scholarly journals Perceptions, experiences and expectations of physicians regarding the role of pharmacists in low-income and middle-income countries: the case of Tehran hospital settings

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e019237 ◽  
Author(s):  
Fatemeh Alipour ◽  
Farzad Peiravian ◽  
Gholamhossein Mehralian

ObjectivePharmacists play a pivotal role in the health continuum, and the perceptions and expectations of physicians towards pharmacists have been reported as a key factor in the interprofessional relationship. This study aimed to elicit the perceptions and expectations of physicians towards the role of pharmacists in hospitals to clarify the level of interaction between physicians and pharmacists in hospital settings.DesignA cross-sectional survey using a self-administered questionnaire was conducted to collect data in 2016.MethodsA cross-sectional study was carried out at 20 large government hospitals in Tehran Province. Data was collected using a questionnaire consisting of four sections. It includes a section on demographic profile and three sections to measure the perceptions of physicians towards pharmacists, the expectations of physicians and their experiences with pharmacists, respectively.ResultsMore than two-thirds of physicians (67.2%) agreed that pharmacists were a reliable source of general drug information. The majority of physicians (90.6%) expected pharmacists to advise their patients about the dose and administration of their medications. Almost half of the physicians (51.6%) agreed that they were usually informed by pharmacists regarding potential problems in their prescriptions. Both senior and junior residents had the view that pharmacists would inform them if any potential problems with their prescriptions were discovered (P=0.04).ConclusionThis study demonstrated that physicians had positive view on pharmacists’ clinically defined roles and also accepted pharmacists as a valuable source of general drug information. However, the perceptions and expectations of physicians towards pharmacists did not match their real experience. Therefore, improving the awareness of physicians about the benefits of interprofessional collaboration with pharmacists seems to be a key step towards the implementation of pharmaceutical care practices in Iran.

Author(s):  
Hashim A. Mahdi ◽  
Hamza M. Assaggaf ◽  
Mohammad Alfelali ◽  
Omar B. Ahmed ◽  
Radi Alsafi ◽  
...  

This study aimed to assess hand hygiene knowledge, perception, and practices of visitors to the Prophet’s Mosque in Al Madinah City, Saudi Arabia. Using a self-administered electronic questionnaire, a cross-sectional survey was conducted among domestic residents, who visited the mosque between 31 July and 3 August 2020. Participants’ demographic data, hand hygiene knowledge, perception, and practices were collected. Four hundred participants aged 18–65 (median 36) years completed the survey, of which 215 (53.8%) were female. The visitors’ mean knowledge score about hand hygiene was 6.4 (± standard deviation (SD) 1.35) of total 12. Most participants (392, 98%) were aware of the role of hand hygiene in preventing Coronavirus Disease 2019 (COVID-19); nevertheless, 384 (96%) said hand hygiene lowers body immunity and 316 (79%) thought <60% alcohol is sufficient for hand disinfection. Males had a higher knowledge score than females (6.46 (±1.41) vs. 6.14 (±1.27), p = 0.02) and, visitors who had no formal education scored higher than those with post-graduate education (6.88 (±1.45) vs 5.73 (±1.12), p = 0.01). Washing hands with soap and water was the predominant method practiced after a meal (365, 91.7%), after toilet visit (354, 88.5%), after touching a surface (262, 65.7%), after waste disposal (332, 83.2%), and when hands were visibly dirty (357, 89.5%). Al Madinah visitors had moderate knowledge about hand hygiene, but demonstrated some knowledge gaps and negligence in practice that are crucial to curb the spread of COVID-19.


2021 ◽  
Vol 66 ◽  
Author(s):  
Jingjing Cai ◽  
Yun Wang ◽  
Feng Wang ◽  
Jingjing Lu ◽  
Lu Li ◽  
...  

