Frequency, setting and influential factors associated with pharmacy student-patient encounters involving spirituality and religiosity during advanced practice rotations.

INTRODUCTION: To identify (1) how often and in what settings pharmacy students include spirituality and religion and (2) what factors may influence how often students incorporate spirituality in patient care plans. METHODS: Fourth-year pharmacy students completed a questionnaire defining the frequency and setting of patient care activities that incorporated spiritual beliefs during advanced pharmacy practice experiences. Demographics, prior spirituality and health coursework, and self-identified measures of religiosity and spirituality were collected. Data analysis utilized descriptive statistics with nonparametric exploratory analysis. RESULTS: Sixty-three students completed the survey (31.7% response rate). While 11% of students asked patients about spiritual needs, 25.4% reported inclusion of spiritual factors in therapeutic plan creation. The general medicine rotation was the most common setting identified. Student frequency of religious service attendance, self-identified religiosity, and self-reported spirituality were associated with perceived importance of asking patients about spiritual needs (P < .05 for all). This did not impact whether students asked about or incorporated these topics (P > .05 for all). Students who did ask about or incorporate spiritual and religious issues had significantly greater comfort in discussing these and referring patients to a chaplain (P < .05 for all). CONCLUSIONS: Students are considering patients' spiritual needs in patient care activities. Greater student spiritual and religious practices positively influenced attitudes toward importance of asking about patient needs but did not influence student-reported behavior in patient care. Results highlight the need for instructors to consider how students' comfort levels and patient care setting influence addressing spiritual concerns.

Interventions involving spiritual and religious themes in pharmacy student patient encounters during advanced practice rotations.

INTRODUCTION: Patient spiritual and religious beliefs can impact their health care choices and outcomes. Pharmacists and other health care providers need to be prepared when these beliefs present changes from usual medical care. The objective of this research brief was to describe interventions related to spirituality and/or religion that are encountered by students during advanced pharmacy practice experience (APPE) patient care activities. METHODS: Fourth-year pharmacy students were asked to complete a web-based questionnaire defining the frequency and setting of patient care activities that incorporated spiritual beliefs during APPEs. Data analysis utilized descriptive statistics. RESULTS: Sixty-three students completed the questionnaire. The most common theme encountered was that of patient refusal of specific therapy based on patient's spiritual or religious beliefs. This result remained consistent across multiple practice settings, except in the community practice setting, where product substitution due to a religious forbidden ingredient was the most common theme encountered. CONCLUSIONS: Training for future and current pharmacists should provide them with the tools needed to navigate spiritual and religious-focused barriers, such as patient refusal of care and substitutes for religiously forbidden ingredients.

Professionalism in Physician Assistant, Physical Therapist, Occupational Therapist, Clinical Psychology, and Biomedical Sciences Students.

UNLABELLED: Interprofessional collaboration for healthcare requires a better understanding of the commonalities and differences in student perceptions of professionalism. METHODS: 217 students in five programs (PA 71, PT 46, OT 29, CP 12, and BMS 59) completed a 22-item survey (response rate 79.5%). A Likert scale grading from 1 (hardly ever) to 5 (always) was used to assess professional attitudes and behaviors. RESULTS: A mixed-model MANOVA, supplemented with post-hoc analyses, showed significant group by time interactions for 5 items. Sensitivity to differences and diversity of other people increased for BMS students, but decreased for PT students. Timeliness increased for BMS students, but did not change for PA students. Seeking out new learning experiences increased for BMS students, but did not change for PA or PT students. Taking a group leadership role increased for BMS students, decreased for PT students, while PA and OT students showed no change. Volunteering time to serve others decreased for OT and PA students, while BMS and BM students showed no change. CONCLUSION: It is plausible that these findings emerge from differences in program curricula and specific training objectives. The findings provide initial insight to educators on ways that attitudes and behaviors pertaining to professionalism sometimes vary among students in different health science programs.

Pediatric cancer knowledge: assessment of knowledge of warning signs and symptoms for pediatric cancer among Brazilian community health workers.

BACKGROUND: Field workers and lay community health educators are often children's first opportunity for correctly recognizing and responding to early signs and symptoms of pediatric cancers. Inadequate familiarity with the warning signs and symptoms of childhood cancer results in delayed referral to a physician for diagnosis and treatment. METHODS: This pilot study assessed community health workers' baseline level of knowledge about childhood cancers. Community health workers from Brazil completed a pediatric cancer knowledge questionnaire. RESULTS: Although all respondents knew to refer a child suspected to have cancer to a physician, their knowledge of the early warning signs and symptoms of pediatric cancer was very low. CONCLUSIONS: The findings demonstrate a link between training and knowledge and confirm the need for targeted education in the warning signs and symptoms of pediatric cancer for community health workers in developing countries.