Validation of an assessment, medical problem-oriented plan, and care plan tools for demonstrating the clinical pharmacist's activities

Alsayed, Ahmad R.; Al-Dulaimi, Abdullah; Alnatour, Dalal; Awajan, Dima; Alshammari, Bushra

doi:10.1016/j.jsps.2022.07.007

Cited by 6 publications

(11 citation statements)

References 30 publications

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“…A more extended assessment period could reveal significant changes between the groups due to the inhaler technique education service delivered in this study. Furthermore, future studies with novel methods 31 are recommended to highlight the most critical medical problems practiced and find the appropriate plan to solve them.…”

Section: Discussionmentioning

confidence: 99%

Assessing the Pharmacist’s Role in Counseling Asthmatic Adults Using the Correct Inhaler Technique and Its Effect on Asthma Control, Adherence, and Quality of Life

AL-awaisheh¹,

Alsayed²,

Basheti³

2023

PPA

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This study was designed to assess inhaler technique skills, asthma control level, adherence, and quality of life scores amongst asthmatic patients living in Amman, Jordan, investigating the role of pharmacist's educational intervention. Patients and Methods: This single-blinded randomized parallel-group active-controlled study was conducted at the Jordan University Hospital (JUH) clinic in 2019. Patients were assessed at baseline and follow-up (after three months) on their inhaler technique (based on validated published checklists), asthma control based on the asthma control test (ACT) questionnaire, adherence to treatment, and quality of life (QoL). Patients in the active group were counseled on correct inhaler technique and administration skills, orally and using inhaler adhesive labels delivered by the clinical pharmacist. Results: Asthma patients (n = 157; active, n = 79, and control, n = 78) were recruited into the study and grouped based on the controller inhaler they were using (Turbohaler (TH) and Accuhaler (ACC). There was no statistically significant difference between both groups at baseline for inhaler technique, adherence, ACT, and QoL. At follow-up, 93.7% of the active group patients used their inhalers correctly, while only 16.7% of the control group used them correctly (P-value <0.001). Also, the ACT mean score was significantly higher for the active group (21.21±5.27) versus the control group (15.92±7.31; P-value <0.001). The QoL mean score was significantly improved for the active group compared with the control group (active = 63.85±24.78, Control = 38.746±3.23, P-value <0.001). Improvement in adherence for the active group was noticed compared with the control group but did not reach a significant level (P-value=0.691). Conclusion: Through a practical educational intervention, pharmacists were found to significantly improve patients' asthma inhaler technique, ACT scores, and QoL scores for patients with asthma.

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Section: Discussionmentioning

confidence: 99%

Assessing the Pharmacist’s Role in Counseling Asthmatic Adults Using the Correct Inhaler Technique and Its Effect on Asthma Control, Adherence, and Quality of Life

AL-awaisheh¹,

Alsayed²,

Basheti³

2023

PPA

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“…Lack of communication / coordination, the third barrier, was one of the top perceived barriers and it has been reported in other similar studies (El Hajj et al 2016;Loh et al 2021). Interprofessional collaboration is crucial for implementing PC (Zielińska-Tomczak et al 2021;Alsayed et al 2022c). Several studies have explored the factors that may influence interprofessional collaboration and barriers to implementing it in Arab countries (El-Awaisi et al 2018;Hasan et al 2018;Albassam et al 2020).…”

Section: Discussionmentioning

confidence: 99%

Pharmaceutical care and telemedicine during COVID-19: A cross-sectional study based on pharmacy students, pharmacists, and physicians in Jordan

Khader¹,

Alsayed²,

Hasoun³

et al. 2022

PHAR

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Lack of access to the patient medical record (90.6%) was the major barrier for the integration of pharmaceutical care into practice. The majority of participants (93.0%) encouraged creating a website that provides pharmaceutical care. Furthermore, 45.1% would pay for such a service if present. Moreover, the majority (89.8%) agreed that creating a comprehensive database for patients’ data will help in decreasing medical errors. Among the four aspects of pharmaceutical care (technical, psychosocial, communication and administrative) that were assessed for students and pharmacist’s, general weakness in all aspects was noticed. This study highlights that absence of proper documentation of patient medical information raises the risk of medical problems and is considered the most documented barrier for the integration of pharmaceutical care. This emphasizes the future role of telemedicine and the availability of a specialized website and database repository that stores patient’s information to ensure the continuity of care even during pandemics.

