Perceptions and Attitudes of Pharmacogenomics Through the Lens of Community Pharmacists and Patients

2021 ◽  
pp. 21-30
Author(s):  
Dalga Surofchy ◽  
Christina Mnatzaganian ◽  
Lord Sarino ◽  
Grace Kuo
Keyword(s):  
Healthcare Workers ◽  
Community Pharmacists ◽  
Survey Study ◽  
Routine Practice ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Potential Barriers ◽  
Perceptions And Attitudes ◽  
Practice Methods ◽  
Pharmacy Chain

Background Pharmacists represent some of the most accessible healthcare workers and are in an opportune position to spearhead new clinical initiatives, such as pharmacogenomics (PGx) services. It is important that we understand the perceptions and attitudes both pharmacists and patients have regarding PGx and potential barriers of implementing it into routine clinical practice. Methods A cross-sectional survey study was conducted across one regional division of a large community pharmacy chain to assess the perceptions and attitudes of pharmacists and patients regarding PGx in California. A secondary aim was to determine perceived barriers to PGx implementation into community pharmacies. Results The majority (67%) of pharmacists agreed or strongly agreed to understanding PGx compared to 35% of patients being aware of PGx (p<0.001). More patients (62%) preferred their pharmacist compared to pharmacists (43%) preferring themselves as a provider to manage patients' medications based on their PGx results (p<0.01). Many patients (88%) expressed interest in participating in a PGx test; both pharmacists (84%) and patients (85%) were unlikely to have participated or know someone who has participated in PGx testing. Pharmacists and patients expressed similar concerns about privacy of their PGx data by employers (p=0.287) and insurers (p=0.953), a potential barrier to PGx implementation. Conclusion Pharmacists are well positioned to spearhead PGx consultations and patients are interested in pharmacists using PGx to help manage their medications; however, various barriers were identified that must be overcome for PGx to become incorporated in routine practice.

scholarly journals Burnout of Healthcare Workers amid the COVID-19 Pandemic: A Japanese Cross-Sectional Survey

2021 ◽  
Vol 18 (5) ◽  
pp. 2434
Author(s):  
Yoshito Nishimura ◽  
Tomoko Miyoshi ◽  
Hideharu Hagiya ◽  
Yoshinori Kosaki ◽  
Fumio Otsuka
Keyword(s):  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Healthcare Delivery ◽  
General Medicine ◽  
Maslach Burnout Inventory ◽  
University Hospital ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Past

The coronavirus disease 2019 (COVID-19) global pandemic has drastically changed how we live and work. Amid the prolonged pandemic, burnout of the frontline healthcare professionals has become a significant concern. We conducted a cross-sectional survey study to provide data about the relationship between the COVID-19 pandemic and the prevalence of burnout in healthcare professionals in Japan. Healthcare workers in a single Japanese national university hospital participated in the survey, including basic demographics, whether a participant engaged in care of COVID-19 patients in the past 2 weeks and the Maslach Burnout Inventory. Of those, 25.4% fully answered the survey; 33.3% were doctors and 63.6% were nurses, and 36.3% engaged in care of COVID-19 patients in the past 2 weeks. Compared to those belonging to General Medicine, those in Emergency Intensive Care Unit were at higher risk of burnout (odds ratio (OR), 6.7; 95% CI, 1.1–42.1; p = 0.031). Of those who engaged in care of COVID-19 patients, 50% reported burnout while 6.1% did not (OR 8.5, 95% CI; 1.3–54.1; p = 0.014). The burnout of healthcare workers is a significant concern amid the pandemic, which needs to be addressed for sustainable healthcare delivery.

scholarly journals Validation of the Copenhagen Burnout Inventory in Pharmacists

2021 ◽  
Vol 12 (2) ◽  
pp. 4
Author(s):  
Olajide O. Fadare ◽  
Michael Andreski ◽  
Matthew J. Witry
Keyword(s):  
Logistic Regression ◽  
Community Pharmacists ◽  
Measurement Model ◽  
Criterion Validity ◽  
Work Life ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Work Related ◽  
Valid Instrument ◽  
Practice Methods

Objectives: This study aimed to 1) determine the validity of the Copenhagen Burnout Inventory (CBI) for use in the assessment of burnout in a sample of pharmacists using confirmatory factor analysis (CFA), and 2) use the CBI items and other measures of work-life to assess burnout in pharmacists employed in various types of practice. Methods: A cross-sectional survey was administered to a sample of 2,582 pharmacists in a single Midwestern US state. The survey included the three subscales of the CBI, each of which measures personal, work-related, and patient-related dimensions of burnout. Other items included demographics, practice type, workload, and work-life balance. CFA was used to measure fit, and Cronbach’s alpha was used to assess reliability. Correlation was used to assess criterion validity of the CBI. Logistic regression and bivariate analyses were used to assess pharmacist burnout based on demographics. Results: Following the removal of 2 items from the measurement model, a 17-item 3-factor CBI was found to possess satisfactory psychometric properties for use in pharmacists. The CBI correlated with measures of work-life demonstrating criterion validity. A logistic regression showed that younger pharmacists and community pharmacists experience higher burnout than older pharmacists and clinical pharmacists. Community pharmacists also more often reported high workloads and poorer work-life integration. Both community and clinic pharmacists desired more time providing patient care services and less time dispensing. Conclusion: The CBI is a psychometrically reliable and valid instrument for assessing burnout in pharmacists. Younger pharmacists and community pharmacists warrant attention due to their higher degree of burnout.