Objective: Internet addiction has emerged as a growing concern worldwide. This study aimed to compare the prevalence of Internet addiction between left-behind children (LBC) and non-left-behind children (non-LBC), and explore the role of paternal and maternal parent-child communication on LBC.Methods: We conducted a cross-sectional survey in rural areas in Anhui, China. The complete data were available from 699 LBC and 740 non-LBC. Multivariable logistic regression was used to examine 1) whether LBC were more likely to develop Internet addiction, and 2) the association between parent-child communication and Internet addiction among LBC.Results: LBC had a higher likelihood to report Internet addiction when compared to non-LBC (OR = 2.03, 95%CI = 1.43–2.88, p &lt; 0.001). Among LBC, parent-child communication (both mother-child and father-child) was protective factor for children’s Internet addiction. The role of mother-child communication played well among male LBC.Conclusions: The lack of parental supervision may lead to Internet addiction. It is highly recommended for migrant parents to improve the quality of communication with their children. Also, gender-matching effects should be considered in the relationship between children’s behavior and parental factors.


2020 ◽  
Author(s):  
Folake Barakat Lawal ◽  
Gbemisola Aderemi Oke

Abstract Background The school is primed as an avenue for promoting health among adolescents. Conversely, the high unmet dental needs among school-going adolescents raises concern about the role of schools in this task. This study therefore assessed the role of schools in promoting positive oral health behaviour among adolescents through Capabilities, Opportunities, Motivation (COM-B) model in a Low-Income-Country.Methods Two thousand and ninety-seven students aged 12-18 years were recruited from 30 randomly selected Secondary Schools in a cross sectional study conducted in Ibadan, Nigeria. Data on Capabilities; Oral Health Knowledge (K), Attitude (A), Practices (P) and Motivation of the students as well as oral health promotional (OHP) activities (Opportunities) in the schools were assessed through a questionnaire. A checklist was used to assess availability of OHP materials and the schools’ tuck shops for sale of healthy food (Opportunities). Data were analyzed with STATA version 14.Results The mean KAP score was 43.8 (± 11.4)%. Oral health education was the only activity reported and this was in 8 (26.7%) schools; only 331 (15.8%) students had been educated about their oral health. There were no oral health promotional materials in the schools. About half 1161 (55.4%) were motivated to participate in school oral health program. All the tucks shops had cariogenic foods and drinks for sale. Students who had better KAP scores - Capabilities (OR = 1.2, 95%CI = 1.0-1.5, p = 0.018) or had been educated about oral health - Opportunities (OR = 1.5, 95%CI = 1.2-2.0, p < 0.001) were better motivated about their oral health.Conclusion The schools surveyed played very little or no role to support positive oral health behavior of adolescents. There were no OHP materials in the schools. Students who had superior oral health KAP (capabilities) or had been exposed to oral health education (opportunities) were better motivated about their oral health.


2020 ◽  
Vol 8 (2) ◽  
pp. 57-63
Author(s):  
Neeraj Dewanda ◽  
Ankit kumar

Background: Thalassemia is a hereditary autosomal recessive haemoglobinopathy that remains a major health problem throughout the world. Aims and Objectives: The aim of this study was to evaluate knowledge of the relatives of Thalassemia patients regarding different aspects of Thalassemia with special emphasis on the role of splenectomy. Material and Methods: This was a cross-sectional study conducted at a Government Tertiary Thalassemia day care centre. Initially, 131 relatives of Thalassemia patients were interviewed. Excluding 10 relatives, 87 (66.4 %) relatives having knowledge of splenectomy were further interviewed regarding various aspects of splenectomy. Result: In our survey, 67.2 % relatives had knowledge about the congenital origin of the disease. The knowledge about premarriage counselling, risk of consanguineous marriage, antenatal screening and medical termination of pregnancy was 55%, 29.8%, 70.2% and 64.1% respectively. Although all (100%) relatives knew about regular blood transfusion and iron chelation, only 74% and 63.4% of the relatives had the knowledge about splenectomy and bone marrow transplant as a treatment modality, respectively. In 87 relatives interviewed further, 37.9 % came to know about splenectomy from other relatives. The indications of splenectomy known were: splenomegaly (98.8%), increased blood transfusion (68.9%), low platelet count (20.6%) and low TLC (4.6%). Only 47.1% were aware about the optimal age of splenectomy. Awareness about serious complication of OPSI, its prevention by preoperative vaccinations and postoperative chemoprophylaxis was only 48.3%, 62% and 46% respectively. Around 59% knew about role of blood transfusion and 74.7% were aware about the need of regular follow up after splenectomy