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“… 9 We provided the method in light of our recent two published studies using our related templates. 9 , 31 The template pertaining to the assessment of therapies was thought to be crucial since it aids in analyzing patient data for the presence of medical problems and aids in providing a suitable plan. 31 …”

Section: Methodsmentioning

confidence: 99%

“… 3–7 As pharmacists are now required to possess closer contact with patients, 8 the general public naturally expects them to handle challenges competently and in the best interests of their patients. 9 Numerous studies have found that pharmacists’ participation in pharmaceutical care services improves patients’ health outcomes by recognizing and preventing treatment-related problems in various disorders 10–17 and saves health care expenses. 18–21 …”

Section: Introductionmentioning

confidence: 99%

“…The Alsayed_v1 tools include three main parts: the assessment of treatments, the medical problem-oriented plan (MPOP) classification system, and the care plan. 31 The term MPOP was defined in our previous research 9 as “an interventional plan directed to a specific medical problem or event involving patient treatment to achieve the optimum outcomes for a certain patient”.…”

Section: Introductionmentioning

confidence: 99%

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Illustrating How to Use the Validated Alsayed_v1 Tools to Improve Medical Care: A Particular Reference to the Global Initiative for Asthma 2022 Recommendations

Alsayed¹

2023

PPA

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Purpose The current research aimed to illustrate a real case using the validated Alsayed_v1 tools as tutorial training to improve the knowledge and skills of healthcare practitioners in the clinical problem-solving process necessary to implement medical and pharmaceutical care. Patients and Methods The Alsayed_v1 instruments consist of principal components: data collection, assessment of treatments, the medical problem oriented plan (MPOP), as well as a care plan and patient education. Results This study illustrated a real case of asthma patient using the validated Alsayed_v1 tools. These validated and clinically tested tools provide a coding system for the MPOP that permits easy documentation with an open hierarchical structure where higher levels are broad and lower levels are particular, and the possibility to enter free text. The section dedicated to treatment assessments is intended to synthesize patient information to facilitate the identification of the MPOPs. Effective management requires the development of a partnership between the patient with asthma (or the patient’s caregivers) and his healthcare professional(s). This partnership aims to allow the patient to control his condition with guidance from the healthcare professional(s), discuss and agree on therapy goals, and develop a personalized, written, self-management asthma care plan. Conclusion By implementing Alsayed_v1 tools, the clinical practitioner can actively give the best practice for optimal patient outcomes.

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Validation of an assessment, medical problem-oriented plan, and care plan tools for demonstrating the clinical pharmacist's activities

Cited by 6 publications

References 30 publications

Assessing the Pharmacist’s Role in Counseling Asthmatic Adults Using the Correct Inhaler Technique and Its Effect on Asthma Control, Adherence, and Quality of Life

Assessing the Pharmacist’s Role in Counseling Asthmatic Adults Using the Correct Inhaler Technique and Its Effect on Asthma Control, Adherence, and Quality of Life

Pharmaceutical care and telemedicine during COVID-19: A cross-sectional study based on pharmacy students, pharmacists, and physicians in Jordan

Illustrating How to Use the Validated Alsayed_v1 Tools to Improve Medical Care: A Particular Reference to the Global Initiative for Asthma 2022 Recommendations

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Validation of an assessment, medical problem-oriented plan, and care plan tools for demonstrating the clinical pharmacist's activities

Cited by 6 publications

References 30 publications

Assessing the Pharmacist’s Role in Counseling Asthmatic Adults Using the Correct Inhaler Technique and Its Effect on Asthma Control, Adherence, and Quality of Life

Assessing the Pharmacist’s Role in Counseling Asthmatic Adults Using the Correct Inhaler Technique and Its Effect on Asthma Control, Adherence, and Quality of Life

﻿Pharmaceutical care and telemedicine during COVID-19: A cross-sectional study based on pharmacy students, pharmacists, and physicians in Jordan

Illustrating How to Use the Validated Alsayed_v1 Tools to Improve Medical Care: A Particular Reference to the Global Initiative for Asthma 2022 Recommendations

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Product

Resources

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Pharmaceutical care and telemedicine during COVID-19: A cross-sectional study based on pharmacy students, pharmacists, and physicians in Jordan