Evaluating the Involvement of Community Pharmacists in Health Promotion Practices after Educational Intervention in Oyo State, Nigeria
Abstract:
The study evaluated the involvement of community pharmacists in
health promotion services in Oyo State, Nigeria after an educational intervention
with the view of comparing it to service delivery before the training.
A post-intervention evaluation study was conducted among 48 community pharmacists after
exposure to training in health promotion in 2016. Data were analysed with appropriate
descriptive statistics while Paired T-test was used to determine significant differences
among the study variables after comparing it to the baseline study earlier conducted.
Response rate was 87.5%. The level
of involvement in health promotion services before and after training was not significant
(p > 0.05). However, respondents (88%) embarked on health promotion initiatives
after the training while 90.5% of them documented the services provided. On-the-spot
observation revealed that respondents extended the periods of their stay on their
premises, gave the practice a facelift to attract customers and provided more space
for patient counselling, documented health promotion activities, held outreaches
on international health days and other days as scheduled by the pharmacists.
The study concluded that
the community
pharmacists indicated a favourable attitude towards health promotion services and
showed improvement in the services offered in their pharmacies after training.
References:
[1]. Adje,
D. U. & Oparah A.C. (2017). Evaluating Pharmacist Level of Involvement in disease
Prevention Activities in Nigeria. UK Journal
of Pharmaceutical and Biosciences 5(4) 55-61.
[2]. Anderson
C. (1998). Health promotion by community pharmacy: perception, realities and constraints.
Journal of Social and Administrative Pharmacy,
15:10–22.
[3]. Anderson C. (2000). Health promotion in community pharmacy: the
UK situation. Patient education and counseling, 39(2-3), 285–291.
https://doi.org/10.1016/s0738-3991 (99)00025-7.
[4]. Andrew,
W. J., Sunderland, V. B., Burrows, S., McManus, A., Howat, P. & Maycock, B.
(2007). Community Pharmacy’s Role in Promoting Healthy Behaviours. Journal of
Pharmacy Practice and Research; 37(1):42-44.
[5]. Aslani,
P., Benrimoj, S.I. & Krass, I. (2006). Development and evaluation of a training
program to foster the use of written drug information in community pharmacies: Part
1–Development. Pharmacy Education, 6 (1); 41–52.
[6]. Awad,
A., & Abahussain, E. (2010). Health promotion and education activities of community
pharmacists in Kuwait. Pharmacy world & science: PWS, 32(2), 146–153.
https://doi.org/10.1007/s11096-009-9360-6
[7]. Bajorek,
B.V., Lemay, K.S., Magin, P.J., Roberts, C., Krass, I., & Armour, C.L. (2015).
Preparing pharmacists to deliver a targeted service in hypertension management:
evaluation of an interprofessional training program. BMC Medical Education 15;
157.
[8]. Benson,
M. A. & Cribb, A. (1995). In their own word: community pharmacists and their
health education role. International Journal of Pharmacy Practice, 3:74–7.
[9]. Brock,
K. A., Casper, K. A., Green, T. R., & Pedersen, C. A. (2006). Documentation
of patient care services in a community pharmacy setting. Journal of the American
Pharmacists Association: JAPhA, 46(3), 378–384. https://doi.org/10.1331/154434506777069642.
[10]. Calop,
N., Allenet, B., Calop, J. & Figari, G. (2002). The Effect of continuous education
on the professional practice of French community pharmacists. Pharmacy Education, 2 (4); 185–190
[11]. Cerulli,
J. & Briceland, L.L. (2004). A streamlined training program for community pharmacy
advanced preceptors to enable optimal experiential learning opportunities. American
Journal of Pharmaceutical Education, 68 (1) Article 9
[12]. Cervetto,
S. & Keene, J. (1996). Health promotion in the pharmacy: the development of
a formal scheme, in Phillips, S., Delamont, S. and Temple, D. (eds) Qualitative
Research in Pharmacy Practice. Aveburg.
[13]. Coggans,
N., McKellar, S., Bryson, S., Parr, R., & Grant, L. (2001). Evaluation of health
promotion development in Greater Glasgow Health Board Community Pharmacies. Pharmaceutical
Journal; 266:514–518.
[14]. Currie,
J.D., Chrischilles, E.A., Kuehl, A.K. & Buser, R.A. (1997). Effect of a training
program on community pharmacists' detection of and intervention in drug-related
problems. Journal of American Pharmacists Association, 37 (2); 182-191.
[15]. Currie,
J.D. (2003). Documentation. In: Rovers JP, Currie, JD, Hagel HP, et al. A practical
guide to pharmaceutical care, 2nd ed. Washington, D.C.: American Pharmacists Association;
92–108.
[16]. De Bittner,
M. R., & Michocki, R. (1996). Establishing a pharmaceutical care database. Journal
of the American Pharmaceutical Association (Washington, D. C.: 1996), NS36 (1),
60–71. https://doi.org/10.1016/s1086-5802 (16)30007-9.
[17]. Dunkin,
J. & Dumont, Z. (2013). Documentation in a busy pharmacy. Canadian Pharmacists
Association, www.pharmacists.ca.
[18]. General
Pharmaceutical Council of Spain (GPhCS, 2015). Community pharmacy and primary health
care - comments on the document from the expert panel on effective ways of investing
in health. (Accessed July 6, 2015).
[19]. Jaffray,
M., Krska, J., Lee, A.J., & Bond, C.M. (2007). The MEDMAN project: Evaluation
of the medicines management training for community pharmacists. Pharmacy Education;
7(3):207–214.
