Do researchers use pharmacists' communication as an outcome measure? A scoping review of pharmacist involvement in diabetes care

Babinec, Patricia; Rock, Melanie; Lorenzetti, Diane; Johnson, Jeffrey

doi:10.1111/j.2042-7174.2010.00038.x

Cited by 20 publications

(15 citation statements)

References 44 publications

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“…17 A recent survey conducted in Japan found that a key CPD need for community pharmacists to facilitate their participation in palliative care was to learn skills to communicate effectively with patients and carers. 18 This is interesting given that a 2010 review of pharmacy interventions 19 …”

Section: Background and Objectivesmentioning

confidence: 99%

Exploring the community pharmacist's role in palliative care: Focusing on the person not just the prescription

O’Connor

Fisher

French

et al. 2011

Patient Education and Counseling

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ObjectivesChanges in health care provision have led to an emphasis on providing end of life care within the home. Community pharmacists are well positioned to provide services to communitybased palliative care patients and carers. MethodsA multiple qualitative case study design was adopted. A total of 16 focus groups and 19 interviews with pharmacists, nurses, general practitioners and carers were undertaken across metropolitan and regional settings in Western Australia, New South Wales, Queensland and Victoria. Data were analysed thematically using a framework that allowed similarities and differences across stakeholder groups and locations to be examined and compared. ResultsThree main themes emerged: Effective communication; Challenges to effective communication; and: Towards best practice, which comprised two themes: Community pharmacists' skills and Community pharmacists' needs. DiscussionA key component of the provision of palliative care was having effective communication skills. Although community pharmacists saw an opportunity to provide interpersonal support, they suggested that they would need to develop better communication skills to fulfil this role. ConclusionThere is clear need for continuing professional development in this area -particularly in communicating effectively and managing strong emotions. Practice implicationsCommunity pharmacists are willing to support palliative care patients and carers but need education, support and resources. Words: 203Key words: community pharmacists, palliative care, focus groups, effective communication, qualitative research 3 Background and objectivesSince the World Health Organisation 1 proposed that primary health should be at the forefront of health systems, patient care has increasingly been moved from hospital to the home. 2 This changing pattern of health care provision has led to an emphasis on providing care in the community to people at the end of life, 3 acknowledging that people prefer to die with the support of family and friends. 4 Achieving a death at home for a palliative care patient is dependent on a range of factors including the availability of skilled support from community based health professionals. 5-7The provision of this skilled support from health care professionals for community based palliative care, however, is complicated by unmet demand for General Practitioner (GP)services and an increasing number of patients with chronic diseases and complex care needs. 8Additionally an ageing population 9 will result in an increased number of people with chronic and/or life-threatening diseases and, consequently, the numbers of patients requiring palliative care. The involvement of community pharmacists in the provision of community based palliative care would seem an appropriate way of alleviating these challenges and supporting end-of-life care in the home.Although not forming the basis of their substantive work, community pharmacists are wellsuited to respond to the palliative care needs of clients, especially as they often have a...

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Section: Background and Objectivesmentioning

confidence: 99%

Exploring the community pharmacist's role in palliative care: Focusing on the person not just the prescription

O’Connor

Fisher

French

et al. 2011

Patient Education and Counseling

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“…Hospital pharmacy practice has expanded in a number of countries to include advanced clinical skills such as prescriptive authority, ability to requisition laboratory tests, conduct physical assessments and provide immunizations . In addition to possessing competent clinical skills, pharmacists must further develop their ability to communicate effectively with other health‐care professionals and especially with patients and their caregivers …”

Section: Introductionmentioning

confidence: 99%

Investigating strategies used by hospital pharmacists to effectively communicate with patients during medication counselling

Chevalier

Watson

Barras

et al. 2017

Health Expectations

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BackgroundMedication counselling opportunities are key times for pharmacists and patients to discuss medications and patients’ concerns about their therapy. Communication Accommodation Theory (CAT) describes behavioural, motivational and emotional processes underlying communication exchanges. Five CAT strategies (approximation, interpretability, discourse management, emotional expression and interpersonal control) permit identification of effective communication.ObjectiveTo invoke CAT to investigate communication strategies used by hospital pharmacists during patient medication counselling.DesignThis was a theory‐based, qualitative study using transcribed audiorecordings of patients and hospital pharmacists engaged in medication counselling.Setting and participantsRecruited pharmacists practised in inpatient or outpatient settings. Eligible patients within participating pharmacists’ practice sites were prescribed at least three medications to manage chronic disease(s).Main outcome measuresThe extent to which pharmacists accommodate, or not, to patients’ conversational needs based on accommodative behaviour described within CAT strategies.ResultsTwelve pharmacists engaged four patients (48 total interactions). Exemplars provided robust examples of pharmacists effectively accommodating or meeting patients’ conversational needs. Non‐accommodation mainly occurred when pharmacists spoke too quickly, used terms not understood by patients and did not include patients in the agenda‐setting phase. Multiple strategy use resulted in communication patterns such as “information‐reassurance‐rationale” sandwiches.Discussion and conclusionsMost pharmacists effectively employed all five CAT strategies to engage patients in discussions. Pharmacists’ communication could be improved at the initial agenda‐setting phase by asking open‐ended questions to invite patients’ input and allow patients to identify any medication‐related concerns or issues.

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“…A review by Kiesler and Auerbach showed varying degrees of support for the positive effects when the style of the HCP matches patients' preferred levels of information, decisional control and consultative interpersonal behaviour [1] . Less is known about the influence of a pharmacist's communication skills on patient care: a review published in this journal in 2010 pointed out that the impact of the pharmacist–patient interaction on health outcomes of diabetes patients was not reported in the published literature of 2003–2008 [16] . This component should be included in future studies.…”

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confidence: 99%

“…[1] Less is known about the influence of a pharmacist's communication skills on patient care: a review published in this journal in 2010 pointed out that the impact of the pharmacist-patient interaction on health outcomes of diabetes patients was not reported in the published literature of 2003-2008. [16] This component should be included in future studies.…”

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confidence: 99%

Informing your patients about their medicines: a daily challenge

Desplenter

Laekeman

Simoens

2011

International Journal of Pharmacy Practice

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Do researchers use pharmacists' communication as an outcome measure? A scoping review of pharmacist involvement in diabetes care

Abstract: Results reveal a gap in the existing literature. In studies of diabetes, pharmacy practice researchers do not appear to consider the influence of pharmacists' communication skills on health outcomes. Future studies should be designed to incorporate a communication research component.

Cited by 20 publications

References 44 publications

Exploring the community pharmacist's role in palliative care: Focusing on the person not just the prescription

Exploring the community pharmacist's role in palliative care: Focusing on the person not just the prescription

Investigating strategies used by hospital pharmacists to effectively communicate with patients during medication counselling

Informing your patients about their medicines: a daily challenge

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