Experiences and strategies adopted for the implementation of pharmaceutical services in hospital geriatric units: A scoping review protocol

Oliveira, Alan Maicon de; Varallo, Fabiana Rossi; Pereira, Leonardo Régis Leira

doi:10.1016/j.rcsop.2023.100262

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…The contact between prescribers and pharmacists, as well as ongoing exposure to their services, appears to have influenced prescriber acceptance of pharmacists’ clinical responsibilities internationally ( de Oliveira et al, 2023 ). Our results show that most clinical pharmacists were positive that participation in WRs would strengthen their inter-professional skills with other healthcare team members and provide them with job satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Insights into participation in ward rounds in hospitals: A survey of clinical pharmacists' perceptions

Hatem,

Yousuf,

Mohamed Ibrahim

et al. 2023

Journal of Pharmaceutical Policy and Practice

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Introduction Clinical pharmacists’ participation in ward rounds (WRs) has been a great chance to contribute to team-based care in the hospital setting and significantly improve patient outcomes and quality of life. Hence, the objective of this investigation was to explore the perceptions of clinical pharmacists in Yemen regarding their participation in WRs and the factors influencing their involvement. Methods An online survey of Yemeni clinical pharmacists was conducted and lasted for two months. Descriptive statistics were used to analyse the survey responses. Results a total of 120 participants were involved. About 3 out of 10 pharmacists had not previously participated in WRs, with only 30% having always or most of the time participated in word rounds alongside physicians. The results showed a positive perception of WR participation, with a median and IQR of 5(4–5). However, a lack of awareness of WR roles and the time-consuming nature of participation were the reasons for non-involvement. Conclusion The study highlights the positive perceptions of Yemeni clinical pharmacists towards ward rounds, but emphasises the need to address awareness and time constraints. Emphasising patient-centered care and longer internship durations can improve clinical pharmacist involvement. Future research should focus on optimising clinical pharmacist participation for better patient outcomes and care quality.

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Section: Discussionmentioning

confidence: 99%

Insights into participation in ward rounds in hospitals: A survey of clinical pharmacists' perceptions

Hatem,

Yousuf,

Mohamed Ibrahim

et al. 2023

Journal of Pharmaceutical Policy and Practice

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Strategies employed and experiences associated with the implementation of pharmaceutical services and interventions in geriatric wards: A scoping review

de Oliveira,

Rodrigues,

do Vale de Souza

et al. 2024

Brit J Clinical Pharma

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Evidence indicates a lack of clarity regarding the contributions of interventions aimed at optimizing pharmacotherapy, primarily guided by pharmaceutical care, for clinically significant improvements in older individuals. Thus, there is a need to deepen the understanding of this scenario and the factors involved. Therefore, this study aims to map and summarize scientific evidence regarding experiences and strategies employed in providing pharmaceutical services and interventions in geriatric wards. A scoping review was conducted based on 3 electronic databases (PubMed, EMBASE and Web of Science). Studies meeting the inclusion criteria, published up to September 2024, and in English, Spanish or Portuguese were selected. Experimental and observational studies were eligible for inclusion. Screening, eligibility, extraction and assessment of the studies were carried out by 2 independent researchers. The exploration of bibliographic databases yielded 3,976 references, and 40 studies were deemed suitable for inclusion. Predominantly conducted in countries with high human development, these studies categorized services and interventions as: (i) medication review; (ii) medication reconciliation; and (iii) pharmaceutical counselling. Highlighted tools included STOPP and START criteria, Beers criteria, and the Medication Appropriateness Index, facilitating identification of issues such as potentially inappropriate medications (27.6–90.8% of older individuals using at least 1 potentially inappropriate medication), drug‐related problems (34.5–98.2% of patients with at least 1 drug‐related problem) and adverse drug events (58–88.4% of patients with at least 1 adverse drug event). The acceptance rate of interventions exhibited considerable variation (13–95.3%). Only 10 studies evaluated clinical outcomes in patients. Barriers included the need for additional training for pharmacists in geriatrics, significant time investment, lack of continuity in assessments and a lack of recognition of interventions by other members of the multiprofessional team. There is a clear trend towards improving medication prescription adequacy and contributing to the quality of pharmacotherapy through pharmaceutical services and interventions in geriatric wards. However, several gaps still need to be addressed, and this review emphasizes identifying obstacles to be overcome, providing guidance for future investigations.

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Experiences and strategies adopted for the implementation of pharmaceutical services in hospital geriatric units: A scoping review protocol

Cited by 2 publications

References 13 publications

Insights into participation in ward rounds in hospitals: A survey of clinical pharmacists' perceptions

Insights into participation in ward rounds in hospitals: A survey of clinical pharmacists' perceptions

Strategies employed and experiences associated with the implementation of pharmaceutical services and interventions in geriatric wards: A scoping review

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