Simulated caregivers: their feasibility in educating pharmacy staff to manage children’s ailments
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Background Community pharmacy staff play a crucial role in the management of common childhood ailments. Simulated patient studies have not yet explored the management of children’s cough/cold and fever, nor have many previous studies used simulated patient methods with focus on self-assessment as a training tool to shape future counselling behaviour. Objectives To assess and shape the counselling behavior of pharmacy staff when dealing with children’s cough/cold and fever; investigate influential factors of counselling behavior; and explore participant perceptions of simulated patient methods as a training tool, with particular emphasis on self-assessment. Setting Community pharmacies in the inner city region of metropolitan Sydney. Method Six simulated caregivers visited eight community pharmacies. After applying their scenario, the interaction was scored and immediate performance feedback was delivered in the form of self-assessment. Semi-structured interviews followed, focusing on participant perceptions of self-assessment. Main outcome measures Scores for each simulated patient interaction, and qualitative interviews responses from participants. Results The highest mean percentage score achieved was for the symptom based request for a cough/cold remedy in a five year old (48 ± 14.3 %), while the lowest was the direct product request equivalent (22 ± 8.5 %). Qualitative results showed that simulated patient visits were viewed positively and self-assessment was highly regarded. Conclusion Using simulated caregivers in pharmacy to assess and improve children’s cough/cold and fever management is feasible and acceptable. The opportunity to self-assess is particularly beneficial, allowing participants to demonstrate key psychology principles associated with behaviour change.
KeywordsAustralia Children’s medicines Feedback Motivational interviewing Self-assessment Simulated patients
- 1.Australian Government Department of Health and Ageing. The national strategy for quality use of medicines. Canberra: Commonwealth of Australia; 2002 (2 Aug 2010). Available from: http://www.health.gov.au/internet/main/publishing.nsf/Content/CA777524C860DFF2CA256F1800468B61/$File/natstrateng.pdf.
- 2.de Almeida Neto AC, Benrimoj SI, Gomel M, Fois R. Inappropriate self-medication practices: pharmacy based intervention. J Soc Adm Pharm. 1996;13(3):131–8.Google Scholar
- 5.de Almeida Neto AC. Changing pharmacy practice: the Australian experience. Pharm J. 2003;270:235–6.Google Scholar
- 11.Sokar-Todd HB, Einarson TR. Community pharmacy practice research: a systematic review of the past 32 years. Can Pharmaceut J. 2003;136(8):26–38.Google Scholar
- 12.Silverman J, Kurtz SM, Draper J. The Calgary-Cambridge approach to communication skills teaching, 1: Agenda-led outcome-based analysis of the consultation. Educ Gen Pract. 1996;7:288–99.Google Scholar
- 16.Moles R, Bakshi R, Saini B, Williams K, Brown J, Tasker N, et al. Evaluating parents/carers’s skills in managing fever and cough and cold in children. Poster presented at: National medicines symposium; 2009; Melbourne, Australia.Google Scholar
- 18.Benrimoj C, Crampton M, Gilbert A, Quintrell N. Standards for the provision of pharmacy medicines and pharmacist only medicines in community pharmacy. Pharmaceutical Society of Australia; 2006 (25 Sept 2010). Available from: http://www.psa.org.au/site.php?id=1121.
- 19.Sung L, Cranswick N. Cough and cold remedies for children. Aust Prescr. 2009;32(5):122–4.Google Scholar
- 20.NSW Department of Health. Infants and children: acute management of fever—clinical practice guidelines. North Sydney: NSW Department of Health; 2010 (22 Oct 2010); 2. Available from: http://www.health.nsw.gov.au/policies/pd/2010/pdf/PD2010_063.pdf.
- 26.de Almeida Neto AC, Benrimoj SI, Kavanagh DJ, Boakes RA. Novel educational training program for community pharmacists. Am J Pharm Educ. 2000;64(3):302.Google Scholar
- 27.Krska J, Greenwood R, Howitt EP. Audit of advice provided in response to symptoms. Pharm J. 1994;252:93–6.Google Scholar
- 30.Festinger L. A theory of cognitive dissonance. Stanford: Stanford University Press; 1957. ISBN: 978-0804701310.Google Scholar