[20]. Kristina,
S. A., Thavorncharoensap, M., Pongcharoensuk, P., & Prabandari, Y. S. (2015).
Impact of smoking cessation training for community pharmacists in Indonesia. Asian
Pacific journal of cancer prevention: APJCP, 16(8), 3319–3323. https://doi.org/10.7314/apjcp.2015.16.8.3319.
[21]. Laliberté,
M., Perreault, S., Damestoy, N. & Lalonde, L. (2012). Ideal and actual involvement
of community pharmacists in health promotion and prevention: a cross-sectional study
in Quebec, Canada. BMC Public Health; 12:192-202.
[22]. MacKinnon,
G.E. III & MacKinnon, N.J. (2008), Documentation of Pharmacy services, in: Dipiro,
J.T., Talbert, R.L., Yee, G.C., Matzke, G.R., Wells, R.G. & Posey, L.M. (7th
edn.), Pharmacotherapy: A Pathophysiological Approach. New York: The McGraw-Hill
Companies, Inc.
[23]. Offu,
O., Anetoh, M., Okonta, M. & Ekwunife, O. (2015). Engaging Nigerian community
pharmacists in public health programs: assessment of their knowledge, attitude and
practice in Enugu metropolis. Journal of Pharmaceutical Policy and Practice; 8:27-33.
[24]. Osemene,
K. P., & Erhun, W. O. (2018). Evaluation of community pharmacists’ involvement
in public health activities in Nigeria. Brazilian Journal of Pharmaceutical Sciences,
54(3), e17447. Epub November 29, 2018.https://doi.org/10.1590/s2175-97902018000317447.
[25]. Oseni,
Y. & Afolabi, M. (2018). Knowledge & involvement of community pharmacists
in health promotion activities in Oyo State, Nigeria. Nigerian Journal of Pharmaceutical
Sciences, 17 (2); 36-47.
[26]. Oseni, Y. O., & Afolabi, M. O. (2020). Development
and Evaluation of Health Promotion Training Program for Community Pharmacists in
Oyo State, Nigeria. Pedagogy in Health Promotion. https://doi.org/10.1177/2373379920918614.
[27]. Oyo State
Government. (2015). The Official website of the Oyo State government- The Pacesetter
State http://www.oyostate.gov.ng/.
[28]. Pharmacy
Connection (2018). Documentation – essential to a patient’s continuity of care https://pharmacyconnection.ca/pharmacy-documentation-fall-2018/
[29]. Pharmacists
Council of Nigeria. (2014). List of Registered Pharmacists and Pharmaceutical Premises
as at December 2014. Abuja.
[30]. Roberts,
L., Tutcher, D., Vadher, B. & White, D. (2015). Oxford AHSN medicines optimisation
clinical network – CBT for community pharmacy feasibility study. MOCN_CBT_feasibibilty-study-outcomes-v06_24Aug2015.pdf.
[31]. Saini,
B., Smith, L., Armour, C. & Krass, I. (2006). An educational intervention to
train community pharmacists in providing specialized asthma care. American Journal
of Pharmaceutical Education, 70 (5); 118.
[32]. Sarayani,
A., Rashidian, A., Gholami, K., Torkamandi, H., & Javadi, M. (2012). Efficacy
of continuing education in improving pharmacists' competencies for providing weight
management service: three-arm randomized controlled trial. The Journal of continuing
education in the health professions, 32(3), 163–173. https://doi.org/10.1002/chp.21141
[33]. Sinclair,
H.K., Bond, C.M., & Lennox, A.S. (1999). The long-term learning effect of training
in stage of change for smoking cessation: a three-year follow up of community pharmacy
staff's knowledge and attitudes. International Journal of Pharmacy Practice; IJPP,
2011, 7(1); 1-11. https://onlinelibrary.wiley.com/doi/abs/10.1111/j.2042-7174.1999.tb00943.x.
[34]. Soyemi,
O.I. & Hunponu-Wusu, O.O. (2015). Knowledge, attitudes and participation of
community pharmacists in Lagos State, Nigeria toward Primary Health Care (PHC).
Journal of Public Health and Epidemiology; 7(1), 15-19.
[35]. Willis,
S., Seston, L., Family, H., White, S. & Cutts, C. (2016). Evaluation of the
advanced training for community pharmacists in the assessment and management of
urgent cases; Final report. Health Education England.
[36]. WHO. (1986).
The Ottawa Charter, 1986 Available from http://www.who.int/healthpromotion/conferneces/
previous/ottawa/en/.
[37]. WHO. ((1994).
‘Community pharmacy’ In: The Role of the Pharmacist in the Health Care System, 1994
WHO/PHARM/94.569. Available from http://apps.who.int/medicinedocs/en/d/Jh2995e/1.6.2.html#Jh2995e.1.6.2.
[38]. World
Health Organization. Joint FIP/WHO guidelines on good pharmacy practice: Standards
for quality of pharmacy services. www.who.int/medicines/areas/quality_safety/quality_assurance/FIPWHOGuidelinesGoodPharmacyPracticeTRS961Annex8.pdf.
[39]. Zierier-Brown,
S., Chen, D., Brown, T.R., & Blackburn, R.W. (2007). Clinical documentation
for patient care: Models, concepts, and liability considerations for pharmacists.
American journal of health-system pharmacy: AJHP: 64 (17), 1851-1858.