scholarly journals Pharmacists report lack of reinforcement and the work environment as the biggest barriers to routine monitoring and follow-up for people with diabetes: A survey of community pharmacists

2021 ◽  
Vol 17 (2) ◽  
pp. 332-343
Author(s):  
Lori MacCallum ◽  
Annalise Mathers ◽  
Jamie Kellar ◽  
Jeremy Rousse-Grossman ◽  
Julia Moore ◽  
...  
Keyword(s):  
Work Environment ◽  
Community Pharmacists ◽  
Routine Monitoring

scholarly journals Exploring the perspectives and strategies of Ontario community pharmacists to improve routine follow-up for patients with diabetes: A qualitative study

2021 ◽  
pp. 171516352110184
Author(s):  
Natali Surkic ◽  
Annalise Mathers ◽  
Jamie Kellar ◽  
Lori MacCallum ◽  
Lisa Dolovich
Keyword(s):  
Community Pharmacy ◽  
Diabetes Education ◽  
Community Pharmacists ◽  
Future Research ◽  
Convenience Sample ◽  
Routine Monitoring ◽  
Semistructured Interviews ◽  
Patients With Diabetes ◽  
Medication Reviews

Background: Medication reviews are a fundamental activity carried out as part of comprehensive care delivered by pharmacists. Varying programs that reimburse pharmacists for conduct of medication reviews are in place in different jurisdictions in Canada and other countries around the world. The MedsCheck Diabetes (MCD) program is a publicly funded service in Ontario, Canada, offered to patients with type 1 or type 2 diabetes. Through this service, pharmacists can complete a focused medication review with advice, training, monitoring and follow-up diabetes education. Although pharmacists can be reimbursed for patient follow-up activities, a low number of follow-up medication reviews are billed through this program. Methods: The study explores the barriers and facilitators that community pharmacists in Ontario experience in conducting routine monitoring and follow-up of patients with diabetes. Using a descriptive content analysis approach study, semistructured interviews were conducted with a convenience sample of 8 community pharmacists working in Ontario. Results: Three main themes emerged: the design of the MCD program, the state of community pharmacy and collaboration and relationships. These themes demonstrate challenges and potential strategies recognized by community pharmacists to conduct routine diabetes follow-up through the MCD program. Conclusion: Future research should more closely examine and implement strategies to optimize routine follow-up in community pharmacy for patients with diabetes, taking into consideration the themes and examples identified in this study. Can Pharm J (Ott) 2021;154:xx-xx.

scholarly journals A National Survey of Community Pharmacists on Smoking Cessation Services in Thailand

Pharmacy ◽  
2018 ◽  
Vol 6 (3) ◽  
pp. 101 ◽  
Author(s):  
Surarong Chinwong ◽  
Dujrudee Chinwong
Keyword(s):  
Smoking Cessation ◽  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Postal Questionnaire ◽  
Pharmaceutical Product ◽  
Perceived Barriers ◽  
Cross Sectional ◽  
Smoking Cessation Services ◽  
First Time

Providing smoking cessation services is one role of community pharmacists in Thailand. This cross-sectional study aimed to investigate activities and barriers related to smoking cessation services provided in community pharmacies in Thailand, as well as to compare these activities and barriers between those pharmacists providing and those not providing smoking cessation services. A postal questionnaire was conducted to collect information from community pharmacists across Thailand. In all, 413 valid responses were received from 5235 questionnaires, giving a 7.9% response rate. Of the 413 respondents, 152 (37%) pharmacists provided smoking cessation services in their pharmacy. The activities of smoking cessation services varied. Time for counseling each smoker varied, a mean of 15.1 ± 10.9 min (range 1–60) per person for the first time, and 8.9 ± 6.7 min (range 1–30) for each follow-up visit. Community pharmacists, providing smoking cessation services, were more likely to have pharmacist assistants, be a member of the Thai Pharmacy Network for Tobacco Control, and have more than 1 pharmacist on duty. The most dispensed pharmaceutical product for smoking cessation was nicotine gum. Their most perceived barriers were being unable to follow-up and inadequate staff. In conclusion, only a minority of community pharmacists in Thailand are engaged in smoking cessation activities, even though some perceived barriers existed.

scholarly journals O6C.3 The association between long-term exposure from heavy physical work load and coronary heart disease in middle aged men

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A56.2-A56
Author(s):  
Tomas Hemmingsson ◽  
Jenny Selander ◽  
Katarina Kjellberg
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Work Environment ◽  
Work Load ◽  
Physical Work ◽  
Physical Work Load ◽  
Strenuous Work ◽  
Heavy Physical Work

