div><h3>Introduction</h3><p>Community pharmacists (CPs) are the most accessible healthcare professionals in primary care due to pharmacies' open-door policy and convenience, resulting in high patient and prescription volumes, and numerous free-of-charge consultations. Therefore, they are at high risk for burnout.</p></div><div><h3>Objectives</h3><p>The primary objective of this study was to assess the levels of burnout among community pharmacists in Greece, marking the first investigation of its kind within the country. Additionally, this study aimed to explore potential correlations between demographic variables and other health-related factors with burnout scores<strong>.</strong></p></div><div><h3>Methods</h3><p>This study used a quantitative cross-sectional design involving two validated questionnaires(the Greek version of Maslach (MBI) questionnaire and the SF-36 questionnaire). Prior to data collection, all the relevant documentation was approved by the Metropolitan College Research Ethics Committee and was adopted under the auspices of the Panhellenic Pharmaceutical Association. Random sampling was used. Data collection period was July to August 2022.</p></div><div><h3>Results</h3><p>A total of 368 responses were included in the analysis, with the majority being pharmacy-owners (<em>n</em> = 292, 79.3%). Notably, a significant proportion of respondents were female practitioners working within community pharmacy settings (<em>n</em> = 230, 62.5%). Analysis revealed that the sample exhibited low levels of personal achievement (M = 30.99, SD = 6.41), high levels of emotional exhaustion (M = 41.73, SD = 6.94), and moderate levels of depersonalization (M = 23.38, SD = 3.78), indicative of substantial occupational burnout. Furthermore, gender had a discernible impact on depersonalization, with women scoring higher than men (<em>t</em> = −3.29, <em>p</em> &lt; 0.01). Pharmacists who identified medicine shortages as their primary challenge in daily practice reported lower emotional burnout and depersonalization, albeit with a diminished sense of accomplishment (<em>t</em> = −2.62, <em>p</em> &lt; 0.01<strong>)</strong>.</p></div><div><h3>Conclusions</h3><p>This study sheds light on burnout levels and health-related quality of life among community pharmacists in Greece.</p></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667276624000416/pdfft?md5=5a8773da770a2d6b1ccdad87defb2b92&pid=1-s2.0-S2667276624000416-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140818436","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}
引用次数: 0
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