Journal of the American College of Clinical Pharmacy : JACCP最新文献

{"title":"An analysis of attitudes, knowledge, and willingness of Thai pharmacists as vaccinators: A nationwide survey study","authors":"Supatat Chumnumwat Pharm.D.,&nbsp;Preecha Montakantikul Pharm.D.,&nbsp;Jangkanipa Wongpakwat,&nbsp;Napassorn Siriwannapha,&nbsp;Kitti Pitaknitinun MPH, M.A.","doi":"10.1002/jac5.1914","DOIUrl":"10.1002/jac5.1914","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Despite the diverse roles of pharmacists in immunization, the vaccinator role remains uncharted for Thai pharmacists. This survey assesses pharmacist attitudes, knowledge, and willingness as vaccinators, providing insights to enhance their pivotal contribution to vaccination outcomes in Thailand.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The survey encompassed three sections: respondent characteristics, attitudes toward the vaccinator role, and vaccination knowledge. Disseminated via the Pharmacy Council of Thailand (PCT)'s email system, it received 400 valid responses. Descriptive and inferential statistics were employed, including logistic regression to identify factors affecting willingness to become vaccinators (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The survey was conducted between January 19, 2023, and February 28, 2023. The respondents, with an average age of 39.8 ± 10.25 years, were predominantly female (54.5%) with bachelor's degrees (68%). Hospital (45%) and community (20.7%) pharmacists were prominent, primarily in the central region (51%). Notably, 12.3% received vaccination training from PCT. Of the respondents, 169 (42.25%) were willing to become vaccinators, while 231 (57.75%) were uncertain or uninterested. Factors driving willingness differed; knowledge and skills for vaccine administration (72.59%) were crucial for those not willing to become vaccinators, while public benefits (73.91%) influenced vaccinators. In multivariate analysis, longer experience (10–19 years) (odds ratio [OR] 2.317; <i>p</i> = 0.009) and vaccination training (OR = 1.926; <i>p</i> = 0.047) were significant factors supporting the decision to become vaccinators. Average vaccination knowledge scores were 5.68 ± 2.63 out of 12 points, slightly higher in the vaccinator group (6 ± 2.3) compared to non-vaccinators (5.4 ± 2.8) with a significant difference (<i>p</i> = 0.034). Post-vaccination counseling knowledge was high, but questions related to adverse events following immunization (AEFI) had low correct response rates (12.5%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study underscores substantial willingness among Thai pharmacists to assume the vaccinator role, revealing influential factors and knowledge gaps. This insight can guide training enhancements and implementation strategies to seamlessly expand pharmacist contributions to vaccination efforts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jac5.1914","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138959232","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 qualitative study exploring patient experiences and opinions of warfarin patient self-management in the US healthcare system","authors":"Aaron S. Wilson Pharm.D., M.S.,&nbsp;Stacey Slager M.S.,&nbsp;Aubrey E. Jones Pharm.D., M.S.,&nbsp;Sara R. Vazquez Pharm.D.,&nbsp;Geoffrey D. Barnes M.D., M.Sc,&nbsp;Katelyn Sylvester Pharm.D.,&nbsp;Linh Chan Pharm.D.,&nbsp;Bishoy Ragheb Pharm.D.,&nbsp;Daniel M. Witt Pharm.D., FCCP","doi":"10.1002/jac5.1912","DOIUrl":"10.1002/jac5.1912","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite consensus guideline recommendations, the use of warfarin patient self-management (PSM) in the United States (US) healthcare system remains underutilized.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To gain an understanding of the barriers and facilitators to warfarin PSM in US healthcare systems through qualitative exploration of the opinions of select US patients receiving warfarin therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Individual patient interviews were conducted at five geographically diverse sites. Grounded theory analysis was performed on interview transcriptions using the consolidated framework for implementation research (CFIR) to identify facilitators and barriers to PSM implementation within the US healthcare system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 40 patients were interviewed. Four major themes emerged from the interviews: (1) “Patients are resourceful problem solvers who know themselves better than clinicians” (CFIR domain “Characteristics of Individuals”); (2) The provider-patient relationship is key to successful PSM (CFIR domains “Inner Setting” and “Intervention Characteristics”); (3) Patients are willing and interested in trying PSM if not already doing so (CFIR domains “Process,” “Intervention Characteristics,” “Inner Setting, and “Characteristics of Individuals”); and (4) Point-of-care international normalized ratio (INR) monitoring is an important PSM facilitator (CFIR “Intervention Characteristics,” “Outer Setting,” “Inner Setting,” and “Process” domains).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Interview participants were willing and interested in trying PSM. Core elements of warfarin PSM include timely access to INR results, and a framework to support PSM decision making. Home INR monitoring is likely ideal for facilitating PSM implementation as is maintaining strong provider-patient relationships where providers, including clinical pharmacists, trust their patients and act as a safety net for PSM decision making.