Involving systems thinking and implementation science in pharmacists’ emerging role to facilitate the safe and appropriate use of traditional and complementary medicines

Harnett, Joanna; Desselle, Shane P.; Hu, Hao; Ung, Carolina Oi Lam

doi:10.1186/s12960-020-00493-9

Cited by 8 publications

(3 citation statements)

References 16 publications

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“…The need for stronger collaboration between all sides interested in ensuring the optimal use of dietary supplements was previously recognized. 12 , 17 Inter-professional collaboration, especially between pharmacists and physicians, was perceived as important in improving patients’ treatment outcomes and safety. 18 , 19 To contribute to that collaboration, pharmacists would need further education about principles and application of evidence-based pharmacy, with special emphasis on senior pharmacists.…”

Section: Discussionmentioning

confidence: 99%

Community pharmacists’ use, perception and knowledge on dietary supplements: a cross sectional study

Bukic

Kuzmanic

Rušić

et al. 2021

Pharm Pract (Granada)

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Background: Pharmacists are commonly tasked with recommending the appropriate dietary supplement and advising the patients of their correct and safe use. Previous research, conducted on pharmacy students, showed that they did not always use the evidence based sources of information, with personal use identified as a significant predictor influencing the decision to recommend a supplement. Objectives: To compare use, perceptions and knowledge of dietary supplements of pharmacists with different years of work experience and to explore factors that could influence their recommendation of supplements. Methods: A questionnaire based cross-sectional study was conducted on Croatian community pharmacists in September 2017. The questionnaire explored pharmacists’ demographic characteristics, use, perceptions and knowledge of dietary supplements. Pharmacists (N=102) were divided in two groups based on their work experience: P0 (<10 years) and P1 (≥10 years). Results: All included pharmacists had high knowledge scores without differences between groups (P0=10, IQR 9-12 vs P1=11, IQR 9-12, expressed as median and interquartile range (IQR), p=0.275). Less experienced pharmacists perceived there was less research conducted on the dietary supplements compared to their more experienced counterparts (P0=1, IQR 1-2 vs P1=2, IQR 2-3, expressed as median and interquartile range, p<0.001). Groups differed in sources used when choosing the appropriate supplement with P0 using higher quality sources such as systematic reviews in comparison to P1 (32.1% vs 8.7%, p=0.004). Pharmacists’ decision to recommend a dietary supplement was influenced by their personal use (odds ratio 0.216, 95%CI 0.068:0.689, p=0.01) and work experience (odds ratio 0.154, 95%CI 0.045:0.530, p=0.003). Conclusions: Pharmacists did not use the high quality sources when recommending dietary supplements and their decision to recommend the supplement was not based on objective evaluation of evidence. Further education about the practice of evidence-based pharmacy is necessary, with special emphasis on senior pharmacists who might have missed that aspect during their formal education.

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Section: Discussionmentioning

confidence: 99%

Community pharmacists’ use, perception and knowledge on dietary supplements: a cross sectional study

Bukic

Kuzmanic

Rušić

et al. 2021

Pharm Pract (Granada)

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“…Discussions about broadening pharmacists’ professional role in ensuring the safe and appropriate use of T&CM products have been described in detail twice over the last decade, and strategies required to accomplish this goal have been proposed ( Ung et al, 2017b ). A strategic model was proposed by Ung et al (2018 ), and in 2020, an implementation science framework was recommended as an approach to navigating the multiple stakeholders and factors that influence pharmacists in successfully adopting responsibilities ( Harnett et al, 2020 ). Despite the strategies proposed, including developments in education, day-to-day practice behaviors did not reflect that pharmacists are educated or proficient in inquiring or responding to T&CM use ( Lee et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Defining and supporting a professional role for pharmacists associated with traditional and complementary medicines: a cross-country survey of pharmacists

Harnett,

Desselle,

Fernandes

et al. 2023

Front. Pharmacol.

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Introduction: An estimated 80% of the world’s population use traditional and complementary medicine (T&CM) products as part of their healthcare, with many accessed through pharmacy. This cross-cultural study posed a set of professional practice responsibilities and actions to pharmacists related to T&CM products, with a view toward developing consensus, safeguarding, and promoting the health of the public.Methods: Data were collected from 2,810 pharmacists across nine countries during 2022 via a cross-sectional online survey reported in accordance with the guidelines of STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) and the Checklist for Reporting Results of Internet E-Surveys (CHERRIES).Results: Of the 2,810 participants from nine countries, 2,341 completed all sections of the survey. Of these, most agreed (69%) that T&CM product use was common in the community they served, but most did not have adequate training to support consumer needs. Over 75% acknowledged that there were known and unknown safety risks associated with T&CM use. Of 18 professional responsibilities posed, 92% agreed that pharmacists should be able to inform consumers about potential risks, including T&CM side effects and drug–herb interactions. The provision of accurate scientific information on the effectiveness of T&CM products, skills to guide consumers in making informed decisions, and communication with other healthcare professionals to support appropriate and safe T&CM product use were all ranked with high levels of agreement. In order to effectively fulfill these responsibilities, pharmacists agreed that regulatory reforms, development of T&CM education and training, and access to quality products supported by high-quality evidence were needed.Conclusion: General agreement from across nine countries on eighteen professional responsibilities and several stakeholder actions serve as a foundation for the discussion and development of international T&CM guidelines for pharmacists.

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“…Systems thinking approaches would be particularly helpful to formulate and implement strategies that empower pharmacists in supporting patients in areas of great interest to pharmacy patrons including the use of traditional and complementary medicines. 36 The Egyptian Pharmacists Syndicate and other stakeholders should highlight the role of pharmacists in self-care in its policies and plans.…”

Section: Pharmacy Practice Law and Staffmentioning

confidence: 99%

Egyptian community pharmacies and self-care: Context, challenges and opportunities

Youssef,

Amin

2023

Exploratory Research in Clinical and Social Pharmacy

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Involving systems thinking and implementation science in pharmacists’ emerging role to facilitate the safe and appropriate use of traditional and complementary medicines

Cited by 8 publications

References 16 publications

Community pharmacists’ use, perception and knowledge on dietary supplements: a cross sectional study

Community pharmacists’ use, perception and knowledge on dietary supplements: a cross sectional study

Defining and supporting a professional role for pharmacists associated with traditional and complementary medicines: a cross-country survey of pharmacists

Egyptian community pharmacies and self-care: Context, challenges and opportunities

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