Author(s):  
Abdullah A. Alshehri ◽  
Ejaz Cheema ◽  
Asma Yahyouche ◽  
M. Sayeed Haque ◽  
Zahraa Jalal

AbstractBackground Since 2015, NHS England has facilitated the recruitment of pharmacists in general practice (GP) to reduce workload of general practitioners. The role of pharmacists is therefore expected to become more clinical and patient oriented. However, little is known about the current roles performed and the integration of GP pharmacists. Objective To assess the role performed by GP pharmacists and their integration into practice exploring facilitators and barriers to integration. Setting A cross-sectional survey of GP pharmacists in England. Method This study used both online and paper-based questionnaires for a period of six months. Survey items included demographics, roles performed, integration including available support and practice environment. Quantitative data were analysed using descriptive statistics and 95% confidence intervals. Open comments were analysed thematically to identify pharmacists’ perceptions of barriers and facilitators to their integration into practice. Main outcome measure Current role and integration of pharmacists into GP. Results 195 participants completed the questionnaire. Three quarters of pharmacists (76%) had only been in GP since 2015. Most pharmacists (81%) were independent prescribers (PIPs). The most reported pharmacists’ roles were medicine reconciliation (95%), telephone support for patients (95%) and face-to-face medication review (91%). 82% (95% CI: 76% to 86.8%) were satisfied with their overall integration into practice. Half of pharmacists (45%) were working in a shared office or at a hot desk and 9% had no designated workspace. PIPs had more access to a convenient workplace (p = 0.016) compared to non-IPs. Conclusion Practice pharmacists are fulfilling a wide range of clinical and non-clinical roles in England. Findings highlight relatively a satisfactory level of pharmacists’ integration into practice and shed the light on their integration issues. These findings could be significant for the development of future roles of pharmacists in GP.


2021 ◽  
pp. 0192513X2199318
Author(s):  
Heidi J. Niedfeldt ◽  
Trent E. Sever ◽  
Rilee Smith ◽  
Elizabeth A. Davis ◽  
Generose Mulokozi ◽  
...  

This study examined the relationship between men’s involvement and primary caregivers’ antenatal visits, acquiring antenatal tablets, and working less during pregnancy. A cross-sectional survey was conducted with 5,000 Tanzanian primary caregivers living in households with one or more children under the age of 2 years. Results indicated that primary caregivers who received help from their husband/partner, or perceived that men in their community helped their pregnant spouses, were more likely to practice healthy antenatal care behaviors, including attending antenatal visits, acquiring antenatal tablets, and working less during pregnancy. Similarly, women who thought that all their friends receive help from their husbands/partners were twice as likely to reduce their workload during their pregnancy. These findings suggest the importance of male involvement and support during pregnancy in order to improve antenatal care, reduce workload, and increase tablet consumption among primary caregivers.


