Pharmaceutical Sciences

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Browsing Pharmaceutical Sciences by Author "Ali Mohammad Musaitef Ghazawna"

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    Pharmacist perception of pharmaceutical care practice in West Bank : A cross sectional study.
    (Al-Quds University, 2023-05-20) Ali Mohammad Musaitef Ghazawna; علي محمد مصيطف غزاونة
    Objective and Background :Pharmaceutical care is an important aspect of modern pharmacy practice, yet little is known about how pharmacists perceive and implement it in their daily work. This cross-sectional study to examine the perspectives of community pharmacists in Palestine regarding the concept of pharmaceutical care, the frequency of its application, and the obstacles to its application. Methodology: A self-administered survey was conducted among pharmacists working in community pharmacies. The survey assessed describe the community pharmacists’ expectation to provide pharmaceutical care practice. A total of 310 pharmacists completed the survey. Pharmaceutical Care Intention scale was used to assess Pharmacuetical care expectation among community pharmacists. Results: The result of our study indicated that the most Drug Related Problems reported by the participant pharmacists were adverse drug reactions (46.0%), followed by dose related problem (44.0%), need for additional drugs for untreated conditions (33.0%), and patients did not receive the drug (26.0%). One third of the pharmacist expect to “Ask patient information about their medications, diseases and medical history” in 40-60 % of the patients. More than half of the respondents (53%) “Discuss the appropriate use, side effects of drugs to prevent potential drug-related problems” in 60-100% of their patients. Comparatively, the pharmacists directly contact the primary physician to solve drug related problems and monitor patients’ outcomes in only 0-20% and 20-40% of the patients.In terms of the variable perceived moral obligation , the pharmacist felt very responsible to identify any potential drug related problems and prevent it (mean= 4.0±1.14) and intervene to solve any exist drug related problem (mean= 3.9 ±1.28). To a less extent pharmacist felt responsible to collect patient-specific information (mean= 3.1 ±1.1). For subjective norm, pharmacists were somewhat more likely to agree that physicians and other healthcare would approve of them providing pharmaceutical care services. However, 30 % still agreed that patients would approve of them providing pharmaceutical care services. Fewer respondents agreed that other pharmacists they knew how to provide pharmaceutical care services to their patients. In terms of attitude, the respondents tended to agree that providing pharmaceutical care services was very likely for the pharmacist to attract more patients to their pharmacy (4.15 ±1.06), it would be a significant benefit to patients’ health outcomes (4.40 ±0.84) and it was a valuable opportunity for profession to contribute to the community, even if this increased their workload (3.97 ±1.12). They were less likely to agree that patient’s appreciation of the pharmacist’s value (3.87± 1.43). The multivariate analysis found only the constructs of attitude (β = 0.399, P = 0.001), and perceived behavioral control (β = 0.410, P = 0.001) to be significant predictors of pharmacists’ intention to provide pharmaceutical care. Education level was the only demographic variable that was found to be significant predictors of pharmacists’ intention to provide pharmaceutical care (β = 0.812, P = 0.032). None of the other demographic or practice setting variables was significant at P < 0.05. The adjusted R2 value was equal to 0.684, which means that 68.4% of the variation in intent was explained by the independent variables. Conclusion: The respondents showed a moderate intention to practice pharmaceutical care. However, some barriers to the implementation of pharmaceutical care were identified, including lack of time, workload, and lack of space. The findings suggest that there is a need for more education and training for pharmacists to enhance their knowledge and skills in providing pharmaceutical care. :