New Mexico Pharmacists' Knowledge, Attitudes, and Beliefs Toward Prescribing Oral Emergency Contraception

Borrego, Matthew E.; Short, Jennifer; House, Naomi; Gireesh, G.R.; Naik, Rupali; Cuellar, Denise

doi:10.1331/154434506775268634

Cited by 48 publications

(32 citation statements)

References 11 publications

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“…These findings are similar to the findings from pharmacist surveys about emergency contraception as well as physician surveys about emergency contraception. 5,6,12 Interestingly, students agreed that counseling by a pharmacist should be required with nonprescription emergency contraception, yet only 26.7 % of participants felt competent instructing patients in the appropriate use of emergency contraception. These study results imply that pharmacy students could benefit from additional training on emergency contraception.…”

Section: Discussionmentioning

confidence: 99%

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Pharmacy Students' Knowledge, Attitudes, and Behaviors Regarding Emergency Contraception

Ragland¹,

West²

2009

Am J Pharm Educ

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Objectives. To determine pharmacy students' knowledge, attitudes, and behaviors regarding emergency contraception. Methods. A cross-sectional survey was conducted among a convenience sample of students prior to a regular class period. The 16-item survey instrument included both multiple-choice and true/false questions to assess knowledge and Likert-type scale questions regarding attitudes and behaviors. Frequency and descriptive statistics were calculated for all variables. Results. Three hundred one pharmacy students were surveyed. Eighty-seven percent knew that Plan B had been approved by the Food and Drug Administration (FDA) for nonprescription use, yet 33% believed that it worked by disrupting a newly implanted ovum. On a scale from 1-5 on which 5 5 strongly agree, the mean item score was 1.5 for whether nonprescription emergency contraception should be available without counseling by a pharmacist, yet only 26.7% believed they were competent instructing patients on the use of emergency contraception. Conclusions. Additional education is needed to prepare pharmacy students to provide informed pharmaceutical care to patients seeking emergency contraception, especially given the passage of legislation making the pharmacy the point of access for some emergency contraception products.

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Section: Discussionmentioning

confidence: 99%

“…[4][5][6] Albert Yuzpe first described the use of a hormonal contraception regimen for postcoital pregnancy prevention in 1972. Oral contraceptive pills have been used ''off-label'' for this purpose since that time.…”

Section: Introductionmentioning

confidence: 99%

Pharmacy Students' Knowledge, Attitudes, and Behaviors Regarding Emergency Contraception

Ragland¹,

West²

2009

Am J Pharm Educ

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“…As opposed to 76% of pharmacists who stated that they would refer patient to another pharmacist who would provide emergency contraception if their employer would not permit them to dispense it themselves, 24% of pharmacists would not provide it or refer the patient to another pharmacist. Results of this research additionally strengthened the debate pertaining to the right of a pharmacist to refuse to dispense emergency contraception with moral objection (29).…”

Section: K N O W L E D G E a T T I T U D E S A N D P R A C T I C E mentioning

confidence: 60%

Mechanism of Action, Efficacy and Safety of Emergency Hormonal Contraception (levonorgestrel and ulipristal acetate) and Attitudes of Pharmacists

Milosavljevic¹,

Ilić²,

Krajnović³

2014

Acta Facultatis Medicae Naissensis

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ACTA FACULTATIS MEDICAE NAISSENSISUDC: 615.256.5.03 S U M M A R YEmergency hormonal contraception is used to prevent unintended pregnancy postcoitally. The mechanism of action of the most frequently used hormonal preparations for emergency contraception, levonorgestrel (LNG) and ulipristal acetate (UPA), is still not fully known, but clinical trials indicate that they act by inhibiting or delaying ovulation. LNG has a long history of use for emergency contraception, proven safety and high efficacy if administered in the preovulation period. The newest emergency contraceptive, UPA, available only with a prescription, is indicated within this period of 120 hours after sexual intercourse and the data indicate that UPA does not lose efficacy within this period. Clinical trials showed its noninferiority versus LNG and its effect on the potentially occurring pregnancy is being additionally monitored. However, many misconceptions and controversial opinions about emergency contraception are still present, even among pharmacists. A search of Medline database identified 20 papers published from January 1993 to December 2012, on pharmacists' knowledge, attitudes and practices related to emergency contraception. In these papers, the attitudes of pharmacists pertaining to the dispensing regime of emergency contraception were different. Research in Australia has shown that personal attitudes and religious convictions influence the practice of dispensing emergency contraception. In the research conducted in New Mexico, 30% of pharmacists were against prescribing emergency contraception for religious or moral reasons. There were no published data in regards to pharmacists' knowledge, attitudes and dispensing practice in Serbia and such research is highly recommended.

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“…13 This suggests the importance of pharmacists having knowledge and counseling skills regarding contraception and the need for these areas to be included in the pharmacy curriculum. Pharmacy students' spiritual beliefs were not identified as a barrier to counseling on emergency contraception.…”

Section: Discussionmentioning

confidence: 99%

“…10 A study conducted among New Mexico pharmacists found that 36% of respondents incorrectly believed emergency contraception was RU-486, the "abortion pill" (in contrast to emergency contraception, RU-486 terminates a pregnancy). 13 Barriers to patient access of emergency contraception have been identified, but in contrast, barriers to a pharmacist's willingness to counsel on emergency contraception are not well known. A survey of pharmacists and technicians showed that patient gender was not a barrier to access.…”

Section: Introductionmentioning

confidence: 99%

Active-Learning Instruction on Emergency Contraception Counseling

Young

Griffin

Vest

2013

American Journal of Pharmaceutical Education

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Objective. To increase pharmacy students' knowledge of and confidence in counseling patients regarding emergency contraception and to identify any barriers to counseling patients about emergency contraception.Design. Approximately 200 third-year pharmacy students participated in the Women's Health Therapeutics workshop at Midwestern University Chicago College of Pharmacy. Students observed a 5-minute skit of a counseling session on emergency contraception and then were asked to pair up with a classmate and practice counseling each other regarding the use of emergency contraception following a checklist of key points. Assessment. One hundred eighty-nine students completed pre-and post-workshop survey instruments. Students' knowledge scores increased from 86% to 93% (p,0.001). Approximately 25% of the students stated they were confident in counseling patients on emergency contraception before completing the active-learning exercise compared to 58.5% after (p,0.001). The most common barrier to counseling that students identified on the pre-and post-workshop survey was lack of knowledge. Conclusion. Participation in an active-learning exercise significantly increased pharmacy students' knowledge of and confidence in counseling patients regarding emergency contraception and significantly reduced several barriers to counseling identified prior to participation.

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New Mexico Pharmacists' Knowledge, Attitudes, and Beliefs Toward Prescribing Oral Emergency Contraception

Cited by 48 publications

References 11 publications

Pharmacy Students' Knowledge, Attitudes, and Behaviors Regarding Emergency Contraception

Pharmacy Students' Knowledge, Attitudes, and Behaviors Regarding Emergency Contraception

Mechanism of Action, Efficacy and Safety of Emergency Hormonal Contraception (levonorgestrel and ulipristal acetate) and Attitudes of Pharmacists

Active-Learning Instruction on Emergency Contraception Counseling

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