ObjectivesPrevious studies have shown conflicting results concerning the association between heavy physical work load and risk of coronary heart disease (CHD). The aim of this study was to investigate the association between long-term exposure to heavy physical work load in middle age and risk of CHD among Swedish men during almost 20 years of follow-up.MethodsThe study is based on a cohort of around 40 000 Swedish males, born 1949–51, with census information on occupation in 1985 and 1990 (at ages 34–41). Aspects of physical workload was estimated from job exposure matrices based on questions concerning heavy lifting, strenuous work postures, and physically strenuous work from the Swedish Work Environment Surveys 1989–97. Mean values for each physical exposure variable were assigned to over 300 occupational titles from the censuses conducted in 1985 and 1990. Only those 29 530 subjects who were in the same quintile of exposure both years were included in the analyses. Information on smoking behavior and body mass index (BMI) was collected at compulsory conscription for military training in 1969/70 (at 18–20 years of age), and follow up data on CHD (1457 cases) between the years 1991–2009.ResultsAn increased relative risk of CHD were found among workers in the quintiles with medium low (HR=1.36 CI95%=1.14–1.62), medium (HR=1.46 CI95%=1.23–1.74), medium-high (HR=1.62 CI95%=1.36–1.91), and high (HR=1.45 CI95%=1.22–1.71) exposure to heavy lifting at work compared with those in the quintile with low exposure to heavy lifting. After adjustment for smoking and BMI the risk estimates were somewhat lower but still significantly increased. Risk estimates of the same magnitude were seen for a number of other aspects of the physical work environment.ConclusionThere was an association between long-term exposure from heavy physical work load and CHD even after adjustement for smoking and BMI.

PPIs: Community Pharmacists' Compliance

1981 ◽  
Vol 15 (2) ◽  
pp. 117-119
Author(s):  
Elizabeth R. Kaczmarek ◽  
Jesse E. Stewart ◽  
Richard A. Hutchinson ◽  
Alain Boisvert
Keyword(s):  
Community Pharmacists ◽  
Phone Call ◽  
Midwestern City

In order to determine community pharmacists' compliance with FDA PPI regulations, five trained shoppers were sent with estrogen prescriptions to 45 pharmacies in a large Midwestern city. Only 42 percent of the prescriptions dispensed were accompanied by a PPI. Fifty-six percent of the prescriptions were dispensed without safety caps. In all cases where a correct PPI was received, a follow-up phone call was made to a pharmacist at the pharmacy to determine the accuracy of the response to a question about information in the PPI. Only 39 percent of the pharmacists were able to correctly answer the phone-in question.

scholarly journals The contribution of the psychosocial work environment to sickness absence in human service workers: Results of a 3-year follow-up study

Work & Stress ◽  
2007 ◽  
Vol 21 (4) ◽  
pp. 293-311 ◽  
Author(s):  
Reiner Rugulies ◽  
Karl B. Christensen ◽  
Marianne Borritz ◽  
Ebbe Villadsen ◽  
Ute Bültmann ◽  
...  
Keyword(s):  
Work Environment ◽  
Sickness Absence ◽  
Human Service ◽  
Psychosocial Work Environment ◽  
Psychosocial Work ◽  
Service Workers ◽  
Human Service Workers ◽  
Follow Up Study

scholarly journals Optimising retention success: a research team’s experience of following-up participants recruited to a pilot trial through community pharmacies in England

F1000Research ◽  
2021 ◽  
Vol 9 ◽  
pp. 1042
Author(s):  
Michelle Watson ◽  
Anne van Dongen ◽  
Catherine Hewitt ◽  
Laura Mandefield ◽  
Duncan Stewart ◽  
...  
Keyword(s):  
Data Collection ◽  
Pilot Trial ◽  
Community Pharmacists ◽  
Optimal Strategies ◽  
Community Pharmacies ◽  
Medicine Service ◽  
Data Completion ◽  
Sensitive Issues ◽  
Patient Retention

