Abstract:CONTEXT:Fresh Bachelor of Medicine and Bachelor of Surgery graduates (FMGs) are responsible for the majority of prescription errors and irrational use of medicines. Little research has explored their knowledge on rational prescribing practices.AIMS:The present study aimed to evaluate the awareness of rational use of medicines (RUMs) among the FMGs.SETTINGS AND DESIGN:A multicentric, cross-sectional, and questionnaire-based study was conducted among 308 FMGs during the internship orientation program.SUBJECTS AN… Show more
“…that more than half of the interns supported that pregnant females should not consume any drug and two-third of the interns were confused about deciding the correct dose for pediatric patients. [ 30 ] The students in the current study use information that was learned in the course and can transfer it to other situations faced in other disciplines as reported in other studies. [ 9 10 15 ] This will contribute when repeated more frequently and when it is integrated to other clinical disciplines vertically through the medical curriculum, integrating with and identifiable within relevant horizontal modules.…”
BACKGROUND:
Rational pharmacology use and appropriate prescribing are among the key learning outcomes in medical education. Some medical faculties include rational pharmacotherapy course in their education programs at different years of education in Turkey. The aims of this study were to investigate the differences in effect of rational pharmacotherapy course on short- and long-terms by comparing two cohorts who attended the course in different clinical years of medical education by identifying which parameters of prescription items are different among groups.
MATERIALS AND METHODS:
This quasi-experimental study was conducted in School of Medicine. Participants consisted of 157 students who attended the course in Grade 4 (n = 110, Group A) and Grade 5 (n = 47, Group B). Students were asked to complete a prescribing task both upon completion of the course and 1 year after. The performance in prescribing was determined by prescription scoring form. Repeated measures ANOVA was employed to test the intervention effect between two periods. McNemar test was employed to measure the change in each item on the prescription. Point-biserial correlations between each item on the prescription and their scores on the test as a whole were calculated.
RESULTS:
The mean score of Group A dropped to 59.41 (standard deviation [SD] = 14.06) from 90.43 (SD = 8.90), and the mean score of Group B dropped to 73.37 (SD = 12.56) from 83.91 (SD = 10.03). All the prescription components in the scripts of the Group A students worsened significantly, except the “name of drug,” whereas Group B students maintained most of them after 1 year.
CONCLUSIONS:
This study shows that the long-term retention effect of rational pharmacotherapy course conducted in later years of education is better than the course conducted in earlier years of education, which may be related to the fact that students in later years are more likely to take on responsibility for patient therapy process in clinical education.
“…that more than half of the interns supported that pregnant females should not consume any drug and two-third of the interns were confused about deciding the correct dose for pediatric patients. [ 30 ] The students in the current study use information that was learned in the course and can transfer it to other situations faced in other disciplines as reported in other studies. [ 9 10 15 ] This will contribute when repeated more frequently and when it is integrated to other clinical disciplines vertically through the medical curriculum, integrating with and identifiable within relevant horizontal modules.…”
BACKGROUND:
Rational pharmacology use and appropriate prescribing are among the key learning outcomes in medical education. Some medical faculties include rational pharmacotherapy course in their education programs at different years of education in Turkey. The aims of this study were to investigate the differences in effect of rational pharmacotherapy course on short- and long-terms by comparing two cohorts who attended the course in different clinical years of medical education by identifying which parameters of prescription items are different among groups.
MATERIALS AND METHODS:
This quasi-experimental study was conducted in School of Medicine. Participants consisted of 157 students who attended the course in Grade 4 (n = 110, Group A) and Grade 5 (n = 47, Group B). Students were asked to complete a prescribing task both upon completion of the course and 1 year after. The performance in prescribing was determined by prescription scoring form. Repeated measures ANOVA was employed to test the intervention effect between two periods. McNemar test was employed to measure the change in each item on the prescription. Point-biserial correlations between each item on the prescription and their scores on the test as a whole were calculated.
RESULTS:
The mean score of Group A dropped to 59.41 (standard deviation [SD] = 14.06) from 90.43 (SD = 8.90), and the mean score of Group B dropped to 73.37 (SD = 12.56) from 83.91 (SD = 10.03). All the prescription components in the scripts of the Group A students worsened significantly, except the “name of drug,” whereas Group B students maintained most of them after 1 year.