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jac5.1912","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138962113","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":"Subjective and objective benefits of a novel opioid-related disorders simulation learning experience for pharmacy students","authors":"Daniel Greer Pharm.D.,&nbsp;Les Barta MPA,&nbsp;Mei T. Liu Pharm.D.,&nbsp;Liza Barbarello Andrews Pharm.D.","doi":"10.1002/jac5.1911","DOIUrl":"10.1002/jac5.1911","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The subjective and objective benefits of an opioid-related disorders simulation lab have not been well established in pharmacy student education. Opioid-related disorders are extremely prevalent, and education of pharmacy students should develop as the role of the pharmacist progresses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To enhance knowledge, affective skills, and empathy in the management of opioid-related disorders for third professional-year student pharmacists using simulation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Third-year student pharmacists participated in a three-part opioid-related disorders activity. Students first completed a patient case in groups, then presented as the patient to a simulated retail pharmacy to obtain a buprenorphine-naloxone prescription, and lastly, provided counseling to a simulated patient for naloxone nasal spray. Knowledge was assessed with a multiple-choice survey, and affective skills and empathy were assessed with an opinion-based survey. The surveys were administered pre-class, post-class, and 1 month following the class. The surveys were not validated but were based on curriculum goals. All of the surveys were completed online, and the pre-class and post-class surveys were completed on computers during class.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 150 students completed the pre-class survey, 144 completed the post-class survey, and 90 completed the survey 1 month later. The experience was reported as valuable by 100% of participants. Knowledge significantly improved from the pre-class survey (85.6%) to the post-class survey (94.3%) (<i>p</i> &lt; 0.001) and remained improved 1 month following the activity (92.4%) (<i>p</i> = 0.002). Based on the opinion-based survey, empathy toward patients with opioid-related disorders was significantly improved for three survey items following the activity and 1 month after the activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This three-part simulation demonstrated improvement in empathy and knowledge in the ability to provide care for patients with opioid-related disorders among student pharmacists.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jac5.1911","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139173371","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":"Best practices for supporting and improving pharmacy resident research and quality improvement projects","authors":"John E. Murphy Pharm.D., FCCP,&nbsp;Aniqa Azad B.A.,&nbsp;Jason N. Barreto Pharm.D., M.Sc.,&nbsp;Eric M. Coons Pharm.D.,&nbsp;James C. Coons Pharm.D., FCCP,&nbsp;Anna Sahlstrom Drury Pharm.D.,&nbsp;Kellie J. Goodlet Pharm.D.,&nbsp;Erin K. Hennessey Pharm.D.,&nbsp;Douglas Jennings Pharm.D., FCCP,&nbsp;Sandra L. Kane-Gill Pharm.D., M.Sc., FCCP,&nbsp;Kathryn Morbitzer Pharm.D., M.S.,&nbsp;Dawn M. Pluckrose Pharm.D.,&nbsp;Harminder Sikand Pharm.D., FCCP,&nbsp;Kyle A. Weant Pharm.D., FCCP","doi":"10.1002/jac5.1904","DOIUrl":"10.1002/jac5.1904","url":null,"abstract":"<p>The 2023 ACCP Research Affairs Committee was charged with developing a commentary to address best practices in pharmacy resident research and quality improvement projects and to consider methods to overcome the challenges encountered in conducting these projects. Literature regarding best practices was evaluated, and approaches were recommended that might help (1) advance the value of the projects to stakeholders; (2) overcome limited preparation for research by residents and mentors, including writing skills and dissemination experience; (3) overcome challenges related to resources (e.g., time and mentors); and (4) avoid burnout among residents and mentors. Although there are many challenges to completing projects and disseminating the results, studies have provided useful recommendations to help circumvent the barriers.</p>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138966781","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":"Clinical pharmacists addressing social determinants of health needs and eliminating health disparities: Bystander or change agent?","authors":"John M. Allen Pharm.D., FCCP,&nbsp;Hope Campbell Pharm.D.,&nbsp;Marie Chisholm-Burns Pharm.D., Ph.D., MPH, MBA, FCCP,&nbsp;Jimmi Hatton Kolpek Pharm.D., FCCP","doi":"10.1002/jac5.1886","DOIUrl":"https://doi.org/10.1002/jac5.1886","url":null,"abstract":"","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138634233","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":"Part II: Interactive case: Rapid sequence intubation","authors":"Madeline Jane Foertsch Pharm.D.","doi":"10.1002/jac5.1898","DOIUrl":"https://doi.org/10.1002/jac5.1898","url":null,"abstract":"","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138634073","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":"Part I: Interactive case: Life-threatening bleeding caused by anticoagulants","authors":"Emily J. Owen Pharm.D., M.S.","doi":"10.1002/jac5.1897","DOIUrl":"https://doi.org/10.1002/jac5.1897","url":null,"abstract":"","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138634075","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":"Reply to comment on “Insights into clinical pharmacy practice in Latin America”","authors":"Esteban Zavaleta-Monestel Pharm.D.","doi":"10.1002/jac5.1896","DOIUrl":"https://doi.org/10.1002/jac5.1896","url":null,"abstract":"","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138634232","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":"2023 ACCP Annual Meeting November 11 - 14, 2023","authors":"","doi":"10.1002/jac5.1903","DOIUrl":"https://doi.org/10.1002/jac5.1903","url":null,"abstract":"","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138634074","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":"Comment on “Insights into clinical pharmacy practice in Latin America”","authors":"Jaime Andrés Pereañez Ph.D.,&nbsp;Raquel Agudelo B.Sc.,&nbsp;Pedro Amariles Pharm.D., Ph.D.","doi":"10.1002/jac5.1895","DOIUrl":"https://doi.org/10.1002/jac5.1895","url":null,"abstract":"","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138634231","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}