The quality of self-care counselling by pharmacy practitioners, supported by IT-based clinical guidelines

Westerlund, Tommy; Andersson, Inga-Lisa; Marklund, Bertil

doi:10.1007/s11096-006-9073-z

Cited by 25 publications

(61 citation statements)

References 12 publications

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“…The study indicates that further research is warranted in this area, particularly as it relates to the central role of the community pharmacy and pharmacists in the first line management and reduction of codeine misuse. Community pharmacy in its capacity to provide customer education around safe and compliant use of habit forming medicines such as codeine, risk surveillance and enhance self-care planning represents a vital mainstay in the public health system (Westerlund, Andersson et al 2007;Ryan, Santesso et al 2011;Ryan, Santesso et al 2014). The continued availability of OTC codeine as a useful medicine is desireable (Van Hout and Norman, 2015).…”

Section: Resultsmentioning

confidence: 99%

A Comparative Exploration of Community Pharmacists’ Views on the Nature and Management of Over-the-Counter (OTC) and Prescription Codeine Misuse in Three Regulatory Regimes: Ireland, South Africa and the United Kingdom

Carney

Wells

Bergin

et al. 2016

Int J Ment Health Addiction

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A comparative exploration of community pharmacists' views on the nature and management of Over-the-Counter (OTC) and Prescription codeine misuse in three regulatory regimes; Ireland, South Africa and the United Kingdom. AbstractMisuse of codeine containing preparations is a public health concern given the potential for associated harms and dependence. This study explores the perspectives of community pharmacists in three regulatory regimes on issues of customer misuse of over the counter (OTC) and prescribed codeine containing preparations. A qualitative design comprising six focus groups (n=45) was conducted in Ireland, United Kingdom, South Africa. Transcripts were analysed using the constant comparative method of content analysis. Pharmacists described popular codeine containing products; the need for improved medicine information and warning labels. Issues around legitimate availability of codeine and regulatory status; presence of therapeutic need; difficulties in customer-pharmacist communication; business environments and retail focus were raised. Participants also discussed how they identified customers potentially misusing codeine; customer pharmacy 'hopping' and difficulties in relationships between pharmacists and prescribers. Specialist training; reimbursement for customer consultation; screening and brief interventions; visible referral structures and assisted community pharmacy detoxification were discussed as ways to manage the issues. The study highlights the difficulties encountered by community pharmacists operating under various regulatory regimes when supplying codeine containing preparations in negotiating patient awareness and compliance and dealing with misuse and dependence. Key WordsCodeine containing preparations; Misuse; Community pharmacy; Pharmacists; RegulationWhat is known about this topic 2  Over-the-counter (OTC) and prescription codeine containing products, as dispensed in pharmacies, have the potential for misuse and dependence. Different countries have different regulations with regards to the provision and display of codeine and level of pharmacist intervention at point of sale. Strategies which prevent and address codeine misuse include screening, information provision and referral. What this paper adds Pharmacists in Ireland, South Africa, and the UK have multiple roles and face a number of challenges related to financial and time resources; perceptions of the pharmacist profession and advising on safe and appropriate use of medication, not only codeine. Pharmacists have their own ways to identify customers who may be misusing codeine, but customers' strategies such as 'pharmacy hopping' and some use of online pharmacies make this challenging. Support and referral interventions are provided by pharmacists, but these are not standard, and more information is needed on which services to refer customers to for codeine misuse.

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Section: Resultsmentioning

confidence: 99%

A Comparative Exploration of Community Pharmacists’ Views on the Nature and Management of Over-the-Counter (OTC) and Prescription Codeine Misuse in Three Regulatory Regimes: Ireland, South Africa and the United Kingdom

Carney

Wells

Bergin

et al. 2016

Int J Ment Health Addiction

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“…The patient journey often commences with the community pharmacist, providing a rationale for including them in any proposed care. 53 A further option to be considered, particularly where specialists are scarce, is the development of a network of GPs with specialist interests (GPwSIs) whose remit would include service provision and local educational initiatives working in close collaboration with specialist mentors. 54,55 This would also present an opportunity to develop a network of care to establish clear communication and shared decision-making.…”

Section: Service Delivery and Monitoringmentioning

confidence: 99%

Challenges in the implementation of the EAACI AIT guidelines: A situational analysis of current provision of allergen immunotherapy

Ryan

Wijk

Angier

et al. 2017

Allergy

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“…Pharmacy practitioners are important mainstays in the health care system (Westerlund, Andersson, & Marklund, 2007), with pharmacy interventions centring on diverse aims relating to selfmonitoring of care and use of medicines, consumer education and behaviour change, risk minimization and care planning (Ryan & Hill, 2011). Medicines adherence is a frequently reported outcome (Ryan et al, 2014), and highlights the appropriateness of utilizing pharmacy practice to prevent, curtail and address the diverse forms of codeine misuse.…”

Section: Codeine Focused Interventionsmentioning

confidence: 99%

Misuse of non-prescription codeine containing products: Recommendations for detection and reduction of risk in community pharmacies

Hout

Norman

2016

International Journal of Drug Policy

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The quality of self-care counselling by pharmacy practitioners, supported by IT-based clinical guidelines

Cited by 25 publications

References 12 publications

A Comparative Exploration of Community Pharmacists’ Views on the Nature and Management of Over-the-Counter (OTC) and Prescription Codeine Misuse in Three Regulatory Regimes: Ireland, South Africa and the United Kingdom

A Comparative Exploration of Community Pharmacists’ Views on the Nature and Management of Over-the-Counter (OTC) and Prescription Codeine Misuse in Three Regulatory Regimes: Ireland, South Africa and the United Kingdom

Challenges in the implementation of the EAACI AIT guidelines: A situational analysis of current provision of allergen immunotherapy

Misuse of non-prescription codeine containing products: Recommendations for detection and reduction of risk in community pharmacies

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