Evaluating the Economic Impact of a Targeted Medication Intervention Program

2013 ◽  
Vol 26 (6) ◽  
pp. 562-573 ◽  
Author(s):  
Sarah A. Rhodes ◽  
Abigale E. Reynolds ◽  
Macary W. Marciniak ◽  
Stefanie P. Ferreri
Keyword(s):  
Community Pharmacy ◽  
Retrospective Analysis ◽  
Intervention Program ◽  
Community Pharmacists ◽  
Time Frame ◽  
Corporate Management ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medication Intervention ◽  
Pharmacy Chain

Objective: To calculate the return on investment (ROI) for a targeted medication intervention program developed by corporate management of a community pharmacy. Design: Retrospective analysis and cross-sectional survey. Setting: Regional community pharmacy chain in North Carolina. Participants: Targeted medication interventions completed from February 1, 2010, to July 31, 2010, were included in the retrospective analysis. Community pharmacists employed by the pharmacy chain that completed the questionnaire were included in the cross-sectional analysis. Intervention: Targeted medication intervention services were provided to the patient and documented by the pharmacist. Main Outcome Measure: The ROI for a community pharmacist-provided targeted medication intervention program. Results: Of the 180 pharmacists, 69 completed the questionnaire (38% response rate). The average time to complete one targeted medication intervention was calculated to be 22.63 minutes. The total cost for providing a targeted medication intervention program during the study time frame was $15 760.86. Total revenue was $15 216.00; therefore, the program resulted in an ROI to the pharmacy chain of negative 3%. Conclusion: This 6-month study resulted in an ROI to the pharmacy chain of negative 3%. Under the current reimbursement model, for this program to break even, the average time to complete one targeted medication intervention must equal 21.85 minutes or less.

scholarly journals Patient handover in a European border region: Cross-sectional survey study among healthcare workers to explore the status quo, potential risks, and solutions

2021 ◽  
pp. 205343452110094
Author(s):  
Mara EJ Bouwmans ◽  
Juliëtte A Beuken ◽  
Daniëlle ML Verstegen ◽  
Laura van Kersbergen ◽  
Diana HJM Dolmans ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Common Ground ◽  
Emergency Services ◽  
Survey Design ◽  
Border Region ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Status ◽  
Patient Handover

Introduction While the popularity of international care is rising, the complexity of international care compromises patient safety. To identify risks and propose solutions to improve international care, this study explores experiences of healthcare workers with international handovers in a European border region. Methods A cross-sectional survey design was used to reach out to 3000 healthcare workers, working for hospitals or emergency services in three neighboring countries in the Meuse-Rhine Euregion. In total, 846 healthcare workers completed the survey with 35 closed- and open-ended questions about experiences with international patient handover. Results One-third of respondents had been involved in international handover in the previous month. The handovers occurred in planned and acute care settings and were supported by numerous, yet varying standardized procedures. Healthcare workers were trained for this in some, but not all settings. Respondents mentioned 408 risks and proposed 373 solutions, which were inductively analyzed. Six identified themes classify the level on which risks and accompanying solutions can be found: awareness, professional competencies, communication between professionals, loss of information, facilities and support, and organizational structure. Discussion This study gives insight in international patient handovers in a European border region. Among the biggest risks experienced are procedural differences, sharing patient information, unfamiliarity with foreign healthcare systems, and not knowing roles and responsibilities of peers working across the border. Standardization of procedures, harmonization of systems, and the possibility for healthcare workers to get to know each other will contribute to reach common ground and move towards optimized and patient-safer cross-border care.

scholarly journals Barriers to improved orofacial pain practice in Saudi Arabia

2019 ◽  
Author(s):  
emad mohammed hadlaq
Keyword(s):  
Saudi Arabia ◽  
Orofacial Pain ◽  
Survey Study ◽  
P Value ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dental Practitioners ◽  
Legal Risks ◽  
Practice Methods ◽  
Dental Schools

