Patient Perception of Medication Communications in the Hospital

Miller, Luke; Hogan, Thanh; Bato, Benedick; Floresca, Donald; Spaulding, Aaron

doi:10.1097/jhm-d-16-00013

Cited by 5 publications

(3 citation statements)

References 9 publications

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“…The OPL should also suggest new laws to concerned authorities and apply existing ones, such as the one related to the clinical pharmacy in hospital settings. It should require the presence of clinical pharmacists in each department and every floor round and specify the number of pharmacists needed per hospital bed [ 25 ]. The law penalizing companies and institutions employing non-pharmacists in positions entitled to pharmacists should be enforced.…”

Section: Discussionmentioning

confidence: 99%

A pilot assessment of the career and job satisfaction of the pharmaceutical workforce in Lebanon

Nassar

Kassouf

Aline

et al. 2022

J of Pharm Policy and Pract

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Background Lebanon has been recognized as a center for high-quality healthcare services in the Middle East because of its prestigious facilities certified by international bodies, competent health workers, and credible pharmaceutical sector. This study assessed the professional situation of the Lebanese pharmaceutical workforce upon graduation and entry to the job market. It also evaluated the satisfaction of pharmacists with the financial, physical, and psychological aspects of their job and the effect of the current socioeconomic crisis on their profession. Methods A cross-sectional study was performed between January and May 2021 among 114 Lebanese pharmacists from all pharmaceutical sectors across Lebanon. A self-administered questionnaire was elaborated to assess the pharmaceutical workforce in Lebanon. The online questionnaire was built using Google Forms and disseminated via emails and social platforms. Results Fresh graduates seemed more oriented toward community pharmacies, and 78.1% of the participants worked at least once in their lifetime in a community pharmacy. Pharmacists from the public university worked predominantly in the community pharmacy sector, while those who graduated from private universities worked mainly as medical representatives. Hospital pharmacy comprised significantly more PharmD graduates than other sectors; medical representatives had mainly a BS pharmacy, while those working as industrial pharmacists had a Master’s degree. A low percentage (31.6%) of participants found it easy to get hold of a job across different pharmaceutical sectors while 64.0% considered the internships experience insufficient to get employed. Nearly half (48.2%) of the respondents were poorly satisfied with their job, and 54.0% of community pharmacists reported not working in their preferred field compared to 39.1% of pharmacists from other sectors. Also, 65.79% felt that the economic crisis and the consequent medication shortages affected their credibility and how society perceived them. About half (45.61%) of the participants reported that their employment status was not affected by the crisis; the rest got a second job to cover their expenses (15.79%) or changed jobs (14.91%). Conclusion Our study findings revealed that most Lebanese fresh graduates worked as community pharmacists, which does not correspond to their preference, the available job market, and the modern pharmacy wingspan. Most pharmacists were also financially, physically, and emotionally dissatisfied due to the Lebanese economic crisis that added heavy workloads and responsibilities without any financial raise.

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Section: Discussionmentioning

confidence: 99%

A pilot assessment of the career and job satisfaction of the pharmaceutical workforce in Lebanon

Nassar

Kassouf

Aline

et al. 2022

J of Pharm Policy and Pract

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show abstract

“…The hospital pharmacist’s role in Lebanon focuses on the distribution of medications, compounding, formulary review, and cost management [28]. The scope of practice of hospital pharmacists is much wider as it includes ensuring safe, appropriate, efficacious, judicious, and cost-effective use of medications while decreasing improper medication usage and enhancing the satisfaction of patients [29, 30]. Such professional role is far from being achieved with the shy numbers of hospital pharmacists in Lebanon.…”

Section: Discussionmentioning

confidence: 99%

Upscaling the pharmacy profession in Lebanon: workforce distribution and key improvement opportunities

