Measuring the Assessment and Counseling Provided with the Supply of Nonprescription Asthma Reliever Medication: A Simulated Patient Study

Schneider, Carl R.; Everett, Alan; Geelhoed, Elizabeth; Kendall, Peter; Clifford, Rhonda

doi:10.1345/aph.1m086

Cited by 64 publications

(71 citation statements)

References 22 publications

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“…Pharmacy assistants had no knowledge of the SABA guidelines but articulated being highly involved in the provision of nonprescription asthma reliever medications and in some cases saw it as "their responsibility". This is consistent with prior research in this region that observed in 47 % of non-prescription sales of beta-agonists there was no obvious involvement of a pharmacist [7]. The participation of pharmacy assistants is despite the current legislative requirements for direct pharmacist involvement and despite the fact they are not qualified or trained to undertake this role.…”

Section: Discussionsupporting

confidence: 89%

A qualitative evaluation of the implementation of guidelines and a support tool for asthma management in primary care

Watkins

Misaghian

Clifford

et al. 2016

Research in Social and Administrative Pharmacy

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Section: Discussionsupporting

confidence: 89%

A qualitative evaluation of the implementation of guidelines and a support tool for asthma management in primary care

Watkins

Misaghian

Clifford

et al. 2016

Research in Social and Administrative Pharmacy

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“…Schneider and colleagues showed a correlation between questioning and appropriate outcome in a mystery shopping study involving a request for salbutamol for asthma. 27 Watson and colleagues also found a similar correlation when examining the supply of non-prescription antifungals for vaginal thrush. 28 Collins and colleagues also showed a correlation between appropriate referral to a medical practitioner and the number of questions asked.…”

Section: Discussionmentioning

confidence: 75%

Ability of Pharmacy Students, Pharmacists and Pharmacy Support Staff to Manage Childhood Fever via Simulation

Wigmore

Collins

Schneider

et al. 2018

American Journal of Pharmaceutical Education

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Objective. Fever is a common childhood symptom of illness often mismanaged by caregivers.Community pharmacies can provide an influential role in the education and management of fever.This study aimed to ascertain how pharmacy students (novices) and pharmacy staff (experts) respond to a childhood fever scenario.Methods. Data were collected from 65 second year students and 51 fourth (final) year students in an over-the-counter fever scenario during assessment tasks. Data from pharmacy staff were collected via mystery shopping conducted over nine weeks between March-October 2015. All encounters were immediately scored by the trained simulated client, and immediate feedback was provided for pharmacy staff and fourth year students. Questioning scores (WHAT) and proportions of competent participants were collected in all groups. Statistical comparative analyses were made between fourth year students and pharmacy staff. Pharmacy staff scores were also tracked over time.Results. Second year students performed well when questioning, achieving a median WHAT score of 100%. Conversely, pharmacy staff scored 22%. A large proportion of the fourth year students and pharmacy staff achieved appropriate outcomes (92% and 65% respectively), however a smaller proportion of second years performed well (52%). The pharmacy staff achieved statistical improvements over time for median WHAT scores (p<0.001). Conclusions.Protocol compliant questioning appears to decline with experience. However, experienced counsellors are more likely to provide appropriate patient advice. Further improvements in outcomes can also occur when staff are provided feedback and coaching. Mystery shopping simulations can be used as a valuable educational tool.

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“…In a study carried out in the United States that evaluated a pharmacist's practice in patient education when dispensing an MDI to an investigator posing as a patient, only 13% of pharmacists offered initially to provide information regarding correct technique, and when asked for instruction on MDI usage, 53% of pharmacists offered information [42]. Also, in a simulated patient study performed in 160 Australian community pharmacies in 2009, only 24% of pharmacists provided counseling on inhalation technique [43]. Furthermore, in a recent survey in a sample of 77 Australian community pharmacists, 54% reported that they demonstrated the inhalation technique for new inhaled medicines and 35% checked for written asthma self-management plan possession.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes and Preferences Among Spanish Community Pharmacists Regarding Inhaled Therapy (The Optim Pharmacy Study)

Giner

Roura

Torres³

et al. 2016

Int J Pharm Pharm Sci

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Objective: To assess knowledge, attitudes, and preferences regarding inhaled therapy among Spanish community pharmacists.Methods: An 11-item questionnaire was developed and distributed to community pharmacists throughout the country. Data collected included demographics, the source of knowledge of inhaler use, known and preferred devices, steps for correct use of metered-dose (pMDI) and dry-powder (DPI) inhalers, important variables when prescribing an inhaler device, patient education, and checking inhaler technique.Results: Of a total of 3000 questionnaires delivered, 1722 (57.4%) were returned. The most common source of knowledge was the package insert (46.9%) followed by personal experience (33.3%). Diskus TM and Turbuhaler TM Conclusion: In spite of the increasing involvement of Spanish community pharmacists in patients' care, their knowledge of inhaler use and attitudes towards inhaled therapy needs to improve, so that they can provide better patient education.were the best-known devices (96.4% and 93.4%), and DPIs the preferred inhalers. Although more than half of the surveyed pharmacists were aware of the most important step for correct inhalation with pMDI and DPI, only 18% identified the correct answer 'Patient's preference' as the most important variable when prescribing an inhaler device. Most of the respondents had inadequate knowledge of inhaled therapies. Statistically, significant differences were found according to geographical areas. Moreover, the mean score on inhaled therapy with one knowledge source was higher than for those with none (P<0.05). Additionally, patient education was poor.

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Measuring the Assessment and Counseling Provided with the Supply of Nonprescription Asthma Reliever Medication: A Simulated Patient Study

Cited by 64 publications

References 22 publications

A qualitative evaluation of the implementation of guidelines and a support tool for asthma management in primary care

A qualitative evaluation of the implementation of guidelines and a support tool for asthma management in primary care

Ability of Pharmacy Students, Pharmacists and Pharmacy Support Staff to Manage Childhood Fever via Simulation

Knowledge, Attitudes and Preferences Among Spanish Community Pharmacists Regarding Inhaled Therapy (The Optim Pharmacy Study)

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