Research in social & administrative pharmacy : RSAP
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Res Social Adm Pharm · Jan 2016
Factors influencing nurse and pharmacist willingness to take or not take responsibility for non-medical prescribing.
In the UK, the majority of non-medical prescribers (NMPs) are nurses or pharmacists working in community or primary care. However, little is known about what influences their decisions to prescribe, unlike with medical prescribing. It is also unclear whether the medical findings can be extrapolated, given their very different prescribing training. ⋯ For NMPs to feel more confident about taking responsibility for prescribing, these issues of competency, role and perceived risk need to be addressed. Roles of NMPs must be clear to colleagues, doctors and patients. Training and support must be provided to enable professional development and increasing competence of NMPs.
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Res Social Adm Pharm · Nov 2015
Evaluation of instruments to assess health literacy in Arabic language among Iraqis.
Low health literacy is associated with lack of medical information, less use of preventive measures, low medication adherence rates, high health care costs and high risk of hospitalization. ⋯ SILS has one subjective, possibly culturally biased question. Since Iraqis are generally not exposed to reading product labels, the NVS test might be not an accurate measure for them. S-TOFHLA was the most comprehensive test and gave equitable results. The Arabic version of S-TOFHLA can be used to measure health literacy in 22 Arabic speaking countries.
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Res Social Adm Pharm · Nov 2015
Factors influencing the provision of adherence support by community pharmacists: A structural equation modeling approach.
Non-adherence to medication represents an important barrier to achieving optimum patient outcomes. Community pharmacists are well placed to deliver interventions to support adherence. ⋯ Provision of adherence support by pharmacists was episodic and infrequent, impeded by a number of barriers. By addressing barriers, it is possible to enable pharmacists to become more proactive and effective in supporting patient adherence.
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Res Social Adm Pharm · Nov 2015
A qualitative study exploring community pharmacists' awareness of, and contribution to, self-care support in the management of long-term conditions in the United Kingdom.
Self-care support refers to activities aimed at educating, training and empowering patients with skills and ability to manage [and monitor] their long-term conditions (LTCs). While self-care support by health care professionals has emerged as a distinct concept in the management of LTCs, evidence of community pharmacy's contribution is sparse. ⋯ Community pharmacists' theoretical understanding of self-care was not reflected in the ways that they portrayed their contributions to self-care support. The current ways in which community pharmacy delivers its services for patient care may need to be re-configured in order to fit into the holistic self-care support paradigm.
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Res Social Adm Pharm · Nov 2015
Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an advanced role for technicians.
There is ample evidence that pharmacists' interventions in patient care improve patient outcomes; however, community pharmacists do not necessarily have the time available to undertake these roles. One way to address this problem is to enable technicians to take on a greater role in the mechanical aspects of the dispensing process. ⋯ The pharmacists were of the opinion that the separation of clinical from mechanical parts of the dispensing process would increase the time available to spend interacting with patients. Coupled with more time dedicated to a clinical assessment of prescriptions they could appreciate this would improve clinical outcomes for the patients. Clear and stringent guidelines and standard operating procedures were proposed to ensure that safety standards do not change.