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Pharmacy Internship : Students’ Learning in a Professional Practice SettingWallman, Andy January 2010 (has links)
The aim of this thesis was to explore Swedish pharmacist students’ learning during pharmacy internship. Internships are meant to introduce students to professional practice. Education programs have to reflect changes in the professional role, and take into account that learning in a professional practice setting differs from organized formal education. This thesis includes both quantitative and qualitative research approaches and applies workplace learning theories. A scheme for measuring pharmacy students’ reflective ability was developed and shown to be feasible and reliable. Factors important for reflection were found to be primarily social and contextual, especially trained tutor and small pharmacy size. Notably, learning style or critical thinking did not correlate to students’ reflective ability. Tutors and students perceived that students used a wide variety of activities supporting learning of a broad repertoire of knowledge and skills, preparing them for coming professional working life. Tutors are most important to support learning. However, the current curriculum and formal activities do not address all these outcomes and learning activities used, e.g. workplace learning. The first overall conclusion is that internship plays an essential part in the pharmacist education program. The integration of formal and informal learning activities during internship, including raising awareness of incidental learning, is important to support students in learning the professional practice of pharmacy. This integration could possibly be strengthened by introducing further tutor training, different assignments, and by using portfolios. The second conclusion is that the community of practice is essential for students’ learning during internship, especially the student-tutor interaction. Hence, the entire social context has to be considered and it is important to ensure a good learning environment at pharmacies during internship. In summary, this thesis contributes to the understanding of students’ learning during pharmacy internship and introduces educational research on the Swedish undergraduate pharmacy education programs.
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The Expanding Role of Pharmacists: From Autonomous Apothecaries to Patient Care Team PlayersWhittemore, Hannah C 01 January 2013 (has links)
This thesis discusses the evolution of the role of the pharmacist in U.S. health care delivery from its early origins to modern day practice. Public policy, education and licensing requirements, and technological advances have substantially shaped the role of the pharmacist and what health care services they provide. Where pharmacists once provided direct patient care when formal modes of pharmacist professionalization did not exist, post-WWII mass production of pharmaceuticals confined pharmacists to dispensing and distribution duties that did not fully utilize their drug knowledge. Consequently, pharmacy educators and leaders have pushed pharmacy practice into an era of “pharmaceutical care,” emphasizing direct patient care activities and the employment of pharmacists’ drug expertise. Pharmacists today have moved back into clinical roles, participating in patient care activities alongside other health care professionals—sometimes even providing primary care services. Due to the U.S.’s growing dependence of prescription drugs and the American public’s continuous demands for high quality care, greater access to health care services, and containment of health care costs, pharmacists will likely acquire greater responsibilities in direct patient care.
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Aspects of the demographic profile and standard of pharmaceutical services in South Africa / J. AdsettsAdsetts, Jacqueline January 2006 (has links)
The objects of the South African Pharmacy Council in terms of the Pharmacy Act, 1974
(5311974) as amended are, inter alia, "to uphold and safeguard the rights of the general public
to universally acceptable standards of pharmacy practice in both the private and the public
sector" as well as "to establish, develop, maintain and control universally acceptable standards
of practice of the various categories of persons required to be registered.. ." One of the major
difficulties health care providers worldwide are faced with is how to maintain a proper balance
between the trio goals of health care, namely adequate access, high quality and acceptable
costs (Li, 2003:192-193). Relatively little is known about such problems as do exist for patients
regarding access to pharmaceutical services (Doucette et al., 1999:1268).
Two main objectives were identified for this study, namely to investigate the demographic profile
of community and institutional pharmacies registered with the South African Pharmacy Council;
and to determine the standard of pharmaceutical services provided by these pharmacies.
Inspection results of community and institutional pharmacies were obtained from the South
African Pharmacy Council and extracted for the time period 1 January 2004 to 31 May 2005.
To determine the demographic and geographic profile of these pharmacies, data of the Register
of Pharmacies of the South African Pharmacy Council for August 2003, 2004 and 2005 were
merged with the Census data of South Africa of 2001.
It was found that the total number of pharmacies in both the public and private sectors
increased with 2.1% (n=68) from August 2003 to August 2005. Public and private pharmacies that provided services directly to patients increased with 6.3% (n=33) and 1.3% (n=35) from
August 2003 to 2005. It was found that the Gauteng province was the best provided with
registered pharmacies in South Africa, as only 0.06% (n=5 783) of the population did not have
any registered pharmacy available on municipality level. It was also revealed that the majority
of inspections were carried out in Gauteng, whilst this province accounts for only 19.7% of the
total population of South Africa.
