The importance of formal education for the medication dispensing process: a cross-sectional study
DOI:
https://doi.org/10.33448/rsd-v11i4.27277Keywords:
Good Dispensing Practices; Education, Pharmacy; Pharmacy Technicians; Community pharmacy services.Abstract
Background: The dispensing of medications, if performed by professionals who do not have specific knowledge in relation to legislation, health problems, medications, and patient interaction, can result in damage to health. Objective: This study aims to assess knowledge about medication dispensing by pharmacists and in the non-pharmaceutical workforce and to compare according to the different levels of formal education received. Methods: This is a cross-sectional study carried out in community pharmacies, and in educational institutions that offer the pharmacy technician course in Brazilian municipalities. In employees of community pharmacies who worked directly with the dispensing of medication (pharmacists, pharmacy technicians, and clerks), and in students who will shortly graduate from the pharmacy technician, a questionnaire titled CDM-51 (Questionnaire for the Assessment of Knowledge about Drug Dispensing) was applied. Results: 146 employees answered the questionnaire, and 131 students completing the pharmacy technician course participated in the survey. This study showed that there is evidence that pharmacists had a higher score in the CDM-51 than the other participating professional categories. Conclusions: This research presents evidence on the importance of training to carry out the dispensing of medications, as in addition to highlighting the role of the pharmacist in this activity, it also promotes the training of professionals at a technical level to assist in the dispensing of medications, thus contributing to the improvement of services offered by community pharmacies.
References
Abu Farha, R., Saleh, A., & Aburuz, S. (2017). The impact of drug related problems on health-related quality of life among hypertensive patients in Jordan. Pharmacy Practice, 15(3). https://doi.org/10.18549/PharmPract.2017.03.995.
Agonesi D; Rennó MUP (2011). Dispensation of Pharmaceuticals: proposal of a model for dispensation. Ciência e Saúde Coletiva, 16(9): 3883-3891.
Albanese, N. P., Rouse, M. J., & Schlaifer, M. (2010). Scope of contemporary pharmacy practice: Roles, responsibilities, and functions of pharmacists and pharmacy technicians. Journal of the American Pharmacists Association, 50(2). https://doi.org/10.1331/JAPhA.2010.10510
Alencar, T. O. S., Bastos; Alencar & Freitas, I. v. (2011). Dispensação farmacêutica: uma análise dos conceitos legais em relação à prática profissional. Journal of Basic and Applied Pharmaceutical Sciences Rev Ciênc Farm Básica Apl, 32(1), 89–94.
Angonesi D, Horizonte B. (2008). Pharmaceutical Dispensing: An Analysis of Different Concepts and Models. Ciência & Saúde Coletiva,13(Supl.).
Asghar, S., Atif, M., Mushtaq, I., Malik, I., Hayat, K., & Babar, Z. U. D. (2020). Factors associated with inappropriate dispensing of antibiotics among non-pharmacist pharmacy workers. Research in Social and Administrative Pharmacy, 16(6), 805–811.https://doi.org/10.1016/j.sapharm.2019.09.003
Baldon JP; Correr CJ; Melchiors AC; Rossignoli P; Fernándes-Llimós, F, & Pontarolo, R. (2006). Community pharmacists’ attitudes and knowledge on dispensing drugs to pregnant women. Pharmacy Practice, 4(1): 38-43.
Barker, A. K., Brown, K., Ahsan, M., Sengupta, S., & Safdar, N. (2016). What drives inappropriate antibiotic dispensing? A mixed-methods study of pharmacy employee perspectives in Haryana, India. https://doi.org/10.1136/bmjopen-2016
Barros JAC. (2000). (Mis)information on drugs: the double standardpracticed by pharmaceutical companies. Cad. Saúde Pública, 16(2):421-427.
Benedito de França Filho, J., Januário Correr, C., Rossignoli, P., Carolina Melchiors, A., Fernández-Llimós, F., Pontarolo, R., & Correr, C. J. (2008). Perfil dos farmacêuticos e farmácias em Santa Catarina: indicadores de estrutura e processo. In Revista Brasileira de Ciências Farmacêuticas Brazilian Journal of Pharmaceutical Sciences (Vol. 44, Issue 1).
Bernardo, N. L. M. da C., & Hoepfner, L. (2016). Serviço de dispensação: um serviço de saúde. In Assistência farmacêutica no Brasil – Política, gestão e clínica: Atuação clínica do farmacêutico (Vol. 5). Editora UFSC.
Brazilian Health Ministry. (2020). Secretaria de Atenção Primária à Saúde. Departamento de Promoção da Saúde. Assistência Farmacêutica Na Gestão Municipal: Da Instrumentalização Às Práticas de Profissionais de Nível Médio e/Ou Técnico Nos Serviços de Saúde [Electronic Resource].
Correr, C. J., & Otuki, M. F. (2013). A prática farmacêutica na farmácia comunitária. Artmed.
Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2008). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Journal of Clinical Epidemiology, 61(4), 344–349. https://doi.org/10.1016/j.jclinepi.2007.11.008
Farina, S. S., Romano-Lieber, N. S., Soc, S., & São, P. (2009). Atenção Farmacêutica em Farmácias e Drogarias: existe um processo de mudança? Pharmaceutical Care in Pharmacies: is there a changing process? (Issue 1).
Ferreira, T. X. A. M., Prudente, L. R., Dewulf, N. D. L. S., Provin, M. P., Cardoso, T. C., da Silveira, É. A., & Amaral, R. G. (2018). Impact of a drug dispensing model at a community pharmacy in Goiânia, Goiás, Brazil. Brazilian Journal of Pharmaceutical Sciences, 54(4). https://doi.org/10.1590/s2175-97902018000400143
Frenk, J., Chen, L., qar Bhutta, Z. A., Cohen, J., Crisp, N., Evans, T., Fineberg, H., Garcia, P., Ke, Y., Kelley, P., Kistnasamy, B., Meleis, A., Naylor, D., Pablos-Mendez, A., Reddy, S., Scrimshaw, S., Sepulveda, J., Serwadda, D., & Zurayk, H. (2010). The Lancet Commissions Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet, 376, 1923–1958. https://doi.org/10.1016/S0140
Gao, L., Green, E., Barnes, L. E., Brayne, C., Matthews, F. E., Robinson, L., & Arthur, A. (2015). Changing non-participation in epidemiological studies of older people: Evidence from the Cognitive Function and Ageing Study I and II. Age and Ageing, 44(5), 867–873. https://doi.org/10.1093/ageing/afv101
Gokcekus, L., Toklu, H. Z., Demirdamar, R., & Gumusel, B. (2012). Dispensing practice in the community pharmacies in the Turkish Republic of Northern Cyprus. International Journal of Clinical Pharmacy, 34(2), 312–324. https://doi.org/10.1007/s11096-011-9605-z
Gonçalves, A. M. R. F., Campos, M. S. A., Bernardes, A., Gabriel, C. S., & Pereira, L. R. L. (2020). Development and validation of an instrument to measure the professional’s knowledge of dispensing medication (CDM-51) in community pharmacies. PLoS ONE, 15(3). https://doi.org/10.1371/journal.pone.0229855
Higby, G. J., & Urick, B. Y. (2021). History of pharmacy In: Remington. Academic press.
Kurdi, S., Faran, A., Eareeni, E., Alhalal, N., Joseph, R., Wali, H., & Alshayban, D. (2020). Assessment of knowledge and attitude toward the new antibiotic dispensing law and its effect on antibiotic use in Saudi Arabia. Saudi Pharmaceutical Journal, 28(1), 58–67. https://doi.org/10.1016/j.jsps.2019.11.005
Lea, M., Mowe, M., Mathiesen, L., Kvernrød, K., Skovlund, E., & Molden, E. (2019). Prevalence and risk factors of drug-related hospitalizations in multimorbid patients admitted to an internal medicine ward. PLoS ONE, 14(7). https://doi.org/10.1371/journal.pone.0220071
Law n. 13021, Aguste 8, 2014. (2014). Provides for the exercise and supervision of pharmaceutical activities. Brazilian Official Gazette; Section 1, p.1 (11 ago 2014).
Leite, S. N., Bernardo, N. L. M. da C., Álvares, J., Guerra Junior, A. A., Costa, E. A., Acurcio, F. de A., Guibu, I. A., Costa, K. S., Karnikowski, M. G. de O., Soeiro, O. M., & Soares, L. (2017). Medicine dispensing service in primary health care of SUS. Revista de Saude Publica, 51, 1s–10s. https://doi.org/10.11606/S1518-8787.2017051007121
Lino, M. M., Marli, V., Backes, S., Ferraz, F., Schmidt Reibnitz, K., & Martini, J. G. (2010). Scientific production analysis of nursing education research groups in southern Brazil (Vol. 19, Issue 2. Texto Contexto Enferm,19(2):265-73.
Lucchetta, R., Alemão, H., Cruz, O., De, P., & Mastroianni, C. (2010). Extemporaneous compounding pharmacy View project Assistência Farmacêutica View Project.
Marques, T. C., Silva, R. de O. S., dos Santos Júnior, G. A., de Jesus Júnior, F. C., Silvestre, C. C., Rocha, K. S. S., da Rocha, C. E., Brito, G. de C., & de Lyra-Jr, D. P. (2020). Evaluation of process indicators of a medication review service between pharmacists and physicians. Journal of Evaluation in Clinical Practice, 26(5), 1448–1456. https://doi.org/10.1111/jep.13332
Miller G.E. (1990). The Assessment of Clinical Skills/Competence/Performance. Academic Medicine, 65(9) September Supplement.
