Community pharmacists in Virginia dispensing naloxone under a standing order: A qualitative study

2021 ◽  
Author(s):  
Stephen C. Ijioma ◽  
Elena V. Fernández ◽  
Sharon B. Gatewood ◽  
Norman V. Carroll ◽  
Teresa M. Salgado
Keyword(s):  
Qualitative Study ◽  
Community Pharmacists ◽  
Standing Order

Preparing pharmacists to increase naloxone dispensing within community pharmacies under the Pennsylvania standing order

2020 ◽  
Author(s):  
Heather M Santa ◽  
Samira G Amirova ◽  
Daniel J Ventricelli ◽  
George E Downs ◽  
Alexandra A Nowalk ◽  
...  
Keyword(s):  
Community Pharmacists ◽  
The United States ◽  
Health Concern ◽  
Community Pharmacies ◽  
Opioid Overdose ◽  
Patient Counseling ◽  
Opioid Use ◽  
Overdose Prevention ◽  
Standing Order ◽  
Overdose Deaths

Abstract Purpose Opioid misuse and overdose deaths remain a public health concern in the United States. Pennsylvania has one of the highest rates of opioid overdose deaths in the country, with Philadelphia County’s being 3 times higher than the national average. Despite several multimodal interventions, including use of SBIRT (screening, brief intervention, and referral to treatment) methods and naloxone distribution, the rate of overdose deaths remains high. Methods To gain insights on strategies for improving access to naloxone and naloxone distribution by pharmacists in Philadelphia County, a study was conducted in 11 community pharmacies (chain and independent) in Philadelphia. Twenty-four pharmacists were recruited and completed SBIRT and naloxone trainings. Each pharmacy elected to have at least 1 pharmacy champion who received additional training on and helped develop pharmacy site–specific naloxone dispensing protocols. Results Pre-post survey results showed a reduction in stigmatizing attitudes regarding naloxone dispensing and an increase in pharmacists’ understanding of the standing order and appropriate naloxone use. There was an increase in pharmacists’ self-reported confidence in their ability to appropriately identify, discuss, and dispense naloxone to patients. All pharmacies increased their average monthly dispensing rate following protocol implementation. Conclusion Pharmacists who received both trainings were more likely to change naloxone dispensing practices, leading to an overall increase in naloxone dispensing by community pharmacists. The study addressed overall gaps in pharmacists’ knowledge, reduced stigma, and prepared pharmacists to address opioid use and overdose prevention with their patients. The described pharmacist-led patient counseling and intervention service for overdose prevention may be explored as a model for other community pharmacies to adopt to improve naloxone dispensing and similar interventions to reduce overdose deaths.

scholarly journals Community pharmacists and chronic pain: A qualitative study of experience, perception, and challenges

2020 ◽  
Vol 4 (3) ◽  
pp. 29-39 ◽  
Author(s):  
Hamed Tabeefar ◽  
Feng Chang ◽  
Martin Cooke ◽  
Tejal Patel
Keyword(s):  
Chronic Pain ◽  
Qualitative Study ◽  
Community Pharmacists

scholarly journals Exploring deprescribing opportunities for community pharmacists: Protocol for a qualitative study

2018 ◽  
Vol 151 (4) ◽  
pp. 228-232 ◽  
Author(s):  
Clara Korenvain ◽  
Linda MacKeigan ◽  
Katie Dainty ◽  
Sara J. T. Guilcher ◽  
Lisa McCarthy
Keyword(s):  
Qualitative Study ◽  
Community Pharmacists

scholarly journals Patients using antifungals following laryngectomy: a qualitative study of community pharmacists in the North of England

2013 ◽  
Vol 22 (3) ◽  
pp. 193-199 ◽  
Author(s):  
Adam Todd ◽  
Andrew K. Husband ◽  
Anne Hurren ◽  
Simran Kler ◽  
Jonathan Ling
Keyword(s):  
Qualitative Study ◽  
Community Pharmacists ◽  
The North

scholarly journals Views of Community Pharmacists on Antimicrobial Resistance and Antimicrobial Stewardship in Jordan: A Qualitative Study

2021 ◽  
Author(s):  
Doaa Saleh ◽  
Rana Abu Farha ◽  
Tareq Mukattash ◽  
Muna Barakat ◽  
Eman Alefishat
Keyword(s):  
Antimicrobial Resistance ◽  
Qualitative Study ◽  
Antimicrobial Stewardship ◽  
Action Plan ◽  
Pharmacy Practice ◽  
Community Pharmacists ◽  
Academic Disciplines ◽  
World Health ◽  
Community Pharmacies ◽  
Stewardship Program

The Center for Disease Control and Prevention and the World Health Organization issued a practical approach and Global Action Plan to control the threatening emerging antibacterial resistance. One of the main basis of this plan is the Antimicrobial Stewardship Program (ASPs). This study aimed to evaluate community pharmacists’ awareness and perception towards antimicrobial resistance and ASPs in Jordan. Thus, a qualitative study was conducted through in-depth interviews with twenty community pharmacists. Convienience sampling was used in the study. Qualitative analysis of the data yielded four themes and eleven sub-themes. All the respondents showed good understanding about the causes of antimicrobial resistance. The most important causes reported by them was the non-restricted prescription of antimicrobials. Most of the pharmacists believed that they are competent to provide ASPs, however, they believed that there are several barriers against the implementation of ASPs in community pharmacies in Jordan. Barriers demonstrated by the pharmacists, including organizational obstacles, resources obstacles, and personal obstacles. As a conclusion, this study revealed several barriers against the implementation of ASPs in community pharmacies in Jordan. Incorporating ASPs in the community pharmacy settings requires proper pharmacist training, several academic disciplines team efforts, and good pharmacy practice of antimicrobial guidelines.

scholarly journals Qualitative Study of Community Pharmacists’ and General Practitioners’ Views toward Pharmacovigilance in Lithuania

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 1072
Author(s):  
Agne Valinciute-Jankauskiene ◽  
Loreta Kubiliene
Keyword(s):  
Qualitative Study ◽  
General Practitioners ◽  
Patient Outcomes ◽  
Medication Management ◽  
Community Pharmacists ◽  
Basic Knowledge ◽  
Pharmacovigilance System ◽  
Face To Face ◽  
Study Approach ◽  
Baltic Countries

Lithuania is the leader in pharmacovigilance among the three Baltic countries. However, comparisons with other European countries are difficult because the reported number of adverse drug reactions (ADRs) in Lithuania is too low to rely on in terms of the annual use of medicines by the population over the year. The aim of this study was to explore challenges related to the understanding and practices of general practitioners and community pharmacists in reporting ADRs in Lithuania. The qualitative study approach of face-to-face interviews was used. All interviews were recorded, transcribed verbatim, and thematically analyzed. Twelve interviews with general practitioners and community pharmacists were conducted from March 2020 through December 2020. All participants had a basic knowledge of pharmacovigilance, but only four participants reported ADRs to the interviewer. Six main barriers regarding ADR reporting were identified, and appropriate interventions were suggested. The importance of collaboration between physicians and pharmacists was highlighted, and the need for guidelines supporting collaboration was expressed. Medications are becoming more complex, and comprehensive medication management is key for the optimization of patient outcomes. Our results reveal the need to improve and innovate the current pharmacovigilance system at all levels, starting from education for pharmacy and healthcare students and continuing through the development of ADR procedures.

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