During the study period a total of 1178 community pharmacy inspections were carried out in
1103 community pharmacies (one or more inspections per pharmacy) representing 43% (n=2
550) of the total number of community pharmacies registered with the South African Pharmacy
Council during May 2005. Nationally community pharmacies achieved a score of 92.27 (+ 6.65
per cent) for compliance with Good Pharmacy Practice guidelines. The lowest compliance
score (73.34 + 27.49 per cent) was obtained for the availability of written standard operating
procedures and the highest was for the promotion of public health (99.02 + 6.30 per cent). No
practical significant differences (dc0.8) were found between the overall compliance scores
obtained by community pharmacies of the different provinces. The highest compliance score
was obtained by community pharmacies in the Free State (93.09 + 4.90 per cent), followed by
Western Cape, Eastern Cape, Kwazulu Natal, Limpopo, Northern Cape, Gauteng, Mpumalanga
and the North West.
A total of 343 institutional pharmacy inspections (one or more inspections per pharmacy) were
carried out in public and state subsidised institutions (n=245), private institutions (n=90) and
mine hospitals (n=5). These pharmacies represented 46% of the total number of institutional
pharmacies registered with the South African Pharmacy Council during May 2005. Nationally all
institutional pharmacies (both private and public) achieved a score of 92.49 + 8.33 per cent for
compliance with Good Pharmacy Practice guidelines for all above-mentioned aspects.
Nationally public and state subsidised institutional pharmacies obtained a lower compliance
score (91.02 + 9.08 per cent) than private institutional pharmacies (96.39 + 3.91 per cent).
Lastly, a grading system was developed that was based on the results obtained through this
study, in order to quantify the standard of pharmaceutical services provided by pharmacies in
South Africa. / Thesis (M.Pharm. (Pharmacy Practice))--North-West University, Potchefstroom Campus, 2007.
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Aspects of the demographic profile and standard of pharmaceutical services in South Africa / J. AdsettsAdsetts, Jacqueline January 2006 (has links)
The objects of the South African Pharmacy Council in terms of the Pharmacy Act, 1974
(5311974) as amended are, inter alia, "to uphold and safeguard the rights of the general public
to universally acceptable standards of pharmacy practice in both the private and the public
sector" as well as "to establish, develop, maintain and control universally acceptable standards
of practice of the various categories of persons required to be registered.. ." One of the major
difficulties health care providers worldwide are faced with is how to maintain a proper balance
between the trio goals of health care, namely adequate access, high quality and acceptable
costs (Li, 2003:192-193). Relatively little is known about such problems as do exist for patients
regarding access to pharmaceutical services (Doucette et al., 1999:1268).
Two main objectives were identified for this study, namely to investigate the demographic profile
of community and institutional pharmacies registered with the South African Pharmacy Council;
and to determine the standard of pharmaceutical services provided by these pharmacies.
Inspection results of community and institutional pharmacies were obtained from the South
African Pharmacy Council and extracted for the time period 1 January 2004 to 31 May 2005.
To determine the demographic and geographic profile of these pharmacies, data of the Register
of Pharmacies of the South African Pharmacy Council for August 2003, 2004 and 2005 were
merged with the Census data of South Africa of 2001.
It was found that the total number of pharmacies in both the public and private sectors
increased with 2.1% (n=68) from August 2003 to August 2005. Public and private pharmacies that provided services directly to patients increased with 6.3% (n=33) and 1.3% (n=35) from
August 2003 to 2005. It was found that the Gauteng province was the best provided with
registered pharmacies in South Africa, as only 0.06% (n=5 783) of the population did not have
any registered pharmacy available on municipality level. It was also revealed that the majority
of inspections were carried out in Gauteng, whilst this province accounts for only 19.7% of the
total population of South Africa.
During the study period a total of 1178 community pharmacy inspections were carried out in
1103 community pharmacies (one or more inspections per pharmacy) representing 43% (n=2
550) of the total number of community pharmacies registered with the South African Pharmacy
Council during May 2005. Nationally community pharmacies achieved a score of 92.27 (+ 6.65
per cent) for compliance with Good Pharmacy Practice guidelines. The lowest compliance
score (73.34 + 27.49 per cent) was obtained for the availability of written standard operating
procedures and the highest was for the promotion of public health (99.02 + 6.30 per cent). No
practical significant differences (dc0.8) were found between the overall compliance scores
obtained by community pharmacies of the different provinces. The highest compliance score
was obtained by community pharmacies in the Free State (93.09 + 4.90 per cent), followed by
Western Cape, Eastern Cape, Kwazulu Natal, Limpopo, Northern Cape, Gauteng, Mpumalanga
and the North West.