Background: The CHAMP-1 (Community pharmacy: Highlighting Alcohol use in Medication aPpointments) pilot trial aimed to explore an intervention discussing alcohol during medication consultations with community pharmacists. It presented various challenges regarding patient retention, as participants were recruited by their pharmacist and followed-up remotely by a trained researcher, who they had not met, two months later.  We discuss our actions and experiences of completing follow-up activities. Methods: Community pharmacists recruited patients aged 18 and over, attending a Medicine Use Review (MUR) or New Medicine Service (NMS) consultation, and drinking alcohol at least twice per week. Pharmacies were randomised to conduct their consultations as usual (control), or to incorporate the Medicines and Alcohol Consultation (MAC) intervention. All participants were followed-up by a researcher after two months to complete data collection via telephone or post. We employed standard follow-up strategies, including a plan to text participants with a reminder in advance of their follow-up. Results: Forty-seven of 51 participants (92%) completed the two month follow-up. Thirty-eight (81%) responses were provided by telephone and nine (19%) by post. Of the 38 follow-up calls completed by telephone, 17 (45%) participants were reached at first attempt; 16 (42%) at second attempt; and five (13%) at the third attempt. We observed a high percentage of data completion across telephone and postal collection methods.  Participants were willing to discuss potentially sensitive issues, such as alcohol consumption, anxiety, and depression, with a researcher who was external to the pharmacy team.  Conclusions: The results suggest that patients recruited to a trial by community pharmacists are willing to take part in data collection activities, and remote follow-up can be successfully conducted by researchers. The techniques employed to encourage high levels of retention should be investigated further in a larger study, alongside consideration of optimal strategies to collect data within community pharmacies.

scholarly journals Factors associated to managers’ belief whether their employees cannot and do not want to work until an older age, and measure activities increasing their employees’ possibilities of working in an extended working life.

2020 ◽  
Author(s):  
Kerstin Nilsson ◽  
Emma Nilsson
Keyword(s):  
Work Environment ◽  
Working Hours ◽  
Working Life ◽  
Work Load ◽  
Physical Work ◽  
Baseline Survey ◽  
Factors Associated ◽  
The Social ◽  
Physical Work Environment

Abstract Background: The demographic situation with an increasing number of elderly citizens will postpone the retirement age in most countries. However, retirement is a socially accepted way to withdraw from a demanding working life.Objectives: The aim of this study was to evaluate the main factors associated to managers’ beliefs their employees want to or can work until 65 years of age or beyond, and measures increasing participation in an extended working life.Methods: The baseline survey in a follow up study including 249 managers in the municipality sector in Sweden. By logistic regression we investigated the associations between two outcome measures: i) whether employees wanted to work, and ii) whether employees could work until 65 years of age or beyond, and statements within nine areas related to a sustainable working life as well as measure statements for an extend working life.Results : Of the mangers 79% stated their employees ‘can’ and 58% that their employees ‘want to’ work until 65 years of age or beyond. The employees’ health, physical work environment, skills and competence were statistically significant to the mangers’ belief that their employees could not work until 65 years of age or beyond. Lack of support in the social work environment and lack of possibilities to arrange relocations were the most important factors to managers’ beliefs whether employees would not want to work until age 65 or beyond.Conclusion: To offer the employee other tasks in the workplace if needed was a measure statistically significant associated to increase the managers’ belief whether their employees both could and wanted to go on and work until 65 years of age and beyond. Additionally, the managers’ belief measures to decreased physical and mental strains and rotation between different tasks to reduce work load and wear would increase whether their employees can work, and reduction of pace and working hours would increase whether employees want to work in an extended working life past 65 years of age. The managers’ perspective on how their employees ‘can’ and ‘want’ to work will hopefully contribute to the understanding of the extended working life process.

scholarly journals Perceptions towards Codes of Behaviour: A Study of CAOs, CFOs and Other Employees in Bahrain

2015 ◽  
Vol 7 (1) ◽  
pp. 207
Author(s):  
Amal Abdel Wakil ◽  
Farkhanda Shamim
Keyword(s):  
Work Environment ◽  
Internal Audit ◽  
Ethics Committee ◽  
Audit Committees ◽  
Chief Financial Officers ◽  
Corporate Ethics ◽  
Ethical Work ◽  
Ethics Complaints ◽  
Survey Questionnaires

<p>The objective of this study is to investigate the factors that affect Chief Accounting Officers (CAOs), Chief Financial Officers (CFOs) and other employees’ perception of codes of behavior in their organizations in the Kingdom of Bahrain and whether an ethical work environment is influenced by factors such as the establishment of a code of behavior, corporate ethics committee, and/or policy empowerment. The paper is interpretive in nature for which data is collected using survey questionnaires. The findings validate components of an effective code of behavior similar to those identified in the literature which include: implementation of codes of behavior, checking on compliance by internal audit committees, achievement of their goals, follow-up on complaints and confidential channels for reporting ethics violations. Also, results show that the organizations under study generally comply with the values in their codes of behavior. However, the results indicate that the ethical work environment as it currently exists in the Kingdom of Bahrain lacks three aspects. First, setting of a code of behavior seems to be a mixed responsibility between legal departments and outside councils, with minimal participation from the employees. Second, the responsibility to check ethics complaints does not necessarily rest with the ethics committee. Third, lack of a robust mechanism that increases accountants’ and financiers’ awareness of the importance of COE. </p>

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