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沙特阿拉伯医院药剂师循证实践的评估:态度、认知与实践

Assessment of evidence-based practice among hospital pharmacists in Saudi Arabia: attitude, awareness, and practice.

作者信息

Al-Jazairi Abdulrazaq S, Alharbi Reem

机构信息

Division of Pharmaceutical Care, King Faisal Specialist Hospital and Research Centre, MBC 11, PO Box 3354, Riyadh, 11211, Kingdom of Saudi Arabia.

出版信息

Int J Clin Pharm. 2017 Aug;39(4):712-721. doi: 10.1007/s11096-017-0430-x. Epub 2017 Jun 12.

Abstract

Background Many studies have previously looked at the perceptions, attitude, and use of Evidence-based Practice (EBP) among healthcare providers. However, limited data is available on the implementation of EBP among pharmacists in general, and Saudi Arabia in particular. Objective To evaluate the awareness, attitude, and practice of EBP among hospital practicing pharmacists in Saudi Arabia. Setting Secondary and tertiary care hospitals in Saudi Arabia with a bed capacity of ≥200 Methods This is a cross sectional, survey-based study where a validated selfadministrated questionnaire was utilized. Pharmacists working in secondary and tertiary care hospitals with a bed capacity of ≥200 were targeted. The descriptive data consisted of percentages for discrete and medians for continuous statistics. Results The survey was distributed to a total of 1136 pharmacists. Total number of respondents is 228 which represent a response rate of 20%. Most of them (75% median score = 8) have a positive attitude toward EBP. In addition to clinical expertise, only 48.6% of them were able to identify EBP resource as the second component of EBP concept, while only 1.7% of the respondents were able to identify patient preference as a third component. Lack of personal time, critical appraisal skills, and resources, (40%, 15.6% and 13.9% respectively) are considered as the major barriers to implementing EBP in pharmacy. Conclusion The majority of pharmacists in Saudi Arabia hold a positive attitude of EBP. Unfortunately, most of pharmacists do not consider patients' values as a component of EBP. The major barriers to practicing EBP are lack of personal time, critical appraisal skills, and resources availability.

摘要

背景 此前许多研究探讨了医疗服务提供者对循证实践(EBP)的认知、态度和应用情况。然而,关于一般药剂师,尤其是沙特阿拉伯药剂师实施循证实践的数据有限。目的 评估沙特阿拉伯医院执业药剂师对循证实践的认知、态度和实践情况。设置 沙特阿拉伯拥有≥200张床位的二级和三级护理医院 方法 这是一项基于调查的横断面研究,采用了经过验证的自填式问卷。目标是在拥有≥200张床位的二级和三级护理医院工作的药剂师。描述性数据包括离散数据的百分比和连续统计数据的中位数。结果 共向1136名药剂师发放了调查问卷。受访者总数为228人,回复率为20%。他们中的大多数人(75%,中位数得分=8)对循证实践持积极态度。除临床专业知识外,只有48.6%的人能够将循证实践资源识别为循证实践概念的第二个组成部分,而只有1.7%的受访者能够将患者偏好识别为第三个组成部分。缺乏个人时间、批判性评估技能和资源(分别为40%、15.6%和13.9%)被认为是在药学领域实施循证实践的主要障碍。结论 沙特阿拉伯的大多数药剂师对循证实践持积极态度。不幸的是,大多数药剂师不将患者价值观视为循证实践的一个组成部分。实施循证实践的主要障碍是缺乏个人时间、批判性评估技能和资源可用性。

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