Counselling Behaviour and Content in a Pharmaceutical Care Service in Swedish Community Pharmacies

Overview

Journal Pharm World Sci

Publisher Springer

Specialties Pharmacology
Pharmacy

Date 2010 May 7

PMID 20446110

Citations 6

Authors

Anna T Montgomery

Asa Kettis Lindblad

Pernilla Eddby

Emelie Soderlund

Mary P Tully

Sofia Kalvemark Sporrong

Affiliations

Soon will be listed here.

Abstract

Objective: To characterise the counselling behaviour of practitioners providing a pharmaceutical care (PC) service in community pharmacy, and to describe the content of the consultations.

Setting: Community pharmacies in Sweden.

Methods: Non-participant observations, including audio recording, of five practitioners in five different pharmacies counselling 16 patients, were analysed qualitatively using an iterative, stepwise, interpretivist approach.

Main Outcome Measure: Descriptions of counselling behaviour and content of consultations.

Results: The counselling behaviour was characterised by attempts to understand the patients' narratives by listening and asking questions and a willingness to help. The computer often had an important role in consultations, being used for documentation and as a supportive tool for identification of drug-drug interactions. The practitioners often took command in the initial phase of the consultation, and omitted to determine the patients' most urgent drug-related needs. However, counselling behaviour that identified and focused on the patient's needs, giving the computer little attention during the consultation was also observed. Practitioners provided vague descriptions of the purpose and outline of the service. Consultations included a wide variety of issues, which potentially could help patients' achieve optimal outcomes of medical treatment.

Conclusion: The practitioners provided important advice and different forms of support to patients. Focus on the computer screen limited their abilities to practise patient centred care.

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