Evidence-Based Practice by Pharmacists: Utilization and Barriers

Burkiewicz, Jill S.; Zgarrick, David P.

doi:10.1345/aph.1e663

Cited by 55 publications

(56 citation statements)

References 10 publications

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“…We have also shown that physicians and pharmacists recognized the value of EBP to a similar extent. These findings generally coincide with the results of other studies (28,29). While cost savings in Serbia were forcibly imposed, the effects on clinical decision-making were rather modest.…”

Section: Discussionsupporting

confidence: 89%

Do Health Reforms Impact Cost Consciousness of Health Care Professionals? Results from a Nation-Wide Survey in the Balkans

et al. 2016

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Section: Discussionsupporting

confidence: 89%

Do Health Reforms Impact Cost Consciousness of Health Care Professionals? Results from a Nation-Wide Survey in the Balkans

et al. 2016

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“…These results are similar to the attitudes of pharmacists in Illinois, with 90% of pharmacists reporting a positive or somewhat positive attitude toward evidencebased medicine. 5 Many barriers exist to the implementation of evidence-based practice, including time, access to resources, and attitude. 5,24,25,28 Results of the questionnaire indicate that the attitudes of pharmacy students in this elective course were positive and not likely to be a significant contributing barrier toward evidence-based practice.…”

Section: Discussionmentioning

confidence: 99%

“…The questionnaire was based on an instrument used in a study of physicians' perceptions of evidence-based medicine 24 and adapted to the targeted population of pharmacists. 5 An abbreviated questionnaire was administered to the students. The abbreviated questionnaire consisted of 9 items that assessed the student attitudes toward evidenced-based medicine and self-assessed comfort with technical concepts used in evidence-based medicine.…”

Section: Pre-and Post-elective Questionnairementioning

confidence: 99%

“…A survey of randomly selected pharmacists in Illinois determined that pharmacists have positive attitudes toward evidence-based medicine. 5 Though most pharmacists had performed literature searches within the previous year, there was a low level of awareness that these databases were accessible for free to the public. Since training in drug literature evaluation is now computer-based, pharmacy students may be more aware of databases to search the literature than practicing pharmacists who graduated 10 or more years ago.…”

Section: Introductionmentioning

confidence: 99%

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An Elective Course on Landmark Trials to Improve Pharmacy Students' Literature Evaluation and Therapeutic Application Skills

Burkiewicz¹,

Komperda²

2009

Am J Pharm Educ

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Objectives. To determine the impact of a landmark trials elective course on pharmacy students' attitudes toward evidence-based medicine, students' comfort with technical concepts used in drug literature, and students' perceptions of accessibility of PubMed from home computers.Design. An elective course which gave third-year pharmacy students the opportunity to discuss landmark trials in primary care and reinforced skills in applying evidence from the primary literature to support therapeutic recommendations was design and implemented. The impact of the course was evaluated via a pre-and postcourse questionnaire administered during 3 consecutive course offerings. Assessment. Overall, students had positive attitudes toward evidence-based medicine before taking the course (97.5% positive or somewhat positive) and these attitudes were unchanged postcourse (p 5 0.74). Though 97.6% (n 5 40) of students had Internet access at home, only 68.3% (n 5 28) indicated having PubMed access at home. The course increased self-assessed comfort with technical concepts used in literature evaluation including random assignment (p , 0.01), placebo-controlled (p , 0.01), and intention-to-treat (p 5 0.02).Conclusion. An elective course on landmark trials allowed third-year pharmacy students to increase their comfort level with literature evaluation and reinforced their positive attitudes toward the use of evidence-based medicine in pharmacy practice.

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“…In a meta-analysis of physicians from 18 different countries, 83% of physicians indicated their understanding of NNT, 22 while studies show that 74-75% of pharmacists understand NNT in the US and Australia. 25,26 While common EBM terms have been penetrating the health profession lexicon around the world, American student pharmacists appear to have greater recognition than those in Japan.…”

Section: -24mentioning

confidence: 99%

Cross-cultural Comparison of Pharmacy Students’ Attitudes, Knowledge, Practice, and Barriers Regarding Evidence-based Medicine

Ozaki

Nakagawa

Jackevicius

2019

American Journal of Pharmaceutical Education

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Objective. Evidence-based medicine (EBM) instruction has had varying penetration in different regions of the world, and the impact of cultural influences on students' EBM attitudes, knowledge and behavior is poorly understood. Therefore, we explored this among pharmacy students in the United States (US) and Japan. Methods.A cross-sectional study was conducted using a self-administered survey. Senior students in one pharmacy school in the US and two pharmacy schools in Japan were invited to participate in a 33-question survey.Results. Students had positive attitudes and reported understanding of EBM concepts in both countries. American students reported a higher self-evaluation of their current EBM practice, EBM skills, and access to EBM resources compared with Japanese students. The most common barriers for American students were lack of time (84.5%), statistical knowledge (63.9%), and critical appraisal skills (53.1%), and for Japanese students lack of training (92.6%), clinical knowledge (90.4%), and opportunity (88.8%). PAP Manuscript A J P EA c c e p t e d D r a f t Conclusions. EBM was recognized as an important skillset for the pharmacy profession by students in both countries, while barriers and confidence levels differed. Culturally-specific approaches are needed for improving EBM use.

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Evidence-Based Practice by Pharmacists: Utilization and Barriers

Abstract: Pharmacist respondents have positive attitudes toward EBM and the application of research findings to practice.

Cited by 55 publications

References 10 publications

Do Health Reforms Impact Cost Consciousness of Health Care Professionals? Results from a Nation-Wide Survey in the Balkans

Do Health Reforms Impact Cost Consciousness of Health Care Professionals? Results from a Nation-Wide Survey in the Balkans

An Elective Course on Landmark Trials to Improve Pharmacy Students' Literature Evaluation and Therapeutic Application Skills

Cross-cultural Comparison of Pharmacy Students’ Attitudes, Knowledge, Practice, and Barriers Regarding Evidence-based Medicine

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