Mota, K. de F., Baldoni, A. O., Baptista, E. C. C., Reis, T. M. dos, Pereira, L. R. L., Nascimento, M. M. G. do, Obreli-Neto, P. R., & Pereira, M. L. (2020). Profile of activities developed by community pharmacists: do they corroborate the precepts of the pharmaceutical profession? Brazilian Journal of Pharmaceutical Sciences, 56. https://doi.org/10.1590/s2175-97902020000118472
National Health Service [NHS] Community Pharmacy services - a summary. (2013). Http://Psnc.Org.Uk/Wp-Content/Uploads/2013/08/CPCF-Summary-July-2013.Pdf.
National Health Service [NHS] Pharmacy technician. (2021). Https://Www.Healthcareers.Nhs.Uk/Explore-Roles/Pharmacy/Roles-Pharmacy/Pharmacy-Technician.
Obreli-Neto, P. R., dos Reis, T. M., Guidoni, C. M., Girotto, E., Guerra, M. L., Baldoni, A. de O., & Pereira, L. R. L. (2016). A systematic review of the effects of continuing education programs on providing clinical community pharmacy services. In American Journal of Pharmaceutical Education (Vol. 80, Issue 5). American Association of Colleges of Pharmacy. https://doi.org/10.5688/ajpe80588
Official Catalogue of Tecnician Courses. Ministry of Education. (2009); Brasilia: MEC. (2021, June 28). Http://Cnct.Mec.Gov.Br/Cursos/Curso?Id=9.
Organización Pan-Americana de la Salud [OPAS]/ Organización Mundial de la Salud [OMS]. (1995). El papel del farmacéutico en la atencíon a salud. Informe de la reunión de la OMS, Tokio, Japon, 31 ago. al 3 sep. de 1993. PAHO.
Política Nacional de Medicamentos (2001). Brazilian Health Ministry; Brasília: MS, 2001.
Reis, T. M. dos, Guidoni, C. M., Girotto, E., Rascado, R. R., Mastroianni, P. de C., Cruciol, J. M., & Pereira, L. R. L. (2015). Knowledge and conduct of pharmacists for dispensing of drugs in community pharmacies: A cross-sectional study. Brazilian Journal of Pharmaceutical Sciences, 51(3), 733–744. https://doi.org/10.1590/S1984-82502015000300025
Reis, T. M., Rocha, K. S. S., Barros, I. M. C., Santos, L. M. C., Paixão, F. P., Almeida, F. H. O., Lyra Júnior, D. P., & Pereira, L. R. L. (2015). Pharmacists’ Skills in Conducting Clinical Services in Community Pharmacies in Urban Areas of Northeast Brazil. Am. J. Pharm, 34(4), 725–756.
Reis, T. M., de Oliveira Baldoni, A., Campos, A. M., Girotto, E., Guidoni, C. M., Obreli-Neto, P. R., & Pereira, L. R. L. (2019). A distance-learning course to improve drug-dispensing behaviors among Brazilian community pharmacists. American Journal of Pharmaceutical Education, 83(8), 1703–1711. https://doi.org/10.5688/ajpe6874
Reis, T. M. (2020). Método clínico: plano de cuidado na dispensação dos medicamentos. In Cuidado Farmacêutico na Atenção Básica : aplicação do método clínico. Ministério da Saúde.
Resolution CNE/ CES n. 06, October, 20, 2017. Ministry of Education, (2017). Establishing the National Curriculum Guidelines for Undergraduate Pharmacy Course. Resolution. Ministry of Education. Brazilian Official Gazette.
Resolução da Diretoria Colegiada [RDC]. (2009). Provides for Good Pharmaceutical Practices for sanitary control of the operation, dispensing and commercialization of products and the provision of pharmaceutical services in pharmacies and drugstores and provides other measures. Resolution n. 44, Aguste, 17. Brazilian Official Gazette (18 ago. 2009).
Rodrigues Da Silva, L., & Vieira, E. M. (2004). Pharmacists’ knowledge of sanitary legislation and professional regulations. In Rev Saúde Pública (Vol. 38, Issue 3).
Reis, T. M., Guidone, C. M., Girotto, E., Rascado, R. R., Mastroiani, P. C.Cruciol, J. M & Pereira, L. R. L. (2015). Pharmaceutical care in Brazilian community pharmacies: Knowledge and practice. African Journal of Pharmacy and Pharmacology, 9(9), 287–294. https://doi.org/10.5897/ajpp2014.4239
Tomassi, M. H., & Ribeiro, E. (2012). Conhecimentos e atitudes de farmacêuticos em farmácias e drogarias do Butantã-São Paulo. Journal of Basic and Applied Pharmaceutical Sciences Rev Ciênc Farm Básica Apl, 33(1), 125–132.
Watanabe, J. H., McInnis, T., & Hirsch, J. D. (2018). Cost of Prescription Drug–Related Morbidity and Mortality. Annals of Pharmacotherapy, 52(9), 829–837. https://doi.org/10.1177/1060028018765159
World Health Organization, [WHO]. (2019). The legal and regulatory framework for community pharmacies in the WHO European Region. http://apps.who.int/bookorders.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Ana Maria Rosa Freato Gonçalves; João Paulo Alves Cunha; Tiago Marques dos Reis; Leonardo Regis Leira Pereira
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.