CONCLUSIONS:
This study shows that the long-term retention effect of rational pharmacotherapy course conducted in later years of education is better than the course conducted in earlier years of education, which may be related to the fact that students in later years are more likely to take on responsibility for patient therapy process in clinical education.
“…Even though there were still 29.1 % of nursing students who ignored it. However, a previous study reported that a third of Fresh Bachelor of Medicine and Bachelor of Surgery graduates (FMGs) did not know the same general quality as branded drugs, and they considered them inferior to branded drugs (Chaudhari et al, 2017) Various brands for the same pharmaceutical product are available, leading to further confusion among users. Generic drugs are medicine manufactured by a factor other than an original innovator company that holds patents for certain pharmaceutical products.…”
Section: Discussionmentioning
confidence: 99%
“…Generic drugs are equally efficacious as branded drugs. Thus, the drug regulatory body suppresses receptors to prescribe generic drugs (Chaudhari et al, 2017).…”
Section: Discussionmentioning
confidence: 99%
“…RUM uses medicine based on the patient's clinical needs, in the appropriate dose, for the suitable period, and at the lowest possible cost (World Health Organization, 2002). Based on the definition, RUM focuses on four essential aspects, including correct medication, correct dose, correct duration of treatment, and correct cost (Chaudhari, Mali, Dawari, & Nishandar, 2017) Based on primary health research results (Riskesdas) 2013 showed that 35.2% of families in Indonesia provide medicines for self-treatment. The average of medicines that they keep was almost three kinds of medicines.…”
Introduction: Rational use of medicine (RUM) is critical for achieving therapeutic goals and avoiding unwanted effects. However, irrational medicine use is becoming a severe issue worldwide since it leads to increased medical costs and unwanted effects. Students as prospective professional nurses need to have knowledge that supports the rational use of medicine to ensure rational administration of the medicine for patients. Methods: This descriptive research was conducted to identify knowledge of rational use of medicine among nursing students of Faculty of Nursing Universitas Padjadjaran. Quantitative data was collected by asking respondents to fill out questionnaires. A total of 285 respondents had filled out an online research questionnaire (response rate=76.61%). The collected data were analyzed with descriptive analysis (frequency, percentage, and average). Result: The results of this study showed that there is some knowledge related to (RUM) which is not appropriate, such as assuming that over the counter medicines are safe to consume with prescribed medicines (53.3%); tablet medicines can be divided to be administered in child patients (57.9%). In addition, almost all respondents considered it unnecessary to be cautious in giving medication to pregnant and lactating mothers (41.1%) and the elderly (40.4%). Conclusion: Thus, nursing students are expected to gain RUM knowledge to obtain better RUM attitudes and behaviors in providing nursing interventions.
“…Studies generally focus on the awareness and knowledge levels of healthcare workers and consumers. In many studies conducted with health-care professionals and health-care students, the level of knowledge about RUM is low [9], [10], [11], [12]. Most of the studies in Turkey show that the consumer knowledge level on RUM is low [13], [14].…”
BACKGROUND: The high cost of medicines continues to be a major problem in health care.
AIM: This study aims to investigate the awareness, attitudes, and behaviors of consumers with regard to the rational use of medicine (RUM) in a developing country context.
METHODS: The study was designed as descriptive cross-sectional research. The survey was conducted in the two major cities of Turkey, namely, Ankara and Edirne, whose populations well-represent the socio-economic characteristics of the overall Turkish population between January and March 2016. A total of 2267 individuals participated in the survey. The survey consisted of 37 questions which included statements about various socio-demographic factors and the RUM. Frequencies and percentages were used for the presentation of qualitative data while cross-tabulations and Chi-square tests were utilized for the investigation of the relationships among research variables.
RESULTS: According to the findings, 54.7% of participants stated that they request medicine not related to their illness be added to the prescription; only 24.7% of them have heard the term “rational use of medicine.” The distribution of the responses related to handling unused medicines was significant for educational level (p = 0.010; α = 0.05). At the same time, high school and university graduates are also more likely to take medicines in accordance with doctor’s advice compare to the other groups.
CONCLUSION: Our study results indicate that consumer awareness of the RUMs is at a low level and more effective consumer awareness campaigns are needed on this issue.
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