Contextualising the Perceptions of Pharmacists Practicing Clinical Pharmacy in South Africa—Do We Practice what We Preach?

The National Department of Health published their Quality Standards for Healthcare Establishments in South Africa and introduced the National Health Insurance, with the pilot phase that commenced in 2012. The system requires an adequate supply of pharmaceutical personnel and the direct involvement o...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Elmien Bronkhorst, Natalie Schellack, Andries G. S. Gous
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	pharmacy practice clinical functions pharmacy education pharmaceutical care clinical pharmacy Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/5cf0ea4d56ac44cd9e8e2e18eb47376e
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:5cf0ea4d56ac44cd9e8e2e18eb47376e
record_format	dspace
spelling	oai:doaj.org-article:5cf0ea4d56ac44cd9e8e2e18eb47376e2021-12-03T06:20:59ZContextualising the Perceptions of Pharmacists Practicing Clinical Pharmacy in South Africa—Do We Practice what We Preach?1663-981210.3389/fphar.2021.734654https://doaj.org/article/5cf0ea4d56ac44cd9e8e2e18eb47376e2021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fphar.2021.734654/fullhttps://doaj.org/toc/1663-9812The National Department of Health published their Quality Standards for Healthcare Establishments in South Africa and introduced the National Health Insurance, with the pilot phase that commenced in 2012. The system requires an adequate supply of pharmaceutical personnel and the direct involvement of clinical pharmacists throughout the medication-use process to ensure continuity of care, minimised risk with increasing improvement of patient outcomes. The study aimed to provide insight into the pressing issues of clinical pharmacy practice in South Africa, and sets out to contextualise the current profile of the pharmacist performing clinical functions. The study used a quantitative, explorative, cross-sectional design. The population included pharmacists from private and public tertiary hospitals. A questionnaire was administered, using Typeform™. Ethics approval was obtained from Sefako Makgatho Health Sciences University, National Department of Health and Private Healthcare groups. Categorical data were summarised using frequency counts and percentages; continuous data were summarised by mean values and standard deviations. The sample size included 70 pharmacists practicing clinical pharmacy (private sector n = 59; public sector n = 11). Most participants hold a BPharm degree (busy with MPharm qualification) (64%; n = 70). No statistical significance was found between participants in private and public practice. Most pharmacist agreed (32% (private); n = 59) and strongly agreed (45% (public); n = 11) to have sufficient training to perform pharmaceutical care. The majority respondents felt that interventions made by the pharmacist improved the rational use of medicine (47% (private); 55% (public). Pharmacist interventions influence prescribing patterns (42% (private); 64% (public); and reduce polypharmacy (41% (private); 55% (public). The clinical functions mostly performed were evaluation of prescriptions (private 90%; public 82%), while the top logistical function is daily ordering of medication (40.7%; private), and checking of ward stock (36%; public). Although not all pharmacists appointed in South Africa has completed the MPharm degree in clinical pharmacy, the pharmacists at ward level perform numerous clinical functions, even if only for a small part of their workday. This paper sets the way to standardise practices of clinical pharmacy in South Africa, with a reflection on the differences in practice in different institutions.Elmien BronkhorstNatalie SchellackAndries G. S. GousFrontiers Media S.A.articlepharmacy practiceclinical functionspharmacy educationpharmaceutical careclinical pharmacyTherapeutics. PharmacologyRM1-950ENFrontiers in Pharmacology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pharmacy practice clinical functions pharmacy education pharmaceutical care clinical pharmacy Therapeutics. Pharmacology RM1-950
spellingShingle	pharmacy practice clinical functions pharmacy education pharmaceutical care clinical pharmacy Therapeutics. Pharmacology RM1-950 Elmien Bronkhorst Natalie Schellack Andries G. S. Gous Contextualising the Perceptions of Pharmacists Practicing Clinical Pharmacy in South Africa—Do We Practice what We Preach?
description	The National Department of Health published their Quality Standards for Healthcare Establishments in South Africa and introduced the National Health Insurance, with the pilot phase that commenced in 2012. The system requires an adequate supply of pharmaceutical personnel and the direct involvement of clinical pharmacists throughout the medication-use process to ensure continuity of care, minimised risk with increasing improvement of patient outcomes. The study aimed to provide insight into the pressing issues of clinical pharmacy practice in South Africa, and sets out to contextualise the current profile of the pharmacist performing clinical functions. The study used a quantitative, explorative, cross-sectional design. The population included pharmacists from private and public tertiary hospitals. A questionnaire was administered, using Typeform™. Ethics approval was obtained from Sefako Makgatho Health Sciences University, National Department of Health and Private Healthcare groups. Categorical data were summarised using frequency counts and percentages; continuous data were summarised by mean values and standard deviations. The sample size included 70 pharmacists practicing clinical pharmacy (private sector n = 59; public sector n = 11). Most participants hold a BPharm degree (busy with MPharm qualification) (64%; n = 70). No statistical significance was found between participants in private and public practice. Most pharmacist agreed (32% (private); n = 59) and strongly agreed (45% (public); n = 11) to have sufficient training to perform pharmaceutical care. The majority respondents felt that interventions made by the pharmacist improved the rational use of medicine (47% (private); 55% (public). Pharmacist interventions influence prescribing patterns (42% (private); 64% (public); and reduce polypharmacy (41% (private); 55% (public). The clinical functions mostly performed were evaluation of prescriptions (private 90%; public 82%), while the top logistical function is daily ordering of medication (40.7%; private), and checking of ward stock (36%; public). Although not all pharmacists appointed in South Africa has completed the MPharm degree in clinical pharmacy, the pharmacists at ward level perform numerous clinical functions, even if only for a small part of their workday. This paper sets the way to standardise practices of clinical pharmacy in South Africa, with a reflection on the differences in practice in different institutions.
format	article
author	Elmien Bronkhorst Natalie Schellack Andries G. S. Gous
author_facet	Elmien Bronkhorst Natalie Schellack Andries G. S. Gous
author_sort	Elmien Bronkhorst
title	Contextualising the Perceptions of Pharmacists Practicing Clinical Pharmacy in South Africa—Do We Practice what We Preach?
title_short	Contextualising the Perceptions of Pharmacists Practicing Clinical Pharmacy in South Africa—Do We Practice what We Preach?
title_full	Contextualising the Perceptions of Pharmacists Practicing Clinical Pharmacy in South Africa—Do We Practice what We Preach?
title_fullStr	Contextualising the Perceptions of Pharmacists Practicing Clinical Pharmacy in South Africa—Do We Practice what We Preach?
title_full_unstemmed	Contextualising the Perceptions of Pharmacists Practicing Clinical Pharmacy in South Africa—Do We Practice what We Preach?
title_sort	contextualising the perceptions of pharmacists practicing clinical pharmacy in south africa—do we practice what we preach?
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/5cf0ea4d56ac44cd9e8e2e18eb47376e
work_keys_str_mv	AT elmienbronkhorst contextualisingtheperceptionsofpharmacistspracticingclinicalpharmacyinsouthafricadowepracticewhatwepreach AT natalieschellack contextualisingtheperceptionsofpharmacistspracticingclinicalpharmacyinsouthafricadowepracticewhatwepreach AT andriesgsgous contextualisingtheperceptionsofpharmacistspracticingclinicalpharmacyinsouthafricadowepracticewhatwepreach
_version_	1718373873876992000

Contextualising the Perceptions of Pharmacists Practicing Clinical Pharmacy in South Africa—Do We Practice what We Preach?

Ejemplares similares