Abstract Background: Orofacial pain (OFP), an emerging field in dentistry, is associated with evaluation diagnosis, and treatment of non-odontogenic disorders affecting the mouth, jaws and face. The aim of this study was to investigate the barriers encountered by Saudi dentists engaged in OFP practice. Methods: A cross-sectional survey study was performed using a validated closed-end questionnaire that was distributed to the general dental practitioners (GDPs) and dental specialists in four major provinces in Saudi Arabia: Riyadh, Makkah, Asir, and Eastern Province. Inclusion criteria were registration with the Saudi Commission for Health Specialties and a minimum of 2 years’ experience. The collected data were analysed using descriptive parameters. Results: Three-hundred-and-forty questionnaires were completed by 168 males and 172 females. Around two-third of the participants were GDPs (60.9%), and the remainder were dental specialists. There was an obvious consensus by the participants that "Low payment/reimbursement" and “Lack of OFP knowledge” were among the most common barriers (85% and 83.5%, respectively; both P-value < 0.01). In contrast, "Legal risks" was the least frequently reported factor (38.8%; P-value < 0.01). The most commonly reported barrier by GPDs was “Shortage of patients/lack of demand;” this was significantly different from the experience of dental specialists (87% vs. 72.2%; P- value < 0.01). In terms of the country of graduation or years of experience, there were no significant differences Conclusion: The current study demonstrates the existence of many significant barriers other than OFP knowledge, such as reimbursement, facility, and demand that could present obstacles and challenges to the management of OFP by dentists. Most participants believed that dentists should manage this condition and that OFP courses should be included in dental schools’ curricula Keywords: barriers, clinical research study, dentist, orofacial pain, recommendations, survey

scholarly journals Frontline healthcare workers’ mental distress, top concerns, and assessment on hierarchy of controls in response to COVID-19: a cross-sectional survey study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Lingling Zhang ◽  
Kimberlee L. Flike ◽  
C. Ann Gakumo ◽  
Ling Shi ◽  
Suzanne G. Leveille ◽  
...  
Keyword(s):  
Disease Control ◽  
Healthcare Workers ◽  
Mental Distress ◽  
Negative Impact ◽  
Nursing Program ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Frontline Healthcare Workers

Abstract Background The existing studies showed that frontline healthcare workers during an epidemic experienced unusual stressors and mental distress which even lasted for years after the crisis. It is important to learn about their concerns early to mitigate the negative impact as well as to evaluate disease control from experiences on the front lines for improving responses to the outbreak. The study aimed to provide insights on how to strengthen public health responses to protect healthcare workers both physically and mentally, and effectively control the disease in light of hierarchy of controls. Methods A cross-sectional survey was distributed online via Qualtrics to frontline healthcare workers during the COVID-19 through a university’s nursing program and received 267 valid responses from 103 certificated nursing assistants, 125 nurses, and 39 other health professionals. A descriptive data analysis with a Chi-square test at a two-sided 0.05 level of significance was performed on factors that potentially affected mental health of healthcare workers and effectiveness of disease control at workplace in five domains. The themes were summarized on open-ended questions. Results About 30% of the respondents showed the symptom of depression and needed a further investigation. The influencing factors in five domains were examined. Engineering and administrative controls, as well as PPE were widely used in response to COVID-19. The respondents assessed the state and workplace responses to COVID-19 better than the federal government responses. The workplace responses were considered most effective. Multiple factors with a statistically significant correlation with effectiveness of the disease control at workplace were identified. Conclusions The study suggested that timely responses at policy level will be more effective than other measures in early prevention and control of the pandemic, mental distress should be addressed in addition to PPE, and nursing programs should consider providing a situation-specific career coaching or counseling for students. A longitudinal study at a larger scale is warranted to capture the variation of time change with the disease control evolvement and across geographic regions.

scholarly journals High incidence of occupational exposures among healthcare workers in Erbil, Iraq

2014 ◽  
Vol 8 (10) ◽  
pp. 1328-1333
Author(s):  
Salih Hosoglu ◽  
Zana Ahmad ◽  
Mohammed Sami Tahseen ◽  
Zehra Diyar ◽  
Sami Selbes ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Occupational Injuries ◽  
Univariate Analysis ◽  
Occupational Exposures ◽  
Survey Study ◽  
Current Status ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Preventive Actions ◽  
Laboratory Workers

Introduction: The current status of percutaneous injury and mucous exposures (PMEs) of hospital workers and factors associated with the injuries have not been studied in Iraq. This study aimed to evaluate the epidemiology of PMEs with blood or body fluids that leads serious risks for healthcare workers (HCWs). Methodology: An analytic, cross-sectional survey study was conducted among HCWs in Erbil city center, Iraq. The study was performed at sevenhospitals, and 177 participants were included. The dependent variable was the occurrence of PMEs in the last year, and the independent variables were age, sex, occupation of HCWs, working site, and work duration. Results: A total of 177 HCW participants included 57 nurses/midwives (32.2%), 59 doctors (33.3%), 27 laboratory workers (15.3%), and 34 paramedics/multipurpose workers (19.2%) from seven hospitals. The study concluded that 67.8% of the participants reported at least one occupational PME in the last year. In all, 13.3/person/year PME incidents were reported for nurses, 9.74/person/year for paramedics/multipurpose workers, 6.71/person/year for doctors, and 3.37/person/year laboratory workers. The mean number of PME incidents was 8.91/person/year. HCWs showed 85.0% compliance with wearing mask in risky situations. The most dangerous action for occupational exposure was blood taking (39.0%). In the univariate analysis, none of the investigated variables were found to be significantly related to PME. Conclusions: Occupational injuries and exposures in Iraqi HCWs are extremely common; awareness about protection is not sufficient. Nurses were found to be the highest risk group among HCWs. Preventive actions should be taken to avoid infection.

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