The compliance of Iraqi pharmacists with ethical principles in applying the pharmaceutical care for diabetic patients

2016 ◽  
Vol 11 (4) ◽  
pp. 159-165 ◽  
Author(s):  
Ehab Mudher Mikhael ◽  
Haydar F Al-Tukmagi
Keyword(s):  
Professional Competence ◽  
Ethical Issues ◽  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Ethical Principles ◽  
Diabetic Patients ◽  
Patient Centered ◽  
Cross Sectional ◽  
Ethical Practices ◽  
Validated Questionnaire

Pharmacists play a central role in caring of diabetic patients. During patient-centered care, important ethical issues and conflicts may arise, which makes ethical skills for pharmacist important toward conflict-resolution so this study aimed to assess compliance of Iraqi pharmacists with ethical principles while providing their care to diabetic patients. A cross sectional study by a validated questionnaire format was given to a convenient sample of 95 community pharmacists in Baghdad—Iraq. The questionnaire assesses the ethical practices of each pharmacist by using indirect questions through a simulated case which is commonly encountered in private pharmacies in Iraq. Most participated pharmacists failed to respect patient autonomy and they are not encouraging their patients to participate in decision making about their treatment. Participated pharmacists also failed in applying ethical principle of veracity during educating the patient about serious drug side effects. Furthermore most pharmacists had financial conflict of interests that undermine the pharmacist ability to fulfill the primary professional and ethical obligation to ensure patient's beneficence, justice and autonomy. Meanwhile most participated pharmacist may be good in maintaining their professional competence, yet the majority failed to develop their competence by keeping their knowledge up to-dated. In conclusion pharmacists failed to apply ethical principles during their usual care for diabetic patients.

scholarly journals Awareness and Perception towards Dental Ethics and Ethical Dilemmas among Dental Professionals -A Cross-Sectional Study

2021 ◽  
Vol 12 (1) ◽  
pp. 186-191
Author(s):  
Indumathy Pandiyan ◽  
Meignana Arumugham Indiran ◽  
Pradeep Kumar Rathinavelu ◽  
Arthi Balasubramaniam
Keyword(s):  
Ethical Issues ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Post Graduate ◽  
Private Practitioners ◽  
Validated Questionnaire ◽  
Encounter Complex ◽  
Professional Business ◽  
Dental Professionals

Dentists are one among the medical professionals who often encounter complex ethical issues. Playing the role of a health professional, business enterpriser and academician they often run into specific and conflicting ethical demands in practice and research. This cross-sectional study was conducted among dental professionals attached to educational institutions and private practitioners. A total of 95 participants, including private practitioners, faculty members, and post-graduate students, were recruited. A pre-validated, questionnaire containing questions related to awareness and perception in dental ethics was administered. Descriptive statistics was done to report the level of awareness and perception of dental professionals. About 65% of post-graduate professionals had awareness in clinical ethics when compared to undergraduate professionals who had 58% awareness. However, 75% of undergraduate professionals had awareness in research ethics compared to post-graduate professionals with 70% awareness. There was no difference in the perception level among graduate and post-graduate professionals. The awareness of dental ethics varied among dental professionals. There is a need to introduce specific continuing dental educational (CDE) programs to promote knowledge on dental ethics and dental jurisprudence to save dentist and their patients from encountering uneventful situations.

scholarly journals Awareness and Perception towards Dental Ethics and Ethical Dilemmas among Dental Professionals -A Cross-Sectional Study

2020 ◽  
Vol 11 (4) ◽  
pp. 7805-7810
Author(s):  
Indumathy Pandiyan ◽  
Meignana Arumugham Indiran ◽  
Pradeep Kumar Rathinavelu ◽  
Arthi Balasubramaniam
Keyword(s):  
Ethical Issues ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Post Graduate ◽  
Private Practitioners ◽  
Validated Questionnaire ◽  
Encounter Complex ◽  
Professional Business ◽  
Dental Professionals

Dentists are one among the medical professionals who often encounter complex ethical issues. Playing the role of a health professional, business enterpriser and academician they often run into specific and conflicting ethical demands in practice and research. This cross-sectional study was conducted among dental professionals attached to educational institutions and private practitioners. A total of 95 participants, including private practitioners, faculty members, and post-graduate students, were recruited. A pre-validated, questionnaire containing questions related to awareness and perception in dental ethics was administered. Descriptive statistics was done to report the level of awareness and perception of dental professionals. About 65% of post-graduate professionals had awareness in clinical ethics when compared to undergraduate professionals who had 58% awareness. However, 75% of undergraduate professionals had awareness in research ethics compared to post-graduate professionals with 70% awareness. There was no difference in the perception level among graduate and post-graduate professionals. The awareness of dental ethics varied among dental professionals. There is a need to introduce specific continuing dental educational (CDE) programs to promote knowledge on dental ethics and dental jurisprudence to save dentist and their patients from encountering uneventful situations.

scholarly journals Lebanese Doctors Facing the SARS-CoV-2 Pandemic: Practical and Ethical Issues

