Tsega Bayew, Bhagavathula Akshaya Srikanth, Sarkar Barun Ranjan, Melaku Tadesse, Shewamene Zewdneh
Department of Clinical Pharmacy, University of Gondar-College of Medicine and Health Sciences, Gondar, Ethiopia.
Department of Pharmacology, School of Pharmacy, University of Gondar-College of Medicine and Health Sciences, Gondar, Ethiopia.
Adv Med Educ Pract. 2015 May 20;6:385-91. doi: 10.2147/AMEP.S80802. eCollection 2015.
The study objective is to investigate the impact of mandatory clinical clerkship courses on 5th-year pharmacy students' attitudes and perceived barriers toward providing pharmaceutical care (PC).
A cross-sectional survey was conducted among 5th-year pharmacy students undertaking mandatory clinical clerkship in the University of Gondar, Ethiopia. A pharmaceutical care attitudes survey (PCAS) questionnaire was used to assess the attitude (14 items), commonly identified drug-related problem/s (1 item) during clerkships, and perceived barriers (12 items) toward the provision of PC. Statistical analysis was conducted on the retrieved data.
Out of the total of 69 clerkship students, 65 participated and completed the survey (94.2% response rate). Overall, 74.45% of participants opinioned a positive attitude toward PC provision. Almost all respondents agreed that the primary responsibility of pharmacists in the healthcare setting was to prevent and solve medication-related problems (98.5%), practice of PC was valuable (89.3%), and the PC movement will improve patient health (95.4%), respectively. Unnecessary drug therapy (43%), drug-drug interactions (33%), and non-adherence to medications (33%) were the most common drug-related problems identified in wards. Highly perceived barriers for PC provision included lack of a workplace for counseling in the pharmacy (75.4%), a poor image of pharmacist's role in wards (67.7%), and inadequate technology in the pharmacy (64.6%). Lack of access to a patient's medical record in the pharmacy had significant association (P<0.05) with PC practice, performance of PC during clerkship, provision of PC as clinical pharmacists, and Ethiopian pharmacists benefiting by PC.
Ethiopian clinical pharmacy students have a good attitude toward PC. Efforts should be targeted toward reducing these drug therapy issues, and aiding the integration of PC provision with pharmacy practice.
本研究旨在调查强制性临床实习课程对五年级药学专业学生提供药学服务（PC）的态度及感知障碍的影响。
对埃塞俄比亚贡德尔大学参加强制性临床实习的五年级药学专业学生进行了横断面调查。使用药学服务态度调查问卷（PCAS）来评估态度（14项）、实习期间常见的与药物相关的问题（1项）以及提供药学服务的感知障碍（12项）。对检索到的数据进行了统计分析。
在总共69名实习学生中，65名参与并完成了调查（回复率为94.2%）。总体而言，74.45%的参与者对提供药学服务持积极态度。几乎所有受访者都认为，在医疗环境中药剂师的主要职责是预防和解决与药物相关的问题（98.5%）、药学服务实践很有价值（89.3%）以及药学服务运动将改善患者健康（95.4%）。不必要的药物治疗（43%）、药物相互作用（33%）和药物治疗依从性差（33%）是病房中最常见的与药物相关的问题。提供药学服务的高度感知障碍包括药房缺乏咨询工作场所（75.4%）、药剂师在病房中的角色形象不佳（67.7%）以及药房技术不足（64.6%）。药房无法获取患者病历与药学服务实践、实习期间的药学服务表现、作为临床药剂师提供药学服务以及埃塞俄比亚药剂师从药学服务中受益均存在显著关联（P<0.05）。
埃塞俄比亚临床药学专业学生对药学服务持良好态度。应致力于减少这些药物治疗问题，并促进药学服务与药房实践的整合。