2019

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Background The critical role pharmacists play in the healthcare system necessitates close monitoring of their supply, distribution, and competencies. This is especially relevant considering the global increase in the demand for pharmacists. In Lebanon, the pharmacy profession is facing several challenges related to the unplanned supply of pharmacists. The aim of the study is to analyze the Order of Pharmacists registration database and generate workforce distribution over the last six decades. Methods This study entailed a detailed database analysis of a deidentified subset of the Order of Pharmacists in Lebanon registration records for years 1954–2018. The analysis generated workforce distribution in terms of growth in number, distribution by gender, age distribution, geographic location, workforce status, sector of employment, and employment position. A descriptive analysis was carried out with cross-tabulations to identify distribution across selected variables. Results The pharmacy profession in Lebanon witnessed significant growth over the period of analysis. The “Community” was the most common employment sector (63%), followed by “Pharmaceutical Sector” (24%) and “Hospitals” (5%). The high ratio of pharmacists to 10 000 population (20.3) was contrasted by a low ratio of hospital pharmacist per hospital and per 100 hospital beds (1.9 and 1.7, respectively). The high pharmacist to population ratio is indicative of an oversupply of pharmacists precipitated by poor workforce planning. While oversupply did not result in high unemployment, it may have negatively affected the income of pharmacists and their adherence to the professional and ethical requirements of their job. Despite the large number of pharmacists in Lebanon, findings elicit concerns over the adequacy and safety of pharmacists’ services in hospitals with a low ratio of hospital pharmacists to 100 hospital beds. Conclusion This study unearthed several opportunities and concerns related to planning the supply, distribution, regulation, and the professional scope of practice of pharmacists in Lebanon. A concerted multi-stakeholder effort to address some of the identified challenges will not only improve the professional status of pharmacists but will also enhance the safety and efficiency of pharmaceutical care in the country.

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“…Semi-structured interviews were conducted with patients 1–2 weeks after discharge, focusing on the patients’ experiences of medication communication at the hospital (Simonÿ et al, 2018 ). The design was also chosen to limit or prevent imposing the observers’ preconceived notions on to the data and allowed the patients to express freely (Aase et al, 2013 ; Mach et al, 2005 ; Miller et al, 2018 ). The interview guide can be found in a previous publication.…”

Section: Data Collectionmentioning

confidence: 99%

‘The way you talk, do I have a choice?’ Patient narratives of medication decision-making during hospitalization

Rognan,

Jørgensen,

Mathiesen

et al. 2023

International Journal of Qualitative Studies on Health and Well

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Objective Based on the principle of the autonomy of the patient, shared decision-making (SDM) is the ideal approach in clinical encounters. In SDM, patients and healthcare professionals (HCPs) share knowledge and power when faced with the task of making decisions. However, patients are often not involved in the decision-making process. In this study, we explore medication decision-making during hospitalization and how power in the specific patient—HCP relationship is articulated, as analysed by Foucauldian theory. Methods A qualitative case study, comprising observations of patient-HCP encounters at an internal medicines ward at a university hospital in Norway, followed by semi-structured interviews. The narratives ( n = 4 patients) were selected from a larger study ( n = 15 patients). The rationale behind the choice of these patients was to include diverse and rich accounts. The four patients in their 40s–70s were included close to the day of presumed discharge. Results The narratives provide an insight into the patients as persons, their perspectives, including what mattered to them during their hospitalization, especially in relation to medications. Overall, SDM was not observed in this study. Even though all the participants actively tried to keep their autonomous capacity and to resist the HCPs’ use of power, they were not able to change the established dynamics. Moreover, they were not allowed an equal voice to those of HCPs and thus not to escape the system’s objectification and subjectification of them. Conclusion There is a need for HCPs to get more familiarized with SDM. The healthcare system and the individual HCP need to make more room for dialogue with the patients about their preferences. A part of this is also how health care systems are structured and scheduled, thus, it is important to empower patients and HCPs alike.

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Patient Perception of Medication Communications in the Hospital

Cited by 5 publications

References 9 publications

A pilot assessment of the career and job satisfaction of the pharmaceutical workforce in Lebanon

A pilot assessment of the career and job satisfaction of the pharmaceutical workforce in Lebanon

Upscaling the pharmacy profession in Lebanon: workforce distribution and key improvement opportunities

‘The way you talk, do I have a choice?’ Patient narratives of medication decision-making during hospitalization

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