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.

Community Pharmacist Preferences in Transition of Care Communications

2018 ◽  
Vol 32 (5) ◽  
pp. 524-528 ◽  
Author(s):  
Mackenzie A. Dolan ◽  
Chelsea P. Renfro ◽  
Stefanie P. Ferreri ◽  
Betsy B. Shilliday ◽  
Timothy J. Ives ◽  
...  
Keyword(s):  
Community Pharmacy ◽  
Health Care Providers ◽  
Community Pharmacist ◽  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Study Data ◽  
Future Research ◽  
Transition Of Care ◽  
Care Providers ◽  
Cross Sectional

Objective: To determine community pharmacist preferences in transition of care (TOC) communications. Methods: In this cross-sectional study, data were gathered via electronic survey of community pharmacists regarding their preferences for TOC communications. The survey was distributed via email by the North Carolina Board of Pharmacy. Results were analyzed using descriptive statistics. Results: Survey responses were received from 343 community pharmacists (response rate = 6.1%). Responders most commonly worked in an independent, single store (29.2%, n = 100) or national chain (29.2%, n = 100) pharmacy setting. Preferred method for a TOC communication was via electronic health record (63.0%, n = 184). Preferred TOC communication content are mentioned as follows: active (93.2%, n = 274) and discontinued (86.4%, n = 254) medications and reason for hospitalization (85.0%, n = 250). The top 3 self-identified barriers to utilizing a TOC communication: lack of care coordination with community pharmacy (35.0%, n = 14), lack of support from other health-care providers (22.5%, n = 9), and absence of compensation for providing the service (17.5%, n = 7). When asked if TOC communications were available, 97.5% (n = 278) indicated it would be useful. Conclusion: Community pharmacists acknowledged a need for TOC communications and shared their preferences in the content and method of communication. Future research is warranted to implement TOC communications between a health system and community pharmacy.

scholarly journals Evaluation of Knowledge, Attitudes and Experience of off-label Drug Prescribing Practice among Physicians in Baghdad City Hospitals

2019 ◽  
Vol 28 (2) ◽  
pp. 115-123
Author(s):  
Aysha M. Shanshal ◽  
Ahmed H. Ataimish
Keyword(s):  
Clinical Trials ◽  
Ethical Issues ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Pharmaceutical Companies ◽  
Cross Sectional ◽  
Off Label ◽  
Healthcare Settings ◽  
Prescribing Practice ◽  
Self Administered Questionnaire

Abstract The present study aims to assess the knowledge, attitude, and experience of off-label prescribing practice among physicians in Baghdad city hospitals. This cross-sectional study was performed through the period from November 1st 2018 to March 2019 at 17 hospitals, a self-administered questionnaire was utilized to collect data from the physicians, and the targeted hospitals were randomly selected at different regions in Baghdad City area. Out of the 400 distributed questionnaires to the physicians, 383 of them were returned completed, 57.2% indicated that they were reasonably familiar with the term “off label drug”, 57.7% mentioned that the most common medical reasons for the prescribing off-label drugs were unavailability of alternatives, 67.6%, 65.5% had concerns regarding its safety and efficacy respectively, 62.7% agreed that the (MOH) authority should provide an incentive to stimulate pharmaceutical companies to perform clinical trials in Iraqi patients, 49.1% believed that clinical trials that recruit volunteers involve ethical issues. Extensive efforts are required to implant programs, regulations and guidelines to control the off-label prescribing practice among the Iraqi healthcare providers who are authorized to prescribe medications at different healthcare settings.    

scholarly journals Practice and Barriers towards Provision of Health Promotion Services among Community Pharmacists in Gondar, Northwest Ethiopia

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Dessalegn Asmelashe Gelayee ◽  
Gashaw Binega Mekonnen ◽  
Seyfe Asrade Atnafe
Keyword(s):  
Health Promotion ◽  
Educational Level ◽  
Pharmacy Practice ◽  
Community Pharmacists ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Drug Misuse ◽  
Cross Sectional ◽  
Level Of Involvement

Background. Health promotion is now becoming an integral part of community pharmacy practice worldwide. Objectives. This study was intended to determine the level of involvement of community pharmacists in providing health promotion service and to identify the barriers to the practice. Methods. A cross-sectional study was conducted on 48 community pharmacists working in Gondar town, Northwest Ethiopia. Data on sociodemographic factors, practice, and barriers to health promotion service were collected and analyzed using SPSS version 20. Results. The majority of respondents were B.Pharm holders (n=27, 56.3%). Almost all respondents (n=45, 95.8%) were willing and claimed to be well involved in health promotion services. The top 5 services were related to drug misuse, asthma, diabetes, family planning, and cardiovascular diseases. However, involvement in some types of health promotion services significantly differed based on sex, educational level, and pharmacy ownership of respondents. The main barrier reported was lack of training. Conclusion. The community pharmacists in Gondar, Northwest Ethiopia, are engaged in health promotion activities. However lack of training has limited their level of involvement and practice differences were noted based on sex, educational level, and pharmacy ownership status of the respondents.

