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1.
Yakugaku Zasshi ; 139(4): 539-543, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-30930384

RESUMO

For becoming a talented pharmacist at a health support pharmacy, the practitioner must obtain ability in two significant skill sets: "Technical skill" and "Non-technical skill". Technical skills are that required for a pharmacist's specialty/expertise, such as a wide variety of specialized knowledge and techniques. Non-technical skills are those required for effective communication and cooperation with patients, as well as with professionals from multiple fields, and also leadership/problem-solving ability within a team. Therefore, technical skill and non-technical skill go hand-in-hand like the two wheels on an axle. In a community-based integrated care system, medical professionals are expected to support a patient's overall health more effectively, even extending into his/her private life. In order to enable pharmacists to expand their scope of activity and fully execute their expertise, Yakugaku Seminar Lifelong Learning Center supports pharmacists from the standpoint of education with various themes, for example: the simulated experience of doctor conducting patient education and formulation on a daily basis, learning a basic way of thinking when clinical decisions are made for a patient nearby, mature decision making by combining vital signs, communication that takes into consideration a patient's background, and improved communication or problem-solving abilities within a broader team.


Assuntos
Competência Clínica , Serviços de Saúde Comunitária/tendências , Serviços Comunitários de Farmácia/tendências , Assistência Integral à Saúde/tendências , Assistência à Saúde/métodos , Assistência à Saúde/tendências , Educação Continuada em Farmácia/métodos , Educação Continuada em Farmácia/tendências , Farmacêuticos/tendências , Competência Profissional , Papel Profissional , Comunicação , Humanos , Comunicação Interdisciplinar , Equipe de Assistência ao Paciente , Relações Profissional-Paciente
2.
J Oncol Pharm Pract ; 25(1): 25-43, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28825376

RESUMO

The proper evaluation of cancer chemotherapy orders is necessary for patients to receive safe and effective treatment. The chemotherapy treatment setting is evolving resulting in hospital pharmacists without extensive oncology training or experience now being responsible for evaluation of chemotherapy orders. The primary objective was to create a step-by-step chemotherapy order evaluation guide with a detailed explanation for each step. The secondary objective was to evaluate non-oncology trained pharmacists' ability to accurately review simulated chemotherapy orders post-education using the guide. A two-page chemotherapy order evaluation guide was created based on an accepted method of chemotherapy order review consisting of the following eight steps: regimen verification, clinical trial protocol verification, body surface area calculation, dose calculation, laboratory values, emesis prophylaxis, adjunctive or supportive care measures, and pharmacy labels. A literature search was performed for each step. A detailed explanation for each step was written as a separate component from the guide to encompass the literature search information and current guidelines in a more comprehensive manner. Non-oncology trained community hospital pharmacists were educated on use of the guide for approximately 30 min. The guide was evaluated using timed simulated chemotherapy orders pre- and post-education consisting of a general chemotherapy order and a carboplatin dosing order. Nineteen pharmacists were tested with simulated chemotherapy orders. A significant difference was detected between the pre- and post-education for both the general chemotherapy (p = 0.00032) order and carboplatin dosing order (p = 0.031).


Assuntos
Antineoplásicos/administração & dosagem , Carboplatina/administração & dosagem , Educação Continuada em Farmácia/métodos , Erros de Medicação/prevenção & controle , Revisão de Uso de Medicamentos , Avaliação Educacional , Hospitais Comunitários , Humanos , Oncologia/métodos , Oncologia/normas , Farmacêuticos/normas , Serviço de Farmácia Hospitalar/normas , Desenvolvimento de Programas , Treinamento por Simulação
3.
Pan Afr Med J ; 30: 101, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30364337

RESUMO

This work aims at enhancing the management of childhood asthma, with a focus on pharmacists in particular, by evaluating their knowledge of childhood asthma and assessing their attitude while they are providing asthma medicines. Consequently, it will look at the necessity of introducing training days about childhood asthma for pharmacists. This is a transversal and descriptive study which lingered from August to October 2015. Data has been collected using a questionnaire that was self-administered to every surveyed pharmacist in the city of Rabat. The 104 pharmacists who replied to the questionnaire have an average general understanding about asthma and its treatment. Only a quarter of them managed an asthma crisis in their pharmacy before directing the child to the emergency. 50% of them do not know the difference between the basic asthma therapy and the asthma attack therapy. However, all of them recommended the parents to see a physician regarding their child's asthma. 75% advise the systematic use of an asthma spacer with the inhaler. 87.5% of them give advice to parents regarding the good measures for environmental control, and 98% estimate that the therapeutic education is important in childhood asthma management. 88.5% among them are interested in training days about childhood asthma.This study shows the necessity of further pharmacists' education about asthma and its management.