A total of 343 institutional pharmacy inspections (one or more inspections per pharmacy) were
carried out in public and state subsidised institutions (n=245), private institutions (n=90) and
mine hospitals (n=5). These pharmacies represented 46% of the total number of institutional
pharmacies registered with the South African Pharmacy Council during May 2005. Nationally all
institutional pharmacies (both private and public) achieved a score of 92.49 + 8.33 per cent for
compliance with Good Pharmacy Practice guidelines for all above-mentioned aspects.
Nationally public and state subsidised institutional pharmacies obtained a lower compliance
score (91.02 + 9.08 per cent) than private institutional pharmacies (96.39 + 3.91 per cent).
Lastly, a grading system was developed that was based on the results obtained through this
study, in order to quantify the standard of pharmaceutical services provided by pharmacies in
South Africa. / Thesis (M.Pharm. (Pharmacy Practice))--North-West University, Potchefstroom Campus, 2007.
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Using experiential learning to facilitate pharmacy students' understanding of patients' medication practice in chronic illnessWilliams, Kevin January 2006 (has links)
This study originates from experiences which led me to question the way pharmacists are equipped to advise and support the medicine-taking practice of patients using chronic medication. The study offers a critical theoretical consideration of underlying perspectives informing pharmacy education. I propose following a critical realist ontological perspective, a social realist understanding of social structure and human agency, and a sociocultural epistemology. Based on these perspectives, I consider a sociological critique of ‘health’, ‘disease’, ‘illness’ and ‘sickness’ perspectives on medicine-taking, and of pharmacy as a profession. I then propose an experiential learning approach, with an emphasis on developing reflexivity through affective learning. I follow this with an illustrative case study. Following a critical discourse analysis of student texts from the case study, I conclude that there is evidence that experiential learning may prove useful in developing pharmacy students’ reflexive competency to support the provision of pharmaceutical care to patients using chronic medications.
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Competing interests and change within the pharmacy education system in South AfricaAllan, Lucie January 2006 (has links)
This thesis provides a historical account of the emergence of the pharmacy education system in South Africa, and an analysis of the influence of competing interest groups over the pharmacy education curriculum. It provides a critical evaluation of structural-consensus and micro-interpretive approaches to medical and pharmacy education, and sets out a macrointerpretive account of pharmacy education in South Africa. Following Margaret Archer (1979) it analyzes three forms of negotiation between competing interest groups in their efforts to change the pharmacy curriculum; these are political manipulation, external transaction and internal initiation. The thesis argues that whilst the private sector interest group (comprising of retail, wholesale and manufacturing pharmacy) dominated the pharmacy education system until 1994, since then a newly emerged government interest group has begun to compete for educational control. The priorities pursued by this interest group have consistently reflected the objectives set out in the ANC National Health Plan of 1994. The thesis maintains that given its frustration over the non-implementation of the ANC’s health policy objectives, the government interest group is likely to resort to direct political manipulation by passing legislation to alter the content of the current pharmacy curriculum. Such changes would seek to ensure that the syllabus more accurately reflects the ANC Plan’s community health and primary health care objectives. The thesis asserts that such an outcome (of direct political manipulation of the curriculum) is not inevitable, and can be avoided through a process of internally initiated change. It presents the findings of an interpretive case study into how the Rhodes University Community Experience Programme (CEP) influenced final year pharmacy students’ perceptions of the role of the pharmacist. The students’ comments were collected by means of focus group interviews, participant observation and documentary analysis. Whilst the CEP did not successfully transform their concept of the pharmacist’s role, it did succeed in influencing students’ understanding of the notions of community pharmacy and primary health care in line with the government interest group’s health objectives. This thesis concludes that internally initiated change within the pharmacy education system, would be preferable to that imposed through external political manipulation, as such change would be more likely to preserve the independent professional interests of pharmacy academics.
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DIDARP Project UpdatePack, Robert P., Hagemeier, Nicholas, Brooks, Billy 03 April 2015 (has links)
No description available.
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Teaching Patient-Centered Communication Skills to Medical and Pharmacy Students Using an Interprofessional Blended Learning CourseHagemeier, Nicholas E., Ansari, Nasar, Branham, Tandy, Rose, Daniel L., Hess, Richard, Blackwelder, Reid B. 01 July 2015 (has links)
Objectives: 1) To evaluate the impact of an interprofessional blended learning course on pharmacy and medical students’ communication skills; 2) To compare pre- and post-course communication skills across cohorts. Method: Pharmacy (N = 57) and medical (N = 67) students enrolled in a required Communication Skills for Health Professionals course completed asynchronous online modules and face-to-face standardized patient interview sessions over the course of 1 semester. Students completed pre- and post-course objective structured clinical examinations with standardized patients and were evaluated by trained faculty using the validated Common Ground Instrument. Communication skill domains evaluated on a 1 to 5 scale included: rapport building, agenda setting, information management, active listening, addressing feelings, and establishing common ground. Nonparametric statistical tests were used to examine paired pre-/post-course domain scores within professions and pre- and post-course scores across professions. Results: Performance in all communication skill domains increased significantly for pharmacy and medical students (p valuesImplications: The blended learning Communication Skills for Health Professionals course improved students’ interpersonal communication skills across multiple domains. Fostering communication skill development in medical and pharmacy students could improve the extent to which future health care professionals engage in patient-centered communication.
