Pharmacy World and Science

, Volume 27, Issue 3, pp 208–214 | Cite as

Attitudes of Nigerian Pharmacists towards Pharmaceutical Care

  • Azuka C. OparahEmail author
  • Adego E. Eferakeya


Objective: To explore Nigerian pharmacists’ attitudes towards pharmaceutical care, and determine significant attitudinal differences in different practice settings.

Method: A 25-item self-completion pre-tested and validated questionnaire was administered to a convenience sample of 1500 pharmacists in Nigeria. Data were gathered on a Likert-type rating scale. Descriptive statistics including frequencies and mean scores, and significant attitudinal differences on sample characteristics were computed.

Main outcome measure: Pharmacists’ opinions on multi-item pharmaceutical care attitudinal scale.

Result: The national survey achieved 67% response rate. About three-quarters (76%, n = 1005) of the respondents indicated willingness to embrace pharmaceutical care. Nearly all the pharmacists (96%) believed pharmaceutical care would enhance patients’ appreciation of the pharmacist and 84% reported their intention to practice pharmaceutical care even if there is no additional income. An overwhelming 93% said that they would participate in any training program to enable them to practice pharmaceutical care, while less than a quarter (20%) claimed their pharmacy layout was suited for patient-centered practice. Three quarters (75%) of the respondents indicated positive attitude towards pharmaceutical care. Both male and female genders, all age groups, different levels of professional experience, and pharmacists in hospital, community, industrial and administrative practice settings had similar positive attitude scores. Only pharmacists’ professional experience appeared to have a significant influence on attitude scores (F = 5.267; P = 0.001), with scores varying with the level of professional experience.

Conclusion: The study has shown that the attitudes of Nigerian pharmacists towards pharmaceutical care are favorably high irrespective of the practice settings. The attitude ratings vary with the levels of professional experience, with pharmacists having less experience showing more positive attitude. Nigerian pharmacists indicated willingness to implement pharmaceutical care but expressed major concerns about their knowledge, professional skills, and pharmacy layout. Gradual introduction of pharmaceutical care would be logical.


Attitude scale Community pharmacists Hospital pharmacists Nigeria Pharmaceutical care Pharmacy practice 


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  1. Higby, GJ. 1997American pharmacy in the twentieth centuryAm J Health-Syst Pharm54180515PubMedGoogle Scholar
  2. Hepler, CD. 1987The third wave in pharmaceutical education: the clinical movementAm J Pharm Educ5136985PubMedGoogle Scholar
  3. International Pharmaceutical Federation: statement on pharmaceutical care. Available at: (accessed 11 July 2002)Google Scholar
  4. Holland, RW, Nimmo, CM. 1999Transitions, part 1: beyond pharmaceutical careAm J Health Syst Pharm Sep1175864Google Scholar
  5. Desselle, S, Hunter, TS. 1998The Evolution of Pharmaceutical Care into Managed Care EnvironmentsJ Manage Care Pharm45558Google Scholar
  6. Hatoum, HT. 1991Managed care: should pharmacists really care?Drug Topics1356775Google Scholar
  7. Klotz, RS. 1994Pharmacist-physician link: keys to effective outcomes managementAm Pharm NS344659Google Scholar
  8. Berger, BA, Grimley, D. 1997Pharmacist readiness for rendering pharmaceutical carePresented at the Annual Meeting of the American Pharmaceutical AssociationLos Angeles, CAMarchGoogle Scholar
  9. Knapp, DA. 1979Barriers faced by pharmacists when attempting to maximize their contribution to societyAm J Pharm Educ433579Google Scholar
  10. Oparah, CA, Iwuagwu, MA. 2001Public perceptions of community pharmacists in Benin City, NigeriaInt J Pharm Pract91915Google Scholar
  11. Oparah, CA, Arigbe-Osula, ME, Chi-Ukpai, C. 2002Pharmaceutical care activities of community pharmacists in relation to hypertensive patientsNig J Pharm333340Google Scholar
  12. Hepler, C, Strand, L. 1990Opportunities and responsibilities in pharmaceutical careAm J Hosp Pharm4753343PubMedGoogle Scholar
  13. Nunally, J. 1978Psychometric Theory2McGraw-Hill Co.New YorkGoogle Scholar
  14. Pedhazur, EJ, Schmelkin, LP. 1991Measurement, design, and analysis: an integrated approachLawrence Erlbaum AssociatesMahwah, NJGoogle Scholar
  15. May, JR. 1993Barriers to pharmaceutical care in the acute care settingAm J Hosp Pharm50160811Google Scholar
  16. McDonough, RP, Rovers, JP, Currie, JD,  et al. 1998Obstacles to the implementation of pharmaceutical care in the community settingJ Am Pharm Assoc388795Google Scholar
  17. Van Mil, JWF, De Boer, WO, Tromp, TFJ. 2001European barriers to the implementation of pharmaceutical careInt J Pharm Pract91638Google Scholar
  18. Rovers, JP, Currie, JD, Hagel, HP, McDonough, RP, Sobotka, JL. 1998A practical guide to pharmaceutical careAmerican Pharmaceutical AssociationWashington, DC195ISBN: 0-917330- 90-0Google Scholar
  19. Dunlop, JA, Shaw, JP. 2002Community pharmacists’ perspectives on pharmaceutical care implementation in New ZealandPharm World Sci2422430CrossRefPubMedGoogle Scholar
  20. Cordina, M, McElnay, JC, Hughes, CM. 1999The importance that community pharmacists in Malta place on the introduction of pharmaceutical carePharm World Sci216973CrossRefPubMedGoogle Scholar
  21. Farris, KB, Schopflocher, DP. 1999Between intention and behaviour: an application of community pharmacists’ assessment of pharmaceutical careSoc Sci Med495566CrossRefPubMedGoogle Scholar
  22. International Pharmaceutical Federation: statement on pharmaceutical care. Available at: (accessed 11 July 2002)Google Scholar
  23. McElnay, J. 1998Getting pharmaceutical care into community practicePharm J261570Google Scholar
  24. Chisholm, MA, Wade, WE. 1999Factors influencing students’ attitudes toward pharmaceutical careAm J Health Syst Pharm5623305PubMedGoogle Scholar
  25. Odedina, FT, Segal, R. 1996Pharmaceutical care behavior scaleAm J Health Syst Pharm5385565PubMedGoogle Scholar
  26. ASHP statement on pharmaceutical care. Am J Hosp Pharm 1993; 50: 1720–3Google Scholar
  27. APhA House of Delegates endorses polices on pharmaceutical care, therapeutic outcomes, compounding, packaging. Am J Hosp Pharm 1992; 49: 1318Google Scholar

Copyright information

© Springer 2005

Authors and Affiliations

  1. 1.Department of Clinical Pharmacy & Pharmacy PracticeUniversity of BeninBenin CityNigeria
  2. 2.Department of Pharmacology & ToxicologyUniversity of BeninNigeria

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