Assuntos
Asma/tratamento farmacológico , Serviços Comunitários de Farmácia/organização & administração , Conhecimentos, Atitudes e Prática em Saúde , Farmacêuticos/estatística & dados numéricos , Antiasmáticos/administração & dosagem , Criança , Estudos Transversais , Educação Continuada em Farmácia/métodos , Feminino , Humanos , Masculino , Marrocos , Nebulizadores e Vaporizadores , Educação de Pacientes como Assunto/estatística & dados numéricos , Farmacêuticos/organização & administração , Papel Profissional , Encaminhamento e Consulta/estatística & dados numéricos , Inquéritos e Questionários
4.
Respir Med ; 144: 50-60, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30366584

RESUMO

OBJECTIVE: Community pharmacists can make significant contributions and be an indispensable member in the asthma therapy chain. The present study aimed to investigate the current knowledge level of Vietnamese community pharmacists in asthma counselling and the impact of a short training program on asthma knowledge and practice. METHOD: 300 community pharmacists participated in the study. A knowledge questionnaire about asthma medications and a standardized inhaler checklist were designed to evaluate their knowledge before and after a 4-h training program. Six to eight weeks later, 10 simulated patients were sent to the community pharmacies to evaluate the pharmacists' knowledge and practice. RESULTS: The training program significantly improved the asthma knowledge score of pharmacists from 5.3 to 17.2 out of a maximum score of 20 (p < 0.001). After the training, the percentage of pharmacists performing correctly inhaler devices increased significantly (0% vs.∼50%, p < 0.001). In the simulated patient study, pharmacists who attended the training demonstrated better asthma knowledge with higher scores (5.4 vs 1.7 out of a maximum score of 7.0, p < 0.001), as well as much better inhaler technique scores (6.1 vs 4.3, out of a maximum score of 8, p < 0.001). These pharmacists achieved higher scores in all aspects encompassing distinguishing controllers and relievers, counselling correctly about adherence, and common side effects. CONCLUSION: Our results revealed significant knowledge deficiency about asthma among Vietnamese community pharmacists. However, a short training program was effective in upskilling the pharmacists to effectively counsel asthmatic patients about the management of their condition and medications.


Assuntos
Asma/terapia , Competência Clínica , Aconselhamento , Educação Continuada em Farmácia/métodos , Educação , Conhecimentos, Atitudes e Prática em Saúde , Farmacêuticos , Avaliação de Programas e Projetos de Saúde , Adulto , Idoso , Testes de Aptidão , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Simulação de Paciente , Avaliação de Programas e Projetos de Saúde/estatística & dados numéricos , Inquéritos e Questionários , Vietnã , Adulto Jovem
5.
Acta Biomed ; 89(3): 355-364, 2018 10 08.
Artigo em Inglês | MEDLINE | ID: mdl-30333459

RESUMO

BACKGROUND AND AIM: Labeled leukocytes with 99mTc-HMPAO are routinely used for infection imaging. Although cell labeling with 99mTc-HMPAO represents an imaging probe to detect infection sites, the diagnostic efficiency of the probe is largely influenced by cell manipulation, multidisciplinary interventions (i.e., biologist, technicians) and available technology (i.e., SPECT, SPECT/CT). The aim of the study was to assess in vitro and in vivo accuracy of a comprehensive approach for quality assessment (QA) of all steps of the procedure. METHODS: Radiochemical purity (RCP), pH, labeling efficiency (LE) were measured in 320 procedures. White Cell Viability Factor (WVF) was determined in consecutive blood samples. Images (490 studies) were scored using a 5-point scale. Training program was evaluated using a Learning Questionnaire and a score system. RESULTS: Pre/post-labelling WVF was 0.99% (max value 1%) in all blood samples. LE (mean value 72%) and RCP (>80% until 55 minutes) yielded considerably high values. The vast majority of images were scored as diagnostic by three independent observer (90% with score ≥4). CONCLUSIONS: This method appears highly reproducible and easy to use in clinical routine for leukocyte labeling, especially when standardized training and total QA system are implemented.


