Engaging Pharmacy Students, Residents, and Fellows in Antimicrobial Stewardship

Chahine, Elias B.; El-Lababidi, Rania; Sourial, Mariette

doi:10.1177/0897190013516506

Cited by 20 publications

(21 citation statements)

References 30 publications

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“…Studies from the Middle East region also support the importance of the clinical pharmacist’s role in ASPs 12. However, in order for pharmacists to adequately fulfill necessary roles on ASP teams and become antimicrobial stewards, pharmacy schools must adequately prepare student pharmacists during undergraduate and postgraduate studies prior to entry into actual practice 13,14. In fact, the World Health Organization stresses upon this fact so that current and future healthcare professionals receive appropriate education on proper antimicrobial use, infection control and containment of AMR 15.…”

Section: Introductionmentioning

confidence: 99%

<p>Exploring the gaps between education and pharmacy practice on antimicrobial stewardship: a qualitative study among pharmacists in Qatar</p>

Nasr

Higazy

Wilbur

2019

AMEP

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Background: Antimicrobial resistance is a public health issue and is the focus of antimicrobial stewardship (AMS) teams within health care institutions. However, AMS is not comprehensively and fully taught in medical or pharmacy curricula and little is known about the relevance of pharmacist training to meet AMS needs in the Middle East region. We aimed to explore the discord that may exist between infectious diseases education and actual clinical practice with regard to AMS knowledge and training skills in Qatar. Then, we sought to further explore pharmacist perceptions of their AMS roles in hospital environments. Methods: A qualitative study was undertaken at Qatar University using three focus groups consisting of 15 pharmacy alumni who are currently practicing as clinical pharmacists in Qatar. Focus groups were facilitated using a topic guide developed by study investigators. Discussions were audio-recorded and transcribed verbatim. Results were analyzed using framework analysis. Results: Two major themes related to the first objective emerged throughout the discussions and associated recommendations made to improve (i) infectious diseases (ID) module content and delivery and (ii) ID knowledge and skills application. Two themes related to the second objective included (i) impact of pharmacist’s interventions on decision-making and (ii) continuing professional development programming. Conclusion: Our findings guide ongoing efforts to enhance ID content in the curriculum and will close gaps related to AMS training. Pharmacists are core AMS team members where there is an ongoing need to align continuing education for health professionals with realities of practice.

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Section: Introductionmentioning

confidence: 99%

<p>Exploring the gaps between education and pharmacy practice on antimicrobial stewardship: a qualitative study among pharmacists in Qatar</p>

Nasr

Higazy

Wilbur

2019

AMEP

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“…Almost half of the respondents reported that they are not currently utilising the educational resources available to them but would definitely employ these if they get its easy access. Globally an increasing number of learning and training courses and toolkits are offered by public and private organisations, institutions and countries [ 28 – 31 ], some of which are free web-based online courses and others are inter-professional curriculums to increase pharmacists’ competency in AMS. There is a clear a need for such initiatives to help bridge this AMS knowledge gap for Australian community pharmacists.…”

Section: Discussionmentioning

confidence: 99%

Perceptions and current practices of community pharmacists regarding antimicrobial stewardship in Tasmania

et al. 2018

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Background Despite increasing interest in antimicrobial stewardship (AMS), little is known about the related practices and perceptions of community pharmacists. Objective To develop and validate a questionnaire to measure the current practices of, and barriers to community pharmacists’ participation in AMS. Setting Community pharmacists in Tasmania, Australia. Method A questionnaire to explore AMS knowledge, current practices and perceptions of community pharmacists was developed. It was designed after rigorous literature review, expert opinion, and feedback from a group of community pharmacists. A convenience sample of 140 Tasmanian community pharmacists was used for this study. Cronbach’s alpha and exploratory factor analysis (EFA) were used for reliability and validity. The questionnaire was hosted online, a link to which was sent by invitation e-mails, fax and post to community pharmacists in Tasmania, Australia. Main outcome measure Current AMS practices, perceived importance, barriers and facilitators of AMS. Results Eighty-five pharmacists responded to the survey yielding a response rate of 61%. EFA identified one factor solution for each of three perceptions scales and showed acceptable reliability. The Cronbach’s alpha of perceived importance-understanding was 0.699, perceived importance-motivating was 0.734, perceived support from GPs was 0.890, operational barriers was 0.585, general facilitators was 0.615. Most pharmacists reported that they counselled patients on adverse effects (86%), drug interactions (94%), and allergies (96%). In contrast, less than half (43%) intervened with prescribers regarding antibiotic selection. Lack of training, lack of access to patients’ records, limited interactions with general practitioners and absence of a reimbursement model were major barriers limiting community pharmacists’ participation in AMS. Conclusion The questionnaire was of acceptable reliability and validity; a larger study will further contribute in its reliability and validity. Future studies utilising the questionnaire at national and international level may provide further insights into the determinants of community pharmacist’s involvement in AMS.Electronic supplementary materialThe online version of this article (10.1007/s11096-018-0701-1) contains supplementary material, which is available to authorized users.

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“…Overall, 5 articles specific to pharmacy trainee involvement in AS were identified. [21][22][23][24][25] Table 2 describes 4 of the articles in detail. The most common AS strategies used by pharmacy trainees in these publications were dose optimization and prospective audit with intervention and feedback.…”

Section: Role Of Pharmacy Trainees In Asmentioning

confidence: 99%

All aboard!: Involvement of medical and pharmacy trainees in antimicrobial stewardship

Childs‐Kean

Briggs

Cho

2018

Infect. Control Hosp. Epidemiol.

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Antimicrobial stewardship (AS) involves the appropriate selection of antimicrobials. Antimicrobial stewardship programs are mandated in hospitals and are expanding to involve outpatient arenas. Multiple articles have been published describing the need for AS education for medical and pharmacy students, beginning early in the students’ career to develop into competent AS practitioners. Additionally, publications have described the role and impact of medical and pharmacy trainees on AS programs. Here, we review the published evidence describing medical and pharmacy trainees’ involvement in AS and call for future research in this area.

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Engaging Pharmacy Students, Residents, and Fellows in Antimicrobial Stewardship

Cited by 20 publications

References 30 publications

<p>Exploring the gaps between education and pharmacy practice on antimicrobial stewardship: a qualitative study among pharmacists in Qatar</p>

<p>Exploring the gaps between education and pharmacy practice on antimicrobial stewardship: a qualitative study among pharmacists in Qatar</p>

Perceptions and current practices of community pharmacists regarding antimicrobial stewardship in Tasmania

All aboard!: Involvement of medical and pharmacy trainees in antimicrobial stewardship

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