Improving Community Pharmacists' Clinical Knowledge to Detect and Resolve Drug-related Problems in Croatia: a Before/after Survey Study Investigating the Efficacy of an Educational Intervention

Overview

Journal BMJ Open

Specialty General Medicine

Date 2020 Jun 4

PMID 32487573

Citations 4

Authors

Lovre Zekan

Arijana Mestrovic

Ana Seselja Perisin

Josipa Bukic

Dario Leskur

Doris Rusic

Darko Modun

Affiliations

Soon will be listed here.

Abstract

Objectives: The aim of this study was to increase the knowledge level of community pharmacists in Croatia to identify and resolve drug-related problems (DRPs).

Design: Before/after survey study.

Setting: University of Split School of Medicine.

Participants: 115 community pharmacists from all over the Croatia.

Interventions: An interactive 3-day clinical pharmacy workshop with the goal of increasing the knowledge level of community pharmacists in Croatia to identify and resolve DRPs in routine practice. Teaching methods were based on interactive clinical case solving.

Outcome Measure: Change of the community pharmacists' knowledge based on preworkshop and postworkshop evaluation. A survey-based clinical knowledge measurement tool was used in order to evaluate the efficacy of the workshop. The lowest possible total score was 0 and the highest was 80. A higher survey score indicates a higher level of clinical knowledge to identify and resolve DRPs.

Results: Participating pharmacists had significantly higher postworkshop mean survey score (49.1±8.0) than the preworkshop mean survey score (42.9±8.2), with the mean score difference of 6.2 (95% CI 4.3 to 8.1). Furthermore, it was found that community pharmacists significantly increased their survey scores, regardless of their age.

Conclusions: Interactive and case-based clinical pharmacy workshop could be a valuable tool to increase the knowledge of community pharmacists about identification and management of DRPs in routine practice. However, further studies are necessary to evaluate the long-term knowledge maintenance and the improvement in patients' clinical outcomes.

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References

Bindoff I, Ling T, Bereznicki L, Westbury J, Chalmers L, Peterson G . A Computer Simulation of Community Pharmacy Practice for Educational Use. Am J Pharm Educ. 2015; 78(9):168. PMC: 4453084. DOI: 10.5688/ajpe789168. View

Basheti I, Armour C, Reddel H, Bosnic-Anticevich S . Long-term maintenance of pharmacists' inhaler technique demonstration skills. Am J Pharm Educ. 2009; 73(2):32. PMC: 2690903. DOI: 10.5688/aj730232. View

Lamsam G, Kropff M . Community pharmacists' assessments and recommendations for treatment in four case scenarios. Ann Pharmacother. 1998; 32(4):409-16. DOI: 10.1345/aph.17287. View

Govaerts M . Educational competencies or education for professional competence?. Med Educ. 2008; 42(3):234-6. DOI: 10.1111/j.1365-2923.2007.03001.x. View

Lalonde L, Quintana-Barcena P, Lord A, Bell R, Clement V, Daigneault A . Community Pharmacist Training-and-Communication Network and Drug-Related Problems in Patients With CKD: A Multicenter, Cluster-Randomized, Controlled Trial. Am J Kidney Dis. 2017; 70(3):386-396. DOI: 10.1053/j.ajkd.2017.05.008. View

Abdel Shaheed C, Maher C, Mak W, Williams K, McLachlan A . The effects of educational interventions on pharmacists' knowledge, attitudes and beliefs towards low back pain. Int J Clin Pharm. 2015; 37(4):616-25. DOI: 10.1007/s11096-015-0112-5. View

Bellolio M, Stead L . Evidence-based emergency medicine/systematic review abstract. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Ann Emerg Med. 2009; 53(5):685-7. DOI: 10.1016/j.annemergmed.2008.05.034. View

Mestrovic A, Stanicic Z, Hadziabdic M, Mucalo I, Bates I, Duggan C . Individualized education and competency development of Croatian community pharmacists using the general level framework. Am J Pharm Educ. 2012; 76(2):23. PMC: 3305932. DOI: 10.5688/ajpe76223. View

Westerlund T, Almarsdottir A, Melander A . Factors influencing the detection rate of drug-related problems in community pharmacy. Pharm World Sci. 2000; 21(6):245-50. DOI: 10.1023/a:1008767406692. View

10.

Obreli-Neto P, Dos Reis T, Guidoni C, Girotto E, Guerra M, Baldoni A . A Systematic Review of the Effects of Continuing Education Programs on Providing Clinical Community Pharmacy Services. Am J Pharm Educ. 2016; 80(5):88. PMC: 4937983. DOI: 10.5688/ajpe80588. View

11.

Williams M, Peterson G, Tenni P, Bindoff I . A clinical knowledge measurement tool to assess the ability of community pharmacists to detect drug-related problems. Int J Pharm Pract. 2012; 20(4):238-48. DOI: 10.1111/j.2042-7174.2012.00188.x. View

12.

Westerlund T, Marklund B . Assessment of the clinical and economic outcomes of pharmacy interventions in drug-related problems. J Clin Pharm Ther. 2009; 34(3):319-27. DOI: 10.1111/j.1365-2710.2008.01017.x. View

13.

Davis D, OBrien M, Freemantle N, Wolf F, Mazmanian P, Taylor-Vaisey A . Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes?. JAMA. 1999; 282(9):867-74. DOI: 10.1001/jama.282.9.867. View

14.

Austin Z, Marini A, MacLeod Glover N, Tabak D . Peer-mentoring workshop for continuous professional development. Am J Pharm Educ. 2006; 70(5):117. PMC: 1637020. DOI: 10.5688/aj7005117. View

15.

Mestrovic A, Stanicic Z, Hadziabdic M, Mucalo I, Bates I, Duggan C . Evaluation of Croatian community pharmacists' patient care competencies using the general level framework. Am J Pharm Educ. 2011; 75(2):36. PMC: 3073111. DOI: 10.5688/ajpe75236. View

16.

CURRIE J, Chrischilles E, Kuehl A, Buser R . Effect of a training program on community pharmacists' detection of and intervention in drug-related problems. J Am Pharm Assoc (Wash). 1997; NS37(2):182-91. DOI: 10.1016/s1086-5802(16)30203-0. View

17.

Chiang Y, Lee C, Lin Y, Yen Y, Chen H . Impact of a continuing education program on pharmacists' knowledge and attitudes toward asthma patient care. Med Princ Pract. 2010; 19(4):305-11. DOI: 10.1159/000312718. View

18.

Minh P, Huong D, Byrkit R, Murray M . Strengthening pharmacy practice in vietnam: findings of a training intervention study. Trop Med Int Health. 2013; 18(4):426-34. DOI: 10.1111/tmi.12062. View

19.

Villeneuve J, Lamarre D, Lussier M, Vanier M, Genest J, Blais L . Physician-pharmacist collaborative care for dyslipidemia patients: knowledge and skills of community pharmacists. J Contin Educ Health Prof. 2009; 29(4):201-8. DOI: 10.1002/chp.20038. View

20.

Zekan L, Mestrovic A, Seselja Perisin A, Portolan M, Jambrek N, Jager S . Clinical knowledge of community pharmacists in Croatia for detecting drug-related problems. Int J Clin Pharm. 2017; 39(6):1171-1174. DOI: 10.1007/s11096-017-0546-z. View