Assuntos
/diagnóstico por imagem , Leucócitos , Compostos Radiofarmacêuticos , Tecnécio Tc 99m Exametazima , Sobrevivência Celular , Quimiotaxia de Leucócito , Educação Continuada em Farmácia/métodos , Educação Continuada em Farmácia/normas , Humanos , Inflamação/sangue , Inflamação/diagnóstico por imagem , Marcação por Isótopo/métodos , Garantia da Qualidade dos Cuidados de Saúde , Reprodutibilidade dos Testes , Tomografia Computadorizada com Tomografia Computadorizada de Emissão de Fóton Único , Tecnécio Tc 99m Exametazima/análise , Tomografia Computadorizada de Emissão de Fóton Único
6.
Am J Health Syst Pharm ; 75(23): 1939-1946, 2018 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-30301720

RESUMO

PURPOSE: The development, implementation, and evaluation of a pharmacogenomics education program for pharmacists in a large, integrated multicampus health system are described. SUMMARY: Pharmacogenomics has been described as tailoring medications to each patient's unique genetic sequence with the goals of minimizing harmful effects and optimizing therapeutic effects. Pharmacists are uniquely trained to lead the implementation of pharmacogenomics in clinical care. After assessment of pharmacists' comfort with pharmacogenomics, different approaches were explored to develop, pilot test, and disseminate pharmacogenomics education across a multicampus academic medical center. Limited success with large-audience, single-lecture didactic education led to development and delivery of targeted, competency-based online modules using the institution's academic virtual learning environment and course management system. Implementation steps included (1) collaboration with the Mayo Clinic Center for Individualized Medicine to create an interprofessional development team and project charter, (2) galvanizing pharmacy leadership support across multiple campuses, (3) development of competency-based interactive modules, and (4) assessment of the quality of and learner satisfaction with the modules. Significant improvements in competency scores were observed with each module and across the multiple campuses. Satisfaction with the education program was assessed at the end of a 4-module series. CONCLUSION: A pharmacogenomics educational program targeting pharmacists was developed through interprofessional collaboration and provided a novel opportunity to construct an educational infrastructure to support enterprise health-system campuses with limited educational resources.


Assuntos
Educação Continuada em Farmácia/métodos , Farmacogenética/educação , Currículo , Educação Continuada em Farmácia/organização & administração , Humanos , Medicina de Precisão , Desenvolvimento de Programas , Inquéritos e Questionários , Estados Unidos
7.
Int J Clin Pharm ; 40(5): 1317-1327, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30099664

RESUMO

Background Pharmacists who engage in Pharmaceutical Care need skills to optimise responsible medication use and increase medication adherence. Objectives We developed and evaluated a blended-learning programme for German community pharmacists that focused on conducting consultations in chronic diseases. Setting Community pharmacists in Germany. Method Interventional study with pre-post design. We combined e-learning with Objective Standardised Clinical Examinations (OSCEs) for emergency situations, initiation/implementation of medication therapy and detection of symptoms of four chronic diseases. Specific procedures were defined in the Pharmaceutical Action Plan. Skills were measured with a global analytical marking sheet derived from the Medication Related Consultation Framework and scored with the Canadian criticality/relevancy matrix. Time limits matched real practice scenarios. Main outcome measures Changes in knowledge (difference of test results before and after e-learning) and changes in skills (difference in scores of the OSCEs before and after training). Results 22 out of the 26 pharmacists enrolled, completed the study. The number of correctly answered questions increased significantly after the e-learning for all four indications with a mean number of additional correct answers between 3.86 and 4.9 points out of 15 (p < 0.001). The sums of the analytical checklist points in percentages increased significantly in all topics from the baseline summative OSCE to the final summative OSCE between 6.14 and 31.85% (p < 0.001). The maximum duration of consultation per patient was less than 10 min in all OSCEs. Conclusion The use of e-learning and OSCEs was well received by participants and is a successful method to deliver practical Pharmaceutical Care training.


