厄立特里亚阿斯马拉医院和药品零售网点药学专业人员以患者为中心的沟通:知识、态度、自我效能和障碍

IF 2.1 Q3 PHARMACOLOGY & PHARMACY
Integrated Pharmacy Research and Practice Pub Date : 2022-10-06 eCollection Date: 2022-01-01 DOI:10.2147/IPRP.S363931
Ermias Michael, Abdulaziz Nurahmed, Haben Mihreteab, Mohammed Nurhussien, Mohammedali Adem, Alemseghed Goitom, Senai Mihreteab Siele, Eyasu H Tesfamariam, Nuru Abdu
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引用次数: 0

摘要

背景:在全球范围内,可预防的药物相关问题正在不断增加。以患者为中心的沟通(PCC)对于识别和减少药物相关问题的发生至关重要,如药物使用不当、药物不良反应和不依从性。在厄立特里亚,个人观察和轶事报告表明,药学专业人员对PCC的做法是不令人满意的。本研究旨在评估药学专业人员的知识、态度、自我效能感和执业障碍。方法:采用横断面分析研究设计,对厄立特里亚阿斯马拉市药品零售网点和医院门诊药房的所有药学专业人员进行调查。采用人口普查方法,并在2021年5月至6月期间使用基于面对面访谈的数据收集工具收集数据。采用IBM SPSS (version-26)进行描述性统计和分析性统计,包括独立样本t检验和多元线性回归。结果:共纳入79名药学专业人员,中位年龄36 (IQR: 20)岁。PCC的平均(SD)知识得分为11.91(2.0分)。态度平均分(SD)为39.55分(4.0分)(60分),自我效能总平均分(SD)为52.51分(12.0分)(96分)。自我效能感与态度显著相关(p=0.015)。工作环境(p=0.002)和培训(p=0.045)分别是自我效能子量表“探索患者观点”和“处理沟通挑战”的预测因子。研究发现,工作量/专业人员短缺和时间限制是药学专业人员不从事专业合作治疗的主要障碍。结论:药学专业人员的PCC知识和态度得分普遍较高,但与自我效能感不一致。这需要政策制定者和卫生设施管理人员进一步关注,为药学专业人员创造理想的工作环境,以最佳方式实践PCC。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Patient-Centered Communication Among Pharmacy Professionals Working in Hospitals and Drug Retail Outlets in Asmara, Eritrea: Knowledge, Attitude, Self-Efficacy and Barriers.

Patient-Centered Communication Among Pharmacy Professionals Working in Hospitals and Drug Retail Outlets in Asmara, Eritrea: Knowledge, Attitude, Self-Efficacy and Barriers.

Patient-Centered Communication Among Pharmacy Professionals Working in Hospitals and Drug Retail Outlets in Asmara, Eritrea: Knowledge, Attitude, Self-Efficacy and Barriers.

Background: Globally, preventable medication-related problems are increasing constantly. Patient-centered communication (PCC) is essential to identify and reduce the occurrence of drug-related problems such as inappropriate use of medications, adverse drug reactions and non-adherence. In Eritrea, personal observations and anecdotal reports showed that pharmacy professionals' practice towards PCC was unsatisfactory. This study was conducted to assess pharmacy professionals' knowledge, attitude, self-efficacy and barriers towards the practice of PCC.

Methods: An analytical cross-sectional study design was employed among all pharmacy professionals who were employees of the drug retail outlets and hospital out-patient pharmacies of Asmara, Eritrea. A census approach was employed and data were collected from May to June 2021 using a face to face interview-based data collection tool. Descriptive and analytical statistics including independent samples t-test and multiple linear regression were employed using IBM SPSS (version-26).

Results: A total of 79 pharmacy professionals with a median age of 36 (IQR: 20) years were included in the study. The mean (SD) knowledge score of PCC was found to be 11.91 (2.0) out of 17. Moreover, the mean (SD) attitude score was 39.55 (4.0) out of 60 and the overall mean (SD) self-efficacy score was 52.51 (12.0) out of 96. Self-efficacy was significantly correlated with attitude (p=0.015). Work setting (p=0.002) and training (p=0.045) were predictors for the sub-scales of self-efficacy 'exploring patient's perspectives' and 'dealing with communicative challenges', respectively. Workload/shortage of pharmacy professionals and time constraint were found to be the main barriers of the pharmacy professionals for not practicing PCC.

Conclusion: Generally the pharmacy professionals' fairly encouraging knowledge and attitude score on PCC, it was not supported with their self-efficacy. This necessitates further attention from policy makers and health facility managers in creating an ideal working environment for the pharmacy professionals to practice PCC at their best.

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