2020 ◽  
Author(s):  
Nicole Gebara ◽  
Georges Dabar ◽  
Roland Eid ◽  
Fady Ghassan Haddad ◽  
Hampig Raphael Kourie ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Practice ◽  
Ethical Issues ◽  
Well Being ◽  
Cross Sectional Study ◽  
Ethical Principles ◽  
Care Providers ◽  
Ethical Considerations ◽  
Cross Sectional

Abstract Background: In the light of the COVID-19 pandemic, the role of health care providers is essential to maintain the functioning of the health care system. Physicians accept a primary ethical duty to place the wellbeing and health of their patients above their own welfares. However, does the duty to patient well-being have any limit? Two ethical concerns are debated: public health’s ethical principles and medical ethics values. We aimed in this study to assess Lebanese physicians’ attitudes, practice and ethical considerations when treating their patients during the COVID-19 pandemic.Materials and methods: It’s a cross-sectional study conducted in March 2020 among a random sample of Lebanese physicians, using a questionnaire based mainly on a five-point Likert numerical scale to make the answers more reliable and valid. The questionnaire focused on the medical practice during the pandemic and the ethical considerations in public health and in medical practice. It also evaluates the physicians’ point of view toward the management of the pandemic in Lebanon. Results: A total of 318 physicians responded, with a mean age of 40 years. Five doctors of the total were affected by the COVID-19 infection (1.6%). 51.4% of medical specialists considered themselves to be at a higher risk of contracting the infection, while 52.3% of surgeons stated that they were at a lower risk. Doctors were neutral regarding treating patients according to any priority and discontinuing the ventilation of any patient with bad prognosis. The majority of doctors disagreed regarding the respect of the patient’s autonomy in refusing COVID-19 treatment with a mean score of 1.7/5. Finally, doctors expressed a neutral opinion regarding the ability of the country to manage such a pandemic with a mean score of 3.1/5. Conclusion: Although physicians recognize that they are at high risk of contracting COVID-19, they assume their responsibilities and their duty to treat, and they were neutral against any prioritization in treatment approach. However, applying the four ethical principles (autonomy, beneficence, non-maleficence and justice) may become challenging. Hence, more medical and ethical recommendations are required to guide physicians during this pandemic.

scholarly journals Assessment of Good Pharmacy Practice among Community Pharmacist and their Perceptions on Ethical Dilemmas

2021 ◽  
Vol 11 (2) ◽  
pp. 113-122
Author(s):  
T.T. Muhammed Anwar ◽  
G.R. Rajalakshmi
Keyword(s):  
Community Pharmacy ◽  
Community Pharmacist ◽  
Ethical Dilemma ◽  
Ethical Issues ◽  
Pharmacy Practice ◽  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Time Period ◽  
Self Administered Questionnaire

Drugs are the prime member of any disease prevention plans and ailment treatment programmes. Pharmacists are the health professionals appointed by relevant authorities for safe and efficacious use of drugs, since they are the specially upskilled and trained personnel for controlling, organizing and distribution of medicines. Medicine alone does not provide desired treatment output. In order to achieve the optimal treatment goals pharmacist must provide enhanced drug related needs and ensure the services are of proper quality. This study aims to assess the Good Pharmacy Practice among community pharmacist, determine the frequency of ethical dilemma at community pharmacy settings and to assess the reasons why community pharmacists may compromise ethical values.It was a descriptive cross - sectional study carried out in different community pharmacies in Kozhikode district of Kerala. The study was executed in 6 months time period. The sample size was 115 community pharmacists working in Kozhikode district. Total of 120 subjects were enrolled and data were collected using a validated self-administered questionnaire. The result shows that most of the pharmacists were providing quality services to the patients and they are facing various ethical dilemma situations in their day today life. They were facing ethical dilemma situation at least once in three months. Community pharmacists compromise on ethical values and ethical issues mainly for protecting their job. The physicians request and employer’s invasion into their activities has a great role in ethical dilemma situations and thus violating the rules. Keywords: GPP, community pharmacy, ethical dilemma, pharmacy services.

scholarly journals Factors Influencing Awareness of Drug Store Personnel about Pharmacovigilance

2021 ◽  
pp. 1-6
Author(s):  
Hirra Soomro ◽  
Mirza Tasawer Baig ◽  
Sadaf Ibrahim ◽  
Syed Nudrat Nawaid Shah ◽  
Samina Sheikh ◽  
...  
Keyword(s):  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Professional Status ◽  
Sectional Study ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Sindh Province ◽  
Study Population ◽  
Self Administered Questionnaire

Pharmacovigilance is an essential process when dealing with the medicines. It is one of the basic roles of community pharmacist. This role is not found in practice. Due to lacking this role, monitoring of adverse drug reactions and awareness to report them is missed in the society. However, no significant data has been published to exhibit the role of community pharmacists in Pharmacovigilance. This study was aimed to help in stowing the pharmacist role, in community Pharmacovigilance of Pakistan, to give awareness not only to community pharmacists but to regulatory authorities to establish policies regarding ADRs. A cross-sectional study was conducted through a pre-validated questionnaire. This study was conducted in 16 Districts of Sindh Province of Pakistan. 368 pharmacies/ medical stores responded to the self administered questionnaire. The results showed dependence of Awareness to the Pharmacovigilance upon Professional Status, Education of Participants and Experience of study population in pharmacies/ medical stores.