Assuntos
Competência Clínica , Serviços Comunitários de Farmácia/organização & administração , Educação Continuada em Farmácia/métodos , Farmacêuticos/organização & administração , Adulto , Doença Crônica , Aconselhamento/métodos , Avaliação Educacional , Feminino , Alemanha , Humanos , Masculino , Adesão à Medicação , Pessoa de Meia-Idade , Papel Profissional , Fatores de Tempo
8.
Int J Clin Pharm ; 40(5): 1131-1136, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30078173

RESUMO

Background Pharmacists as highly qualified professionals face ethical dilemmas and conflicts in their daily practice. These issues manifest themselves in the daily practice of pharmacists, which require pharmacists to have the competencies to manage these dilemmas but there is limited formal training in ethical decision making during undergraduate pharmacy education. Objective To describe the implementation and evaluation of a methodological approach to managing ethical dilemma workshop for community pharmacists in Malaysia. Setting Community pharmacists in Klang Valley, Malaysia. Method During the workshop, pharmacists were provided insights into how they could use and apply a methodological approach towards managing a dilemma, followed by a case study and panel discussion. All participants were invited to complete a pre- and post-workshop questionnaire Main outcome measure Number and proportion of respondents answering questions related to practice of ethics and workshop effectiveness Results A total of 37 participants attended the workshop. Most of the participants reported that they had no formal training in professional ethics and often used their own approach to solve an ethical issue. Some of the most common issues mentioned include changing medication to generic. More than three quarter of participants agreed and strongly agreed the content was relevant to their job and they will be able to use what they learned in the program. Conclusion The evidence suggests that a module in ethical decision making should be introduced to community pharmacists in Malaysia. This module can be easily adapted for use in other countries and will help ensure that pharmacist can make a good professional judgement and deliver the deeds of beneficence to all their patients.


Assuntos
Serviços Comunitários de Farmácia/ética , Educação Continuada em Farmácia/métodos , Ética Farmacêutica/educação , Farmacêuticos/ética , Adulto , Atitude do Pessoal de Saúde , Tomada de Decisões/ética , Feminino , Humanos , Malásia , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
9.
Int J Clin Pharm ; 40(4): 842-851, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29909562

RESUMO

Background The detection, assessment and prevention of adverse drug reactions along the product's life cycle is known as pharmacovigilance. German pharmacists are obliged by law to conduct pharmacovigilance measures, a specific training is not required. Objectives To assess the knowledge, contribution and perception of German pharmacy professionals regarding pharmacovigilance activities, in order to identify their needs to report better on the issue. Setting A semi-quantitative survey among German pharmacy professionals was conducted in November 2017. Method A questionnaire with 20 questions was developed and distributed to pharmacy professionals in four different German regions. Main outcome measures To assess the knowledge the number of right answered questions were examined; for perception a six-point-Likert was used and for contribution, yes or no questions. Results The participation ratio was 64.5% (n = 127). Nearly half of the participants (47.2%, n = 60) stated that they had already reported adverse drug reactions. Regarding the knowledge questions, there was neither a statistically significant difference between the correct answers of pharmacists and pharmacy technical assistents (p = 0.7209), nor between the different regions (p > 0.5054). For better reporting, the participants recommended better training, shorter forms to fill in and/or a contact person to call. Conclusion For the successful integration of pharmacovigilance reporting in daily practice, we suggest the following: (1) A structured, mandatory training of the pharmacy team. (2) The preparation of a standard operating procedure for the pharmacy or its integration into the pharmacy software.


