ObjectiveThe objective of this work was to compare two generic questionnaires assessing patients’ satisfaction with medication. In addition we tested whether satisfaction can predict adherence to medication regimens in patients with chronic diseases, and which dimensions of satisfaction are most involved.MethodsThis prospective, observational study was conducted over one year in a heterogeneous population of patients with various chronic diseases. Satisfaction with medication was assessed by using the TSQM® vII and the SatMed-Q® questionnaires, and adherence to treatment was assessed with the Morisky-Green questionnaire. Clinical pharmacists interviewed patients to collect clinical, demographic and therapeutic data.Results190 patients were enrolled. Both questionnaires showed excellent reliability and correlation was high (R = 0.70; p<0.001). Adherence was correlated with satisfaction with medication whether assessed with the SatMed-Q® (R = 0.23; p = 0.002) or the TSQM® (R = 0.17; p = 0.02). Among different dimensions of satisfaction, convenience of use and side effects are prominent predictors of adherence.ConclusionAdherence is related to the patient’s satisfaction with medication whether assessed with the TSQM® vII or the SatMed-Q®. Therefore, these simple questionnaires could be used as predictive tools to identify patients whos’ adherence needs to be improved.
BackgroundEducation and training may improve the prescription of pediatric parenteral nutrition. The aim was to evaluate the impact of an e‐learning method on parenteral nutrition prescription skills among pediatric residents in 2 pediatric hospitals.MethodsA randomized double‐blind control study was conducted over a 9‐month period among pediatric residents in HOSP1, Geneva, Switzerland, where physicians prescribe parenteral nutrition directly, and in HOSP2, Montreal, Canada, where physicians prescribe only occasionally because clinical pharmacists are devoted to this activity. The intervention consisted of an e‐learning session about key issues of parenteral nutrition. Physician parenteral nutrition knowledge was evaluated with a standardized questionnaire based on clinical cases before and after the e‐learning in the intervention groups; in the control groups, only the 2 tests were conducted. In HOSP1, participants also underwent iterative tests every 2 months to measure the retention of knowledge.ResultsSixty‐five physicians participated. Initial knowledge scores were higher in HOSP1 (pretest scores 180 ± 29 vs 133 ± 24, p < 0.001). Overall, there was no significant difference in the impact of the e‐learning intervention between the control and e‐learning groups (p > 0.05). A significant knowledge improvement was observed in HOSP2 in the e‐learning group (p = 0.033). Iterative tests in HOSP1 showed persistence of knowledge without significant differences between the groups. E‐learning satisfaction among the participants was outstanding (100%).ConclusionE‐learning seems to be an effective method for teaching parenteral nutrition among pediatric residents and fellows at the beginning of the training. High satisfaction with this teaching method was observed in this study.
Background In our institution, pharmacists advise healthcare professionals facing parenteral drug compatibility issues by answering questions via a hotline. Actual implementation of the verbal recommendations and transmission of the information among the teams is not guaranteed. Indeed, the same questions may occur repeatedly. Purpose To assess: the implementation and transmission of the pharmacist’s recommendations in the ward the impact of a written document providing an infusion regimen in addition to the verbal answer the nurses’ perception of the transmitted information. Materials and methods Randomised controlled study over 15 months (06/12–09/13). Hotline questions regarding parenteral drug compatibility were randomised in 2 groups: phone answer only (WITHOUT) versus phone answer plus a written structured document providing an infusion regimen (WITH). Consistency of the infusion regimen with the proposed one, information transmission in the nurse team (written document at bedside and/or nurse informed) and opinion about the received information were assessed at 24 h through a nurse interview at the bedside (standardised questionnaire, 5-step categorical scale, Fisher’s exact test). Results 80 compatibility questions were included (37 WITHOUT, 37 WITH and 6 lost to follow-up). Infusion regimen was consistent with the recommendation in 63% of the cases (62.2% WITHOUT, 63.9% WITH, p > 0.05). Modification of the prescription was the main reason (53.8%) for not following the pharmacist’s recommendations. Information transmission was not significantly improved by the document (WITHOUT 60.0%, WITH 74.3%, p > 0.05). However, 25/36 (69.4%) nurses found the document excellent or very good and 30/35 (85.7%) sensed that it improved information transmission. Moreover, 29/37 (78.4%) nurses who didn’t receive the document would have found it helpful. As a whole, 66/74 (89.2%) healthcare professionals would like to have the information documented in the electronic patient record. Conclusions The pharmacist’s recommendations on drug compatibility were applied and transmitted in two third of the cases by nurses, the major barrier being the rapid evolution of prescriptions. The impact of a written document on information transmission could not be determined; however this new tool was very well received by healthcare professionals. Implementation of information in the electronic patient record should be considered. No conflict of interest.
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