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Predictors of Neonatal Abstinence Syndrome in Buprenorphine Exposed Newborn: Can Cord Blood Buprenorphine Metabolite Levels Help?Shah, Darshan, Brown, Stacy, Hagemeier, Nick, Zheng, Shimin, Kyle, Amy, Pryor, Jason, Dankhara, Nilesh, Singh, Piyuesh 23 June 2016 (has links)
Background
Buprenorphine is a semi-synthetic opioid used for the treatment of opioid dependence. Opioid use, including buprenorphine, has been increasing in recent years, in the general population and in pregnant women. Consequently, there has been a rise in frequency of neonatal abstinence syndrome (NAS), associated with buprenorphine use during pregnancy. The purpose of this study was to investigate correlations between buprenorphine and buprenorphine-metabolite concentrations in cord blood and onset of NAS in buprenorphine exposed newborns.
Methods
Nineteen (19) newborns who met inclusion criteria were followed after birth until discharge in a double-blind non-intervention study, after maternal consent. Cord blood and tissue samples were collected and analyzed by liquid chromatography–mass spectrometry (LC–MS) for buprenorphine and metabolites. Simple and multiple logistic regressions were used to examine relationships between buprenorphine and buprenorphine metabolite concentrations in cord blood and onset of NAS, need for morphine therapy, and length of stay.
Results
Each increase in 5 ng/ml level of norbuprenorphine in cord blood increases odds of requiring treatment by morphine 2.5 times. Each increase in 5 ng/ml of buprenorphine-glucuronide decreases odds of receiving morphine by 57.7 %. Along with concentration of buprenorphine metabolites, birth weight and gestational age also play important roles, but not maternal buprenorphine dose.
Conclusions
LC–MS analysis of cord blood concentrations of buprenorphine and metabolites is an effective way to examine drug and metabolite levels in the infant at birth. Cord blood concentrations of the active norbuprenorphine metabolite and the inactive buprenorphine-glucuronide metabolite show promise in predicting necessity of treatment of NAS. These finding have implications in improving patient care and reducing healthcare costs if confirmed in a larger sample.
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Prescription Drug Abuse Communication: A Qualitative Analysis of Prescriber and Pharmacist Perceptions and BehaviorsHagemeier, Nicholas E., Tudiver, Fred, Brewster, Scott, Hagy, Elizabeth J., Hagaman, Angela, Pack, Robert P. 01 November 2016 (has links)
Background: Interpersonal communication is inherent in a majority of strategies seeking to engage prescriber and pharmacist health care professionals (HCPs) in the reduction and prevention of prescription drug abuse (PDA). However, research on HCP PDA communication behavioral engagement and factors that influence it is limited. Objectives This study quantitatively examined communication behaviors and trait-level communication metrics, and qualitatively described prescription drug abuse-related communication perceptions and behaviors among primary care prescribers and community pharmacists. Methods: Five focus groups (N = 35) were conducted within the Appalachian Research Network (AppNET), a rural primary care practice-based research network (PBRN) in South Central Appalachia between February and October, 2014. Focus groups were structured around the administration of three previously validated trait-level communication survey instruments, and one instrument developed by the investigators to gauge HCP prescription drug abuse communication engagement and perceived communication importance. Using a grounded theory approach, focus group themes were inductively derived and coded independently by study investigators. Member-checking interviews were conducted to validate derived themes. Results: Respondents' trait-level communication self-perceptions indicated low communication apprehension, high self-perceived communication competence, and average willingness to communicate as compared to instrument specific criteria and norms. Significant variation in HCP communication behavior engagement was noted specific to PDA. Two overarching themes were noted for HCP-patient communication: 1) influencers of HCP communication and prescribing/dispensing behaviors, and 2) communication behaviors. Multiple sub-themes were identified within each theme. Similarities were noted in perceptions and behaviors across both prescribers and pharmacists. Conclusions: Despite the perceived importance of engaging in PDA communication, HCPs reported that prescription drug abuse communication is uncomfortable, variable, multifactorial, and often avoided. The themes that emerged from this analysis support the utility of communication science and health behavior theories to better understand and improve PDA communication behaviors of both prescribers and pharmacists, and thereby improve engagement in PDA prevention and treatment.
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