Assuntos
Sistemas de Notificação de Reações Adversas a Medicamentos , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/epidemiologia , Farmacêuticos/estatística & dados numéricos , Farmacovigilância , Adulto , Atitude do Pessoal de Saúde , Educação Continuada em Farmácia/métodos , Feminino , Alemanha , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Percepção , Assistência Farmacêutica/organização & administração , Farmacêuticos/normas , Técnicos em Farmácia/estatística & dados numéricos , Inquéritos e Questionários , Adulto Jovem
10.
Yakugaku Zasshi ; 138(5): 715-722, 2018.
Artigo em Japonês | MEDLINE | ID: mdl-29710016

RESUMO

 The importance of community-based care systems has increased due to the highly aging population and diversity of disease. To enhance the cooperation among healthcare professionals in community-based care systems, a two-day on-site training program for community pharmacists based on a multidisciplinary team approach was conducted at the Medical Science Hospital of Shiga University from April 2015 to March 2017. There were two professional courses in this training program: the palliative care course and nutrition support course. Both courses consisted of common pharmaceutical care training as follows: regional cooperation among healthcare professionals, pharmacist's clinical activities in the ward, pressure ulcer care, infection control, and aseptic technique for parenteral solutions. Each course was limited to 2 participants. A questionnaire was given to participants in the training program. Seventy-five pharmacists participated in the training and all of them answered the questionnaire. According to the questionnaire, 86% of participants felt that 2 days was an appropriate term for the training program. Positive answers regarding the content of each program and overall satisfaction were given by 100% and 99% of the participants, respectively. In the categorical classification of free comments regarding the expected change in pharmacy practice after the training, both "support for patients under nutritional treatment" and "cooperation with other medical staff" were answered by 24 participants. These results suggested that the 2-day on-site training for community pharmacists facilitated cooperation among healthcare professionals in the community.


Assuntos
Serviços de Saúde Comunitária , Educação Continuada em Farmácia/métodos , Pessoal de Saúde , Colaboração Intersetorial , Farmacêuticos , Serviço de Farmácia Hospitalar , Adulto , Feminino , Humanos , Comunicação Interdisciplinar , Masculino , Pessoa de Meia-Idade , Equipe de Assistência ao Paciente , Inquéritos e Questionários , Adulto Jovem
12.
Yakugaku Zasshi ; 138(4): 525-527, 2018.
Artigo em Japonês | MEDLINE | ID: mdl-29608001

RESUMO

 Within school classrooms, Active Learning has been receiving unprecedented attention. Indeed, Active Learning's popularity does not stop in the classroom. As more and more people argue that the Japanese government needs to renew guidelines for education, Active Learning has surfaced as a method capable of providing the necessary knowledge and training for people in all areas of society, helping them reach their full potential. It has become accepted that Active Learning is more effective over the passive listening of lectures, where there is little to no interaction. Active Learning emphasizes that learners explain their thoughts, ask questions, and express their opinions, resulting in a better retention rate of the subject at hand. In this review, I introduce an Active Learning support tool developed at Digital Knowledge, "Clica". This tool is currently being used at many educational institutions. I will also introduce an online questionnaire that Digital Knowledge provided at the 10th Annual Meeting of the Japanese Society for Pharmaceutical Palliative Care and Sciences.


Assuntos
Educação Continuada em Farmácia/métodos , Aprendizagem Baseada em Problemas/métodos , Congressos como Assunto , Humanos , Japão , Cuidados Paliativos/organização & administração , Assistência Farmacêutica/organização & administração , Aprendizagem Baseada em Problemas/tendências , Sociedades Farmacêuticas/organização & administração , Interface Usuário-Computador
13.
Yakugaku Zasshi ; 138(4): 529-532, 2018.
Artigo em Japonês | MEDLINE | ID: mdl-29608002

RESUMO

 At the 10th Annual Meeting of the Japanese Society for Pharmaceutical Palliative Care and Sciences our theme centered on active learning systems where adult learners engage on their own initiative. Many of the participants were pharmacists active in clinical practices. Regardless of their specialized skill-sets, pharmacists are constantly faced with difficult challenges in their daily work. Passive, one-way lectures are one resource for them, but unfortunately such lectures provide limited insights for resolving concrete problems. The present meeting aimed to show participants how to obtain information they need to solve specific real-world problems. This paper summarizes how we planned this year's meeting, including details about the debate symposium, social lunch, and online questionnaires. All these elements had the end goal of enabling learners proactivity to become their own best resource for learning. It is sincerely hoped that the design and execution of this meeting will prove resourceful for future annual meetings.


