Role theory: Literature review and implications for patient-pharmacist interactions

Guirguis, Lisa M.; Chewning, Betty

doi:10.1016/j.sapharm.2005.09.006

Cited by 83 publications

(79 citation statements)

References 45 publications

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“…Researchers note that even though patients in general are satisfied with their interaction with the pharmacist in these corporate retail pharmacy settings, patient counseling rates (the rate in which the pharmacist counseled the patient on both new and continuing prescriptions) have decreased significantly based on conducted surveys. One such study noted a decrease from 74% to 33% (Guirguis and Chewning, 2005). In addition to this, it is also noted that patients are often not provided with all of the useful information needed about a given prescription drug.…”

Section: Decrease In Pharmacist-patient Counseling and Relationship Tmentioning

confidence: 99%

The Corporatization of Retail Pharmacy: Changes in Efficacy, Reliability, and Expedience

Bodreau¹

2015

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The retail pharmacy of the present has undergone a large shift in ownership from private to corporate in the form of chain pharmacies. In this literature review, the effects of this shift in ownership, otherwise referred to as "corporatization" are examined in order to determine both the benefits and areas of concern regarding this change. This review suggests that the benefits include: Decreases in filling time and increases in patients of satisfaction. The areas of concern include: Decreasing patient-pharmacist counseling rates, increases in Adverse Drug Reaction rates and decreased pharmacy costs but not patient costs. It is concluded that the areas of concern outweigh the potential benefits. In order to improve on these areas of concern regarding corporatized pharmacies several changes must be made. First, pharmacists must be educated on proper counseling techniques in reduced time-frame to ensure patient understanding of medication. Second, these pharmacies should consider more staffing to ensure that patientpharmacist counseling times don't decrease more. Finally, more research needs to be done into the specific effects of corporatization in order to draw a more robust and complete conclusion on its overall effects on the retail pharmacy.

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Section: Decrease In Pharmacist-patient Counseling and Relationship Tmentioning

confidence: 99%

The Corporatization of Retail Pharmacy: Changes in Efficacy, Reliability, and Expedience

Bodreau¹

2015

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“…Role theory presents a useful framework for examining occupants' expectations (i.e., perceptions) of their roles (i.e., "scripted" behaviors) in service provider-client interactions, such as pharmacist-patient relationships. 7,8 The theory posits that human beings behave in ways that are different and predictable depending on their respective social identities and the situation. 9 Biddle (1986) conceptualized a role using five perspectives: structural, organizational, functional, cognitive, and symbolic interactionist.…”

Section: Theoretical Framework -Role Theorymentioning

confidence: 99%

Pharmacists' Roles and Factors Affecting Patient Care in Korea

Hwang¹,

Young²

2015

Innov Pharm

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“…Guirguis adapts three pharmacy history eras included in Higby's summary of American pharmacy history in the United States, 79 the dispensing era , the clinical era ) and the pharmaceutical care era (1990)(1991)(1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000) to categorise specific research conducted in pharmacy practice over these years. 80 Although these eras described by Higby were intended to depict pharmacy practice changes in the United States, it could be argued that similar practice changes have occurred in many other developed countries including Australia over these time periods. An additional era from 2000…”

Section: Evolution Of Pharmacy Practice and Communicationmentioning

confidence: 99%

“…158,188 Examples of theories and models that have been applied to study pharmacist-patient communication include socio-linguistic model 144 , social cognitive theory 189 , self-regulatory model, 158,188 and role theory. 80,[190][191][192] Role theory proposed that individuals take on specific parts or identities in their interactions and, there is an expected way in which the interaction unfolds that is adhered to by all participants. 193 Role theory is based on a theatre or performance metaphor where the individuals involved in the story are the actors playing a role.…”

Section: -170mentioning

confidence: 99%

“…193 This would mean that the pharmacist has the ability to anticipate what the patient might need to allow for an effective interaction to occur. 80 Guirguis observed that pharmacy practice is amenable to the role theory as the pharmacist's roles are ritualized, predictable behaviours which are reinforced through legislated scopes of professional practice. 80 Schommer used data from six surveys administered from 1995 to 2010 to 1278 patients and 1518 community pharmacists and analysed the groups in terms of their "perceptions of the pharmacists' role in serving as an advisor on medication use" using a Counsellor Role Orientation (CRO) measure.…”

Section: -170mentioning

confidence: 99%

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Investigating the effectiveness of communication taking place between hospital pharmacists and patients during medication counselling

Chevalier¹

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However, before these relationships could be explored, it was essential to first investigate what was taking place in these pharmacist-patient interactions.The overall aim of this thesis was to investigate the effectiveness of communication between hospital pharmacists and patients during medication counselling.This theory-driven research employed qualitative, quantitative and mixed methods.Communication accommodation theory (CAT) was the theoretical framework invoked to study, analyse and interpret the pharmacist-patient communication exchanges. There are five CAT strategies which measure whether effective communication has occurred: approximation (speech tone, volume, rate, accent), interpretability (using easy-to-understand language, avoiding jargon), discourse management (asking open-ended questions or repairing conversations), emotional expression (appropriate reassurance to patients' concerns) and interpersonal control (strategies to promote equality between speakers and encourage patients to take active roles in managing their healthcare). In this thesis, effective pharmacist-patient communication refers to the extent pharmacists accommodate, or not, to patients' conversational needs based on accommodative behaviour described within CAT strategies.There were two phases to this thesis. The first involved six focus groups (24 pharmacists) from two large metropolitan hospitals. Pharmacists shared their perceptions of their roles and goals in patient medication counselling, and barriers and facilitators in meeting their goals.Audio recorded transcripts were thematically analysed and goals identified by pharmacists were successfully mapped onto the five CAT strategies. Results of phase one helped inform the contents of the semi-structured interview guides utilised in phase two.iii Phase two represented the major portion of this PhD, and took place at a large hospital with multiple specialities. Twelve pharmacists engaged four patients for a total of 48 medication counselling sessions. Each individual session took place first, followed by separate semistructured interviews with pharmacists and patients. Counselling sessions and interviews were audio recorded and observational field notes were taken. Transcribed recordings were selectively coded for the five CAT strategies in pattern-based discourse analysis. Discursis software, as an adjunct to qualitative analysis, was used to visualise pharmacist-patient speech patterns, episodes of engagement and to detect CAT strategies employed by Analysis of the pharmacist-patient counselling sessions revealed that most pharmacists effectively used all five CAT communication strategies during medication counselling sessions as they adapted to patients' conversational needs. Non-accommodation occurred when pharmacists spoke too quickly, used terms not understood by patients, and did not include patients in the initial, agenda-setting phase. Discursis software identified pharmacistpatient engagement episodes, often revealing effectively applied CAT strategies.Semi-structure...

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Role theory: Literature review and implications for patient-pharmacist interactions

Cited by 83 publications

References 45 publications

The Corporatization of Retail Pharmacy: Changes in Efficacy, Reliability, and Expedience

The Corporatization of Retail Pharmacy: Changes in Efficacy, Reliability, and Expedience

Pharmacists' Roles and Factors Affecting Patient Care in Korea

Investigating the effectiveness of communication taking place between hospital pharmacists and patients during medication counselling

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