Knowledge, Attitude, Practice, and the Perceived Barriers with Respect to the Use of Herbal Medicines

2020 ◽  
Vol 19 (1) ◽  
pp. 29-35
Author(s):  
Mater H. Mahnashi
Keyword(s):  
Saudi Arabia ◽  
Work Experience ◽  
Positive Attitude ◽  
Herbal Medicines ◽  
Community Pharmacists ◽  
Significant Degree ◽  
Cross Sectional Study ◽  
Sources Of Information ◽  
Patient Centered ◽  
Cross Sectional

Community pharmacists are in an ideal position to counsel patients about herbal medicines. This study was designed to determine the knowledge, attitude, practice, and barriers about the herbal medicines among community pharmacists in Najran, Saudi Arabia. A cross-sectional study was conducted on a representative sample of 62 community pharmacists in Najran, Saudi Arabia, from June to September 2019. Majority of the participants were aged between 20 and 29 years, had a bachelor's degree, and work experience ranged between 1 and 5 years. Ginseng (54.8%) was the most regularly dispensed herb. The pharmacists held a significant degree of knowledge about the therapeutic uses with an average of 78.61% correct answers (P = 0.000), and the majority (63.54%) recognized correctly the possible adverse effects, drug-herb interactions, and contraindications related to herbal medicines (P = 0.000). The majority of the community pharmacists owned a positive attitude and showed good practices toward herbal medicine. The community pharmacists in the Najran region showed good knowledge, a positive attitude, and efficient practice toward herbal medicines. However, there is a demand for further training, continuing medical education, enhanced access to authentic sources of information, and stringent regulation and control of traditional drug stores to realize the achievement of patient-centered public health activities.

scholarly journals Community Pharmacists' Attitudes and Practice in the Management of Minor Ailments

2021 ◽  
Vol 30 (2) ◽  
pp. 225-230
Author(s):  
Ehab Mudher Mikhael
Keyword(s):  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Patient Counseling ◽  
Dosing Regimen ◽  
Or Education ◽  
Cross Sectional ◽  
Minor Ailment ◽  
Validated Questionnaire ◽  
Medication Counseling ◽  
Minor Ailments

This study aimed to know the attitudes and practice of pharmacists regarding the management of minor ailments in Iraqi community pharmacies. A cross-sectional study for 320 community pharmacists was conducted during February 2020 using a newly developed and validated questionnaire. Only 4.4% of pharmacists prefer not to deal with minor ailment cases. Minority (15.6%) of participated pharmacists refer more than half of minor ailment cases they face to the physician. Regarding the assessment of minor ailments using WWHAM technique, what are the symptoms are the most commonly asked questions by pharmacists. Only 49.1% mentioned that they ask all WWHAM questions. On the other hand, most pharmacists (90%) educate their patients about the dosing regimen. Meanwhile, less than 10% of pharmacists provide their patients with all possible information about their medications. All demographic factors had no effect on the pharmacists' usage of WWHAM technique and in pharmacist's role in patient counseling or education. In conclusion minor ailment services that provided by community pharmacists' in Iraq was poor at which most pharmacists don't use WWHAM technique appropriately and also fail to provide their patients with the required medication counseling and education.

Perception of Therapeutic Education in Diabetic Patients at Tit Melil Health Center

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Mory Sanoh
Keyword(s):  
Well Being ◽  
Cross Sectional Study ◽  
Basic Element ◽  
Therapeutic Education ◽  
Diabetic Patients ◽  
Oral Antidiabetics ◽  
Educational Training ◽  
Cross Sectional ◽  
Type 2 Diabetics

Introduction : A chronic condition like diabetes interferes with an individual's well-being, and if some of their needs are not met because of the disease, their quality of life is reduced. In this context, therapeutic education constitutes a basic element in the management of diabetes.Materials and Methods : A cross-sectional study by self-administered questionnaire and interviews which were carried out with all type 1 and type 2 diabetics, consultants at the level of the Tit Mélil Primary Health Care establishment, in 2019 and who benefited from or not therapeutic education, with or without complications.Result : The study included 50 diabetic patients, surveys show us that type 1 diabetic patients were 13 (26%). And type 2.37 (74%). Regarding the organization of care, 74% of patients say they are under treatment with oral antidiabetics, 10% oral antidiabetics and insulins, 6% insulin therapy and others under diet. Speaking of Food, 76.5% of diabetics know the importance and know what foods to avoid.Conclusion : TVE is possible, it will result in a change in the structure of programs and new educational training for caregivers.

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