Assuntos
Congressos como Assunto , Educação Continuada em Farmácia/métodos , Cuidados Paliativos/organização & administração , Assistência Farmacêutica/organização & administração , Aprendizagem Baseada em Problemas/métodos , Sociedades Farmacêuticas/organização & administração , Humanos , Internet , Japão , Inquéritos e Questionários
14.
Am J Pharm Educ ; 82(2): 6199, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29606706

RESUMO

Objective. To explore the changes in motivation of Dutch pharmacists for Continuing Education (CE) in the Dutch CE system. Methods. Pharmacists' motivation was measured across three time points with the Academic Motivation Scale, based on the Self-Determination Theory of motivation. The Latent Growth Modelling technique was used to analyze these data. Results. Over a period of 21 months, Controlled Motivation had increased and Relative Autonomous Motivation of Dutch pharmacists had decreased. Traineeship was the only demographic factor with a significant influence on the change in motivation. No subgroups with different trajectories could be identified. Conclusion. Relative Autonomous Motivation of Dutch pharmacists for CE decreases over time. This indicates a loss of Autonomous Motivation ("good" motivation) in favor of Controlled Motivation ("bad" motivation). Further research needs to be conducted to gain a better understanding of the association between pharmacist motivation and the features of the current CE system.


Assuntos
Educação Continuada em Farmácia/métodos , Modelos Teóricos , Autonomia Pessoal , Farmacêuticos/psicologia , Atitude do Pessoal de Saúde , Feminino , Humanos , Estudos Longitudinais , Masculino , Motivação , Países Baixos , Estudos Prospectivos , Inquéritos e Questionários , Fatores de Tempo
15.
Am J Pharm Educ ; 82(2): 6353, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29606714

RESUMO

Objective. To evaluate pharmacists' knowledge of celiac disease, and identify potential areas where additional continuing education may be needed. Methods. A survey was sent to community pharmacists practicing in a national chain pharmacy in one region of New Jersey and New York. Results. There were 418 pharmacists who responded to the survey with a response rate of 38%. Only 27% of all respondents who reported their understanding of celiac disease to be basic or advanced correctly defined celiac disease as both an autoimmune and a chronic lifelong disease. The majority (60%) of respondents correctly stated there are no federal regulations requiring manufacturers to designate medications as gluten-free. Twenty percent of respondents said they often recommended a change in diet to people suspected to have celiac disease before a confirmed diagnosis. Conclusion. Community pharmacists possess some knowledge of the disease and would benefit from and desire additional education about this disorder.


Assuntos
Doença Celíaca , Serviços Comunitários de Farmácia , Conhecimentos, Atitudes e Prática em Saúde , Farmacêuticos/estatística & dados numéricos , Adulto , Educação Continuada em Farmácia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , New Jersey , New York , Inquéritos e Questionários , Adulto Jovem
16.
Artigo em Inglês | MEDLINE | ID: mdl-29559772

RESUMO

Background: Inadequate inhaled aerosol device demonstration and technique by health care professionals can lead to poor disease control. The aims of this study were to develop and validate Knowledge of Aerosol Tool (KAT) among registered and unregistered pharmacists and to assess the pharmaceutical care practice among registered pharmacists. Methods: The KAT and pharmaceutical care practice questionnaires were developed and modified from previous reports, then an observational cross-sectional study with a convenience sample size of 340 was carried out among registered and unregistered pharmacists. The validation process included face validity and reliability, and item analysis was carried out. Results: The results showed good face validity and reliability with Cronbach's alpha test and Pearson's correlation coefficient for test-retest of 0.637 and 0.440, respectively. The KAT item difficulty index for most items was between 0.130 and 0.667. The total KAT scores for registered and unregistered pharmacists were 10.13±3.152 and 8.29±2.930, respectively, which revealed inadequate pharmacist knowledge of inhaled aerosol device technique and therapies. In addition, only 38.38% of the total sample was found to have a high KAT level score. The results showed higher KAT scores among males, pharmacists with a family history of respiratory disease, and pharmacists with a master's degree. For the registered pharmacists, there were positive correlations between the total KAT score and the total pharmaceutical care practice score and the average number of patients with a respiratory disease seen by the pharmacist weekly, respectively. Moreover, there was a positive correlation between the total KAT score and its aerosol administration subscale with pharmacotherapy care and comorbid disease management practice care. Conclusion: The KAT showed good validity and reliability, hence, it can be used for training or educational purposes. This study showed that professional knowledge and pharmaceutical care are a major concern in Iraq. KAT implementation depends on the whole educational process from undergraduate study to residence training.