2020 ◽  
Vol 18 (3) ◽  
pp. 1928 ◽  
Author(s):  
Mary E. Fredrickson ◽  
Hayley Terlizzi ◽  
Rikki L. Horne ◽  
Stanley Dannemiller

Background: The role of the community pharmacist is rapidly expanding to encompass the care of veterinary patients in the United States of America This change makes it imperative for pharmacists and veterinarians who practice in community settings to establish mutual agreement on the roles of pharmacists in the care of these patients. Objective: To examine community-based pharmacist and veterinarian viewpoints on interprofessional collaboration and the role of the community pharmacist in veterinary patient care. Methods: Cross-sectional surveys were sent to pharmacists and veterinarians who practice in a community setting in Ohio. Surveys collected demographic information and addressed the following themes: attitudes toward collaboration, perceived roles of the pharmacist, expectations of the pharmacist, and previous collaborative experiences. A chi-square test was used for statistical analysis. Results: In total, 357 pharmacists and 232 veterinarians participated in the study. Both professions agreed that pharmacist-veterinarian collaboration is important in order to optimize veterinary patient care (chi-square (1, N=589)=7.7, p=0.006). Overall, veterinarians were more likely to identify an important role of the community pharmacist to be compounding medications (chi-square (1, N=589)=26.7, p<0.001) compared to counseling pet owners (chi-square (1, N=589)=171.7, p<0.001). Both groups reported similar levels of agreement regarding the importance for pharmacists to have adequate knowledge of veterinary medicine. Conclusions: Our study found that while both pharmacists and veterinarians conveyed a positive attitude regarding interprofessional collaboration, they disagreed on what role the pharmacist should play in the care of veterinary patients. Rectifying the discordant perceptions of these health care professionals may be critical to developing collaborative initiatives and optimizing veterinary patient care.


2020 ◽  
pp. 69-85
Author(s):  
A. I. Pishnyak ◽  
A. R. Goriainova ◽  
E. A. Nazarbaeva ◽  
N. V. Khalina

The topic of the middle class is back among the most relevant in recent years against the background of searching for growth drivers for the economy and the key to social stability of society. The expectations placed on the middle class often seem excessive and contradictory, but there are perspectives in which this stratum of society differs significantly from other Russians. This article examines the role of the middle class as a provider of changes and new standards of consumption through investment practices in the development of human capital. The focus is on the consumption of paid services in education and health, both in dynamics over a period of almost 20 years, and based on data from a special cross-sectional study of the middle class conducted in 2018. An assessment of the dynamics of consumption of paid services shows that the Russian middle class is actively increasing investment in human capital in favorable economic conditions and is trying to maintain the existing level of consumption in times of crisis, while remaining the leader in the consumption of these services among the population. A factor model of investment behavior of the middle class built on the data of a special cross-sectional survey highlights the differentiation of behavior of various socio-economic groups in its composition. The study takes into account the heterogeneity of the middle class and analyzes the behavior of its core and other representatives.


2020 ◽  
Vol 42 (5) ◽  
pp. 1335-1343
Author(s):  
Johna Alimamy Kabba ◽  
Peter Bai James ◽  
Christian Hanson ◽  
Jie Chang ◽  
Chenai Kitchen ◽  
...  

2021 ◽  
Vol 14 (1) ◽  
pp. 17-23
Author(s):  
Olabimpe A. Olatunji ◽  
Erhabor S. Idemudia ◽  
Babatola D. Olawa

Introduction: Farming in most developing nations is still largely agrarian. Hence, ensuring high productivity among farmers requires that they must be both physically and psychologically healthy. The current study aimed at investigating the role of personality types and some demographic factors on psychological distress in farmers. Methods: The study employed a cross-sectional survey design of 301 farmers (male = 193, female = 107; age range = 17 – 74; M = 45.6 SD = 11.5) sampled purposively and conveniently from three major farm settlements in Ekiti State, Nigeria. Data were analyzed using multiple regression stratified by educational status. Results: Findings revealed that high neuroticism and low family income predicted psychological distress in less-educated farmers but not among more educated counterparts. Conclusion: Outcomes imply that less-educated farmers may be vulnerable to psychological distress due to personality disposition and economic factors. Increasing the level of literacy among farmers may wane the negative impact of neuroticism and low income on emotional wellness.


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