scholarly journals Antibiotics’ Use in Thailand: Community Pharmacists’ Knowledge, Attitudes and Practices

Antibiotics ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 137
Author(s):  
Budh Siltrakool ◽  
Ilhem Berrou ◽  
David Griffiths ◽  
Saleh Alghamdi
Keyword(s):  
Community Pharmacy ◽  
Viral Infections ◽  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Over The Counter ◽  
Attitudes And Practices ◽  
Antibiotics Use ◽  
Tract Infections ◽  
Knowledge Attitudes And Practices

Thailand spends $203 million on antibiotics every year, and patients can still access antimicrobials over the counter without a prescription. Community pharmacy plays a pivotal role in improving access and ensuring the appropriate use of antimicrobials. However, little is known about current practices in this setting. This study aims to assess Thai community pharmacists’ knowledge, attitudes and practices (KAP) regarding antimicrobials’ use and resistance. A cross-sectional study was conducted in Bangkok and Chonburi province in 2017 using an online self-administered questionnaire. The questionnaire was completed by 372 community pharmacists (71.4% response rate). The most commonly encountered infections in the community were upper and lower respiratory tract infections. The most commonly dispensed antimicrobials were broad-spectrum antibiotics including aminopenicillins and fluoroquinolones. Thai pharmacists have a good knowledge, attitude, and practice regarding antimicrobials’ use and resistance. They dispense anti-microbials in line with local guidelines, although international guidelines may not indicate anti-biotics for viral self-limiting infections. While community pharmacy in Thailand could be the most accessible healthcare resource for patients, inappropriate provision of antimicrobials for self-limiting viral infections by pharmacists will increase antimicrobial resistance. This highlights the need for updated guidance and improved pharmacists’ training.

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 Community pharmacists’ interest in and attitude to pharmacy practice research in Ethiopia: A cross-sectional study

PLoS ONE ◽  
2017 ◽  
Vol 12 (6) ◽  
pp. e0178919 ◽  
Author(s):  
Akshaya Srikanth Bhagavathula ◽  
Eyob Alemayehu Gebreyohannes ◽  
Begashaw Melaku Gebresillassie ◽  
Daniel Asfaw Erku ◽  
Chernet Tafere Negesse ◽  
...  
Keyword(s):  
Pharmacy Practice ◽  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Practice Research ◽  
Sectional Study ◽  
Cross Sectional ◽  
Pharmacy Practice Research

scholarly journals Southern Yemeni Pharmacy Dispensers ' Understanding, Attitudes and Perceived Barriers Related to Pharmaceutical Care

2020 ◽  
Vol 10 (4-s) ◽  
pp. 6-12
Author(s):  
Shuhd Alawi ◽  
Nazeh Al-Abd ◽  
Ali Rageh ◽  
Wafa F.S. Badulla ◽  
Mohammed Alshakka
Keyword(s):  
Community Pharmacy ◽  
Pharmaceutical Care ◽  
Physical Space ◽  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Bachelor's Degree ◽  
Community Pharmacies ◽  
Cross Sectional ◽  
Medication Therapy ◽  
Positive Attitudes

Background: Pharmaceutical care (PC) is the value of a practice that includes recognizing and solving medication therapy issues to improve patient outcomes. Studies regarding this issue in Yemen are very limited. Objectives: The study aims to assess the perception of community pharmacists to the concept of Pharmaceutical care and the obstacles that limit the provision of pharmaceutical care. Method: A descriptive cross-sectional study of community pharmacy dispensers (CPDs) was conducted among pharmacists and pharmacy technicians working in community pharmacies in different areas of South Yemen from September 2019 until December 2019. The structured self-administered questionnaires consist of four sections dealing with the demographics of participants and their understanding of the concept of pharmaceutical care and their attitudes and obstacles to the implementation of pharmaceutical care in Yemen. The collected data was analyzed using Statistical Package for Social Sciences (SPSS) version 25.0 Results: A total of Two-hundred pharmacists were included in this study. The result revealed that there were a reasonable number of experts (over 5 years' experience) and educated pharmacists( Diploma and bachelor’s degree) available for counseling patients about specific issues in the community pharmacies. Interestingly, all the respondents had good knowledge of pharmaceutical care and the majority of the pharmacists (87.5%) had a favorable attitude toward pharmaceutical care and their role in the health care system. The overall results relating to the perceived frequency of community pharmacy services provision was lower than (50%) in most statements. The result indicated a gap in the community pharmacists' communication with the patients. There are several barriers impedes the active and effective involvement of community pharmacists such as; insufficient communication with physicians, lack of physical space for pharmaceutical care, the slow introduction of pharmacists’ law, and others. Conclusion: The results revealed that pharmacists' understanding of the pharmaceutical care concept is good despite that there was no real implementation of pharmaceutical care. Even though they had positive attitudes towards the concept but there were many barriers to the effective application. Keywords: Pharmaceutical Care Concept; Community Pharmacists; South Yemen

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