Assuntos
Atitude do Pessoal de Saúde , Serviços Comunitários de Farmácia , Educação Continuada em Farmácia/métodos , Conhecimentos, Atitudes e Prática em Saúde , Capacitação em Serviço/métodos , Assistência Centrada no Paciente/métodos , Farmacêuticos/psicologia , Fármacos do Sistema Respiratório/administração & dosagem , Administração por Inalação , Adulto , Aerossóis , Certificação , Estudos Transversais , Avaliação Educacional , Feminino , Humanos , Iraque , Masculino , Nebulizadores e Vaporizadores , Reprodutibilidade dos Testes , Inquéritos e Questionários , Adulto Jovem
17.
Int J Pharm Pract ; 26(6): 560-567, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29600530

RESUMO

OBJECTIVES: The transfer of pedagogies and instructional techniques outside their contexts of origin may not be always be suitable for intended learners. The aim of this study was to explore the experiences of Middle East pharmacists enrolled in advanced pharmacy practice courses delivered through a blended learning environment (BLE). METHODS: Seventeen students and graduates from a BLE in Qatar participated in focus group interviews. A topic guide was developed to elicit these pharmacists' perspectives on perceived barriers to completing the courses and facilitating factors for content engagement and overall satisfaction. Discussions were recorded, transcribed verbatim and text analysed using thematic content analysis. KEY FINDINGS: We identified three predominant themes in our analysis of these discussions: (1) relevance, (2) motivation and (3) communication. Participants favourably endorsed any programme aspect that linked with their workplace care responsibilities, but found it challenging to adapt to high-fidelity testing environments. The on-campus sessions were key for sustaining motivation and recommitting to time management and organisation with the distance-based content. Although these students expressed difficulty in understanding posted assignment instructions and feedback and occasionally faced technological issues, they were overwhelmingly satisfied with how the programme contributed to advancing their practice capabilities. CONCLUSIONS: Pharmacists enrolled in BLE advanced pharmacy practice courses in Qatar identified barriers and facilitators like those experienced by professional learners elsewhere. However, we found that instructional design and communication approaches merit some special consideration for Arab students for optimal engagement in BLE.


Assuntos
Educação Continuada em Farmácia/métodos , Conhecimentos, Atitudes e Prática em Saúde , Assistência Farmacêutica/organização & administração , Farmacêuticos/organização & administração , Atitude do Pessoal de Saúde , Comunicação , Grupos Focais , Humanos , Farmacêuticos/psicologia , Catar , Estudantes de Farmácia/psicologia
18.
Int J Pharm Pract ; 26(2): 165-173, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28349615

RESUMO

OBJECTIVES: To develop and test an educational programme on quality and safety in medication handling for staff in residential facilities for the disabled. METHODS: The continuing pharmacy education instructional design model was used to develop the programme with 22 learning objectives on disease and medicines, quality and safety, communication and coordination. The programme was a flexible, modular seven + two days' course addressing quality and safety in medication handling, disease and medicines, and medication supervision and reconciliation. The programme was tested in five Danish municipalities. Municipalities were selected based on their application for participation; each independently selected a facility for residents with mental and intellectual disabilities, and a facility for residents with severe mental illnesses. Perceived effects were measured based on a questionnaire completed by participants before and after the programme. Effects on motivation and confidence as well as perceived effects on knowledge, skills and competences related to medication handling, patient empowerment, communication, role clarification and safety culture were analysed conducting bivariate, stratified analyses and test for independence. KEY FINDINGS: Of the 114 participants completing the programme, 75 participants returned both questionnaires (response rate = 66%). Motivation and confidence regarding quality and safety in medication handling significantly improved, as did perceived knowledge, skills and competences on 20 learning objectives on role clarification, safety culture, medication handling, patient empowerment and communication. CONCLUSIONS: The programme improved staffs' motivation and confidence and their perceived ability to handle residents' medication safely through improved role clarification, safety culture, medication handling and patient empowerment and communication skills.


