Feasibility of a pharmacist-facilitated medicines review intervention for community-dwelling Māori older adults

Hikaka, Joanna; Hughes, Carmel; Jones, Rhys; Amende, Hunter; Connolly, Martin J.; Martini, Nataly

doi:10.1016/j.rcsop.2021.100018

Cited by 6 publications

(2 citation statements)

References 53 publications

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“…Pesquisa sobre os Mãuori investigou a viabilidade em intervenções na revisão de medicamentos em uso por idosos, demonstrando ser possível realizar tal serviço clínico em povos indígenas 44 . Outro estudo de coorte, também com esses povos, aponta que o uso de medicamentos inapropriados, ou seja, sem racionalidade, foi associado ao aumento do risco de hospitalização e mortalidade 45 . Essas pesquisas demonstram a importância da prestação do serviço de cuidado para os povos indígenas, bem como sua viabilidade.…”

Section: Médiaunclassified

Consumo de medicamentos não padronizados na saúde indígena: uso racional?

Fernandes,

Ayala,

Firmato

et al. 2023

Ciênc. saúde coletiva

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Resumo O estudo analisou o consumo de medicamentos não padronizados na saúde indígena, enfatizando a racionalidade da farmacoterapia, por meio de um estudo transversal dos dados secundários, de 2018 e 2019, no Distrito Especial Sanitário de Saúde Indígena Minas Gerais/Espírito Santo. Esses medicamentos foram classificados pela Anatomical Therapeutic Chemical Classification. Para a comparação da origem de prescrição e da forma de aquisição, empregaram-se testes não paramétricos, avaliando o acesso a medicamentos. Verificou-se a racionalidade por meio do perfil de consumo e da opção terapêutica na lista de medicamentos padronizados. Foram consumidas 104.928 apresentações farmacêuticas, 66.967 (66%) eram para o trato alimentar e o metabolismo; 17.705 (17%) para o sistema nervoso; 12.961 (12%) para o sistema cardiovascular. Quanto aos medicamentos mais consumidos por regiões, 171 (90%) dos 190 apresentavam opção terapêutica. As prescrições foram mais provenientes do SUS. Encontraram-se diferenças na forma de aquisição dos medicamentos. O estudo apontou importante consumo de medicamentos não padronizados, podendo existir falhas na racionalidade terapêutica. Na saúde indígena, questões etnoculturais e sociais constituem desafios para o acesso aos medicamentos com uso racional.

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Section: Médiaunclassified

Consumo de medicamentos não padronizados na saúde indígena: uso racional?

Fernandes,

Ayala,

Firmato

et al. 2023

Ciênc. saúde coletiva

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“…The profession of pharmacy has been recognised as a key player in the provision of accessible and person-centred healthcare, globally. Wide-ranging research has identi ed improvements in person-centred care when pharmacists develop and practice with culturally competent attitude, knowledge and skill [11][12][13][14][15][16]. A recent scoping review explored the acceptability and effectiveness of pharmacist-led health services for minoritised populations, [17] and key recommendations to provide culturally appropriate pharmacy-based services for ethnic minority communities have been identi ed [13].…”

Section: Introductionmentioning

confidence: 99%

Embedding cultural competency and cultural humility in undergraduate pharmacist initial education and training: a qualitative exploration of pharmacy student perspectives

Robinson-Barella,

Tayki,

Chan

et al. 2023

Preprint

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Background Emphasis has been placed upon embedding equity, diversity and inclusion within the initial education and training of healthcare professionals, like pharmacists. Yet, there remains limited understanding of how best to integrate cultural competence and cultural humility into undergraduate pharmacy student training. Aim To explore the views of pharmacy students to understand perspectives on, and identify recommendations for, embedding cultural competence and cultural humility within pharmacy education and training. Method Semi-structured interviews were conducted in-person between November 2022 and February 2023. Interviews were audio-recorded and transcribed verbatim. Reflexive thematic analysis enabled the development of themes. The COREQ checklist was followed and QSR NVivo (Version 12) facilitated data management. Ethical approval was obtained from the Newcastle University Ethics Committee (reference: 25004/2022). Results Twelve undergraduate pharmacist students, across all years of undergraduate training, were interviewed. Three themes were developed from the data, centring on: (1) recognising and reflecting on cultural competency and cultural humility; (2) gaining exposure and growing in confidence; and (3) thinking forward as a culturally competent pharmacist of the future. Conclusion These findings begin to offer actionable recommendations to align with the updated Initial Education and Training standards from the General Pharmaceutical Council; specifically, how and when cultural competence teaching should be embedded within the undergraduate pharmacy curriculum. Future research should explore specifics around teaching content, learning environments, and methods of assessment that would be best suited to support the initial education and training of pharmacy students.

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Embedding cultural competency and cultural humility in undergraduate pharmacist initial education and training: a qualitative exploration of pharmacy student perspectives

Robinson-Barella,

Takyi,

Chan

et al. 2023

Int J Clin Pharm

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Background Emphasis has been placed upon embedding equity, diversity and inclusion within the initial education and training of healthcare professionals, like pharmacists. Yet, there remains limited understanding of how best to integrate cultural competency and cultural humility into undergraduate pharmacy student training. Aim This qualitative study explored the views of pharmacy students to understand perspectives on, and identify recommendations for, embedding cultural competency and cultural humility within pharmacy education and training. Method Undergraduate pharmacy students from one UK-based School of Pharmacy were invited to participate in an in-person, semi-structured interview to discuss cultural competency in the pharmacy curriculum. Interviews were conducted between November 2022 and February 2023 and were audio-recorded and transcribed verbatim. Reflexive thematic analysis enabled the development of themes. QSR NVivo (Version 12) facilitated data management. Ethical approval was obtained from the Newcastle University Ethics Committee. Results Twelve undergraduate pharmacist students, across all years of undergraduate training, were interviewed. Three themes were developed from the data, centring on: (1) recognising and reflecting on cultural competency and cultural humility; (2) gaining exposure and growing in confidence; and (3) thinking forward as a culturally competent pharmacist of the future. Conclusion These findings offer actionable recommendations to align with the updated Initial Education and Training standards from the United Kingdom (UK) pharmacy regulator, the General Pharmaceutical Council; specifically, how and when cultural competency teaching should be embedded within the undergraduate pharmacy curriculum. Future research should further explore teaching content, learning environments, and methods of assessing cultural competency.

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Feasibility of a pharmacist-facilitated medicines review intervention for community-dwelling Māori older adults

Cited by 6 publications

References 53 publications

Consumo de medicamentos não padronizados na saúde indígena: uso racional?

Consumo de medicamentos não padronizados na saúde indígena: uso racional?

Embedding cultural competency and cultural humility in undergraduate pharmacist initial education and training: a qualitative exploration of pharmacy student perspectives

Embedding cultural competency and cultural humility in undergraduate pharmacist initial education and training: a qualitative exploration of pharmacy student perspectives

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