2003
DOI: 10.1592/phco.23.5.666.32192
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Smoking‐Cessation Services in Iowa Community Pharmacies

Abstract: Our findings suggest that opportunities exist for improving pharmacist education and reducing practice barriers in order to bridge the gap between pharmacists' knowledge and attitudes related to smoking-cessation counseling and their provision of patient counseling in community pharmacy practice.

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Cited by 56 publications
(70 citation statements)
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“…The community pharmacists cite lack of time (80%), lack of breast cancer education materials (77.1%), and training (62.9%) as major barriers that limit their involvement in breast cancer health promotion activities. Lack of time is an obstacle that stands against the provision of cognitive services by pharmacists' worldwide (Keene et al, 1994;Anderson, 1998;Dunlop and Shaw, 2002;Aquilino et al, 2003;Uema et al, 2008;Awad, 2010). Time constraints reported in this study might have been associated with the fact that 94.2% (33) respondents work alone in a given shift.…”
Section: Discussionmentioning
confidence: 77%
“…The community pharmacists cite lack of time (80%), lack of breast cancer education materials (77.1%), and training (62.9%) as major barriers that limit their involvement in breast cancer health promotion activities. Lack of time is an obstacle that stands against the provision of cognitive services by pharmacists' worldwide (Keene et al, 1994;Anderson, 1998;Dunlop and Shaw, 2002;Aquilino et al, 2003;Uema et al, 2008;Awad, 2010). Time constraints reported in this study might have been associated with the fact that 94.2% (33) respondents work alone in a given shift.…”
Section: Discussionmentioning
confidence: 77%
“…According to the articles analyzed, the pharmacist is at the end of the chain of the patients' contact with health professionals after the medical decision for pharmacological therapy (Kellow, 2011), or is the sole contact regarding medicines which do not require medical prescriptions or for changes in habits such as quitting smoking (Aquilino et al, 2003;Lloyd-Williams, 2003). Most articles described the pharmacist as an accessible and available health professional.…”
Section: The Role Of the Pharmacistmentioning
confidence: 99%
“…Three reasons for the barriers to development of the pharmacist's professional actions may be identified in the literature under analysis: (1) The pharmacist and the pharmaceutical occupation, for instance, the pharmacist's lack of knowledge on drugs and their uses (Paul et al, 2007) or on oral health (Dickinson, Howlett, Bulman, 1995;Maunder, Landes, 2005), conflict of roles in the community pharmacy due to the need to sell goods (LloydWilliams, 2003), lack of skills and specific training for actions in health promotion, and therefore qualification and training programs for pharmacists are needed (O'Loughlin et al, 1999; Vinholes, Alano, Galato, 2009); furthermore, personal impairments such as fear, resistance to new concepts and lack of self-reliance, the characteristics that have been largely referred to in the case of pharmacists (Boyle, Coffey, Palmer, 2004;Sunderland et al, 2006). (2) The pharmacy and work organization, such as lack of proper remuneration, extensive actions to be accomplished (Aquilino et al, 2003;George et al, 2010) and the consequent lack of time (Patwardhan, Chewning, 2009), lack of proper instruments for the required actions (O'Loughlin et al, 1999), communication and role conflicts, lack of physical space and privacy for patient advice (Foster, Smith, 1998;O'Loughlin et al, 1999;Nichols-English, Poirier, 2000). (3) The health service fragmentation, for instance, lack of integration between health teams and patients (Dickinson, Howlett, Bulman, 1995) and lack of recognition of the pharmacist's role by other health professionals and by the population (O'Loughlin et al, 1999).…”
Section: Barriers To the Development Of Practices In Health Promotionmentioning
confidence: 99%
“…The efficacy of pharmacist-provided smoking cessation services is established [12], but implementation of comprehensive cessation activities in practice is rare [11]. Key barriers include lack of time, lack of training, inability to identify smokers, and lack of reimbursement [11,[13][14][15][16].…”
Section: Introductionmentioning
confidence: 99%