Assuntos
Pessoal de Saúde/educação , Serviços de Saúde para Pessoas com Deficiência/organização & administração , Segurança do Paciente , Percepção , Instituições Residenciais/organização & administração , Dinamarca , Educação Continuada em Farmácia/métodos , Feminino , Pessoal de Saúde/psicologia , Humanos , Masculino , Motivação , Competência Profissional , Avaliação de Programas e Projetos de Saúde , Melhoria de Qualidade/organização & administração , Inquéritos e Questionários
19.
Int J Pharm Pract ; 26(2): 183-190, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28514043

RESUMO

BACKGROUND: Pharmacy professionals have multiple opportunities to attend learning events run by a series of providers. However, there has never been a large-scale evaluation of events. Currently, formats of learning sessions differ by provider with no optimum model identified. Pharmacy Education South London was formed in April 2014 for the provision of education and training for pharmacy professionals in South London, running sessions multiple times across various locations. OBJECTIVE: The objective of this work was to identify factors that influence the perceived success of a face-to-face supplementary education and training event from the perspective of attendees. METHODS: Evaluation forms from 600 participants at training events followed by semi-structured individual interviews with 11 participants. KEY FINDINGS: Participants over 55 years were more likely to attend lecture style events versus those aged under 25 years who attended more workshops (P < 0.001); there was no correlation with gender. About 57.3% (n = 344) of participants agreed fully that the event increased their understanding of the topics, although only 38.5% (n = 231) stated that it would change their practice. Themes influencing an event fell into three broad themes: personal reasons affecting attendance, success factors for the session and application of learning, all with related subthemes. Subthemes included commitments, convenience, awareness, topic and personal relevance, content and delivery and reference, review and action. CONCLUSIONS: In publicising events, the topic, including the driver for the topic and the skills that will be obtained, the speaker and their experience plus how learning can be applied after the event should be included.


Assuntos
Educação Continuada em Farmácia/métodos , Aprendizagem , Farmacêuticos , Técnicos em Farmácia/educação , Adulto , Fatores Etários , Feminino , Humanos , Londres , Masculino , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde , Inquéritos e Questionários , Adulto Jovem
20.
Braz. J. Pharm. Sci. (Online) ; 54(1): e00208, 2018. graf, tab
Artigo em Inglês | LILACS | ID: biblio-889441

RESUMO

ABSTRACT Dispensing drug is a moment in which the pharmacist is able to analyze pharmacotherapy and contribute to its rational use. However, research has shown that some pharmacists lack adequate knowledge to perform this service. This study aims to describe a research protocol for a clinical trial to test the effectiveness of a distance learning program to train pharmacists in dispensing drugs. This is a protocol for an open diagnostic, non-randomized, single group clinical trial. A 12-week duration distance learning course was structured on the Moodle platform for training community pharmacists who are registered in the Regional Board of Pharmacy and work as employees or owners in Brazilian community pharmacies. The course curricula involves concepts and practice of dispensing drugs applied to the treatment of hypertension, diabetes mellitus, dyslipidemia and asthma. Pharmacists are divided randomly into groups, to which previously selected tutors give directions to the discussion and clarify questions. A validated questionnaire is being used before and after the course to measure participants' knowledge. Participant satisfaction with the course is also being measured. Pharmacists who work in the study headquarters municipality receive two visits from a mystery shopper, before and after the course, to evaluate their performance in dispensing drugs. The virtual platform and the content of the course material were evaluated by judges. The study has been approved by the Research Ethics Committee of the School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo. The sample size was estimated to provide desired power for testing the significance of the difference between baseline-to-endpoint change scores. Information about the course is being released through channels such as social networks. The results will be submitted for publication in scientific journals, but information enabling the identification of the study subjects will be kept confidential. The trial has been registered in The Brazilian Clinical Trials Registry with number RBR7mbrp3 on January 15th, 2015.


Assuntos
Farmacêuticos/estatística & dados numéricos , Educação a Distância/tendências , Educação Continuada em Farmácia/métodos , Sistemas On-Line , Ensaio Clínico
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