Department of Life Sciences and health, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
Trondheim Hospital Pharmacy, Central Norway Pharmaceutical Trust, Trondheim, Norway.
Inquiry. 2024 Jan-Dec;61:469580241273228. doi: 10.1177/00469580241273228.
Excessive and incorrect use of antibiotics contributes to the rise of antimicrobial resistance (AMR). Given that pharmacists act as final checkpoint before antibiotics is handled over to patients, they play a crucial role in promoting proper antibiotic use and ensuring treatment adherence. However, there is often a gap between the patients' needs and perceptions, and what the pharmacists provide. Improving pharmacists' training is essential for enhancing patient-centered care. The aim of this research was to evaluate the suitability of academic detailing (AD) for improving Norwegian pharmacists' knowledge and practice on adherence promoting counseling of antibiotic patients. Key insights from prior qualitative research regarding community pharmacists' position in promoting optimized antibiotic use were incorporated in a tailored AD program. The AD's suitability was evaluated using the validated "Provider Satisfaction with Academic Detailing" (PSAD) and "Detailer Assessment of Visit Effectiveness" (DAVE) instruments. Additionally, participants preferred knowledge updates method were assessed. Eighty-one of 86 visits completed PSAD (94% response rate). Satisfaction summary score for PSAD was 40.03 (of maximum 45) and scale summary score for DAVE 12.45 (of maximum 15). One-sample -test (P < .001) indicated preference for AD over other knowledge update methods. This study confirmed that AD is a successful knowledge updating tool for improving adherence promoting counseling among Norwegian pharmacists. Future research should align practice change intentions with actions post-AD and evaluate patient impact.
过度和不正确使用抗生素导致了抗菌药物耐药性(AMR)的上升。鉴于药剂师是抗生素在交给患者之前的最后一道关卡,他们在促进合理使用抗生素和确保治疗依从性方面发挥着至关重要的作用。然而,患者的需求和认知与药剂师提供的服务之间常常存在差距。加强药剂师培训对于增强以患者为中心的护理至关重要。本研究旨在评估学术细化(AD)在提高挪威药剂师关于促进抗生素患者遵医嘱治疗的知识和实践方面的适用性。先前关于社区药剂师在促进优化抗生素使用方面的定性研究的关键见解被纳入了定制的 AD 计划中。使用经过验证的“提供者对学术细化的满意度”(PSAD)和“细化者对访问效果的评估”(DAVE)工具评估 AD 的适用性。此外,还评估了参与者首选的知识更新方法。86 次访问中有 81 次完成了 PSAD(响应率为 94%)。PSAD 的满意度总分为 40.03(满分 45 分),DAVE 的量表总分为 12.45(满分 15 分)。单样本检验(P < 0.001)表明,参与者更喜欢 AD 而不是其他知识更新方法。本研究证实,AD 是一种成功的知识更新工具,可提高挪威药剂师关于促进抗生素患者遵医嘱治疗的咨询能力。未来的研究应将实践改变的意图与 AD 后的行动联系起来,并评估对患者的影响。