Patient counseling as a valuable approach in Pharmaceutical care, A cross sectional study in Azawia city, Libya
Abstract
Pharmaceutical care is one of the most important new approaches of modern pharmacy practice, where in the last four decades the role of the community pharmacist is changed dramatically towards patient oriented services rather than product oriented services in order to promote safe and effective use of medicines and also to maximize their therapeutic outcomes. Patient counseling is considered as a main component of pharmaceutical care where it focuses on enhancing the problems solving skills of the patients to ensure safe, effective and convenient medicine would be provided to the patient for the purpose of improving and maintaining better health and life quality. The main objective of this study is to explore the practicing a concept of medication counseling in community pharmacies in Azawia city of Libya, and to evaluate the expertise of the pharmacists about that and also to find out whether they are practicing patient counseling in their pharmacies. Furthermore, this study aimed to collect and suggest solutions for problems and barriers hinder the counseling process.
This descriptive cross sectional study was conducted in the period between 8th and 25th Sep.2020, where the data was collected from randomly selected community pharmacies of different areas with in Azawia city. The questionnaire was designed of twenty one questions divided into two parts; the first part considered the profile of health care provider in the pharmacy, and the second part consists of nineteen questions involving open and closed questions. It was found that more than 50% of the care providers involved in this study were not pharmacists and only 42% of them were aware with counseling concept. Almost no counseling area was found in 50 community pharmacies participated in this study. Asking about chronic diseases, taking other medications and allergy to certain drugs were acceptable as the study showed percentage of practicing of 90%, 98% and 68% respectively. Moreover, counseling about drug interactions, contraindications and drug storage were not enough as the percentages were 16%, 20% and 8% respectively. Communication skills of the care providers need to be improved in order to enhance patient's compliance and in addition to that a lot of work need to be done either through the pharmacists syndicate, health authorities and schools of pharmacy in Libya to reinforce and practicing the counseling concept properly
References
[2] Lynne Emmerton, Jennifer Marriott, Tracey Bessell, Lisa Nissen, Laura Dean. Pharmacists and prescribing rights: Review of international developments, J Pharm Pharmaceut Sci.(www. cspsCanada.org) .2005.8 (2):p. 217-225
[3] Matthew Grissinger, RPh, FASCP. P T. The Five Rights A Destination Without a Map. 2010; 35(10): 542.
[4] Hepler CD, Strand LM. Opportunities and Responsibilities in Pharmaceutical Care, Am J Hosp. Pharm 1990,47:533-543.
[5] Puckett FJ, White SJ, Mossberg HE, Matchett JA. Pharmacist-patient counseling practices. Contemp. Pharm Pract. 1978,5:67–71
[6] Ross SR, White SJ, Hogan LJ, Godwin LC. The effect of a mandatory patient counseling regulation on the counseling practices of pharmacy practitioners. Contemp. Pharm Pract 1981,4:64–68
[7] Kirking DM: Pharmacists’ perceptions of their counseling activities. Contemp. Pharm Pract 1982, 5:230–238.
[8] Holland R: Voluntary continuing professional education and patient counseling in Australia. Am J Pharm Educ. 1992, 56:363–367.
[9] ASHP guidelines on pharmacist-conducted patient education and counseling American Journal of Health-System Pharmacy, 1997, 54: 431- 434, https://doi.org/10.1093/ajhp/54.4.431
[10] Laila Layqah. The practice of counseling in pharmacy: patients’perspectives. Journal of Analytical & Pharmaceutical Research. 2018, 7(4): 472 - 476
[11] Seungwon Yang, Dasohm Kim, Hye Joung Choi1 and Min Jung Chang. A comparison of patients’ and pharmacists’satisfaction with medication counseling provided by community pharmacies:a cross-sectional survey. BMC Health Services Research. 2016, 16:131
[12] Abubakr A. Alfadl, Alian A. Alrasheedy, Mussad S. Alhassun. Evaluation of medication counseling practice at community pharmacies in Qassim region, Saudi Arabia. Saudi pharmaceutical journal. 2017
[13] Sara Ali, Tariku shimels and Arebu I. Bilal. Assessment of patient counseling on dispensing of medicines in outpatient pharmacy of Tikur-Anbessa specialized hospital in Ethiopia. Ethiopia J Health Sci. 2019, 29:727-736
[14] Sinna Alaqeel, Norah O. Abnamy. Counselling practices in community pharmacies in Riyadh, Saudi Arabia: a cross-sectional study. BMC Health Services Research. 2015, 15:557
[15] Dessalegn Asmelashe Gelayee, Mequanent Kassa Birara. Journal of Scientific Research in Pharmacy. 2015, 4: 74-77
[16] Kafeel H, Rukh R, Naveed S. Evaluation Of Patient Counseling In Different Hospital Of The Karachi. A Neglected Domain of Pharmacy. 2014:203-6.
[17] Hamoudi NM, Shirwaikar AA, Ali HS, Al Ayoubi EI. Pharmaceutical consultation in UAE community pharmacies. Indian journal of pharmaceutical sciences. 2011 Jul;73(4):404.