Pharmaceutical Care Practices among Hospital Pharmacists in a State in Nigeria
Notice bibliographique
Résumé
Pharmaceutical care is a patient centered, outcome-oriented practice, requiring collaboration between the pharmacist, other care givers and the patient. In Nigeria, pharmacy practice is still majorly product based. Implementation of pharmaceutical care in hospitals in Nigeria since its introduction several years ago has remained erratic. This study evaluated practice of pharmaceutical care among hospital pharmacists in Delta State. This was a prospective study using a structured, pretested and self-administered questionnaire to 55 hospital and administrative pharmacists that gathered in Asaba in July 2018 for the quarterly meeting of their Association. The four-part Questionnaire evaluated demographics of respondents, pharmaceutical care practices carried out, reasons for not implementing pharmaceutical care and suggestions on how pharmaceutical care can be implemented in their various hospitals. Data obtained were analyzed using SPSS Version 22. Descriptive and chi square statistics were obtained. A P value of less than 0.05 was considered statistically significant. 55 questionnaires were distributed, 50 were returned, giving a response rate of 90.9%. Majority (40.0%) were aged 20-29 years; there were more males (52.0%) than females. Majority (56.0%) were married, about one quarter (24.0%) were in practice for 1-5 years. More than half (58.0%) were sole holders of Bachelor of Pharmacy degree. Majority (66.0%) were practicing at the Federal Medical Centre, Asaba. Pharmaceutical care practices carried out included monitoring patient response to therapy (58.0%), identification of errors in patient prescriptions (88.0%), interventions to correct detected errors (86.0%), documentation of pharmaceutical care activities (72.0%), medication review with physicians (54.0%), participation in pharmacists ward rounds (16.0%). However, only 4.0% of respondents counselled patients during interventions to rectify drug therapy problems. Among factors responsible for non-implementation of pharmaceutical care were lack of collaboration (20.0%) lack of space (6.0%), non-acceptance by physicians and nurses and lack of personnel were 10.0% each. Association between location of practice and monitoring improvement in patient response was statistically significant (c2 =23.112, P = 0.003). Practice of pharmaceutical care among pharmacists that converged for the quarterly meeting was average. There is need for pharmacists to improve in the area of monitoring patient’s response to pharmacotherapy as well as sharpen their counselling skills so that they can render effective drug information services to patients and other healthcare providers.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».