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Pharmacy World and Science

, Volume 23, Issue 1, pp 6–12 | Cite as

The perceived role and skills of pharmacists in asthma management after in‐house training

  • Kirsti K. Vainio
  • Maarit J.H. Korhonen
  • K. Hannes Enlund
  • Anne M. Hirvonen
Article

Abstract

Objective: To evaluate perceived roles and skills of pharmacists in asthma management before and after a training intervention that consisted of six in‐house training sessions. Method: Altogether 315 pharmacists in the intervention group and 121 pharmacists in the control group participated in the study. The data on study variables were collected by a questionnaire during the first and last training sessions.Main outcome measures: Pharmacists' perceptions of their role, perceived skills, estimates of patients receiving counselling and experienced problems.Results: Based on their ratings for 16 topics, the pharmacists' perceptions about their role in counselling asthma patients remained rather stable. Handling of the inhalers and inhalation technique were considered as the most important aspects of counselling and issues dealing with the disease were regarded as the least important. Using a self‐rated scale (4‐10 scale), pharmacists' perceived counselling skills improved in the intervention group (6.5 vs 7.6), but not in the control group (6.5 vs 6.4). In the intervention group, the pharmacists' estimates of the proportion of new users of asthma medicines receiving counselling increased from 48% to 61% and that of old users from 18% to 26%. Before the training, the most commonly experienced problem in counselling was the pharmacists' lack of knowledge and skills. After the training, pharmacists experienced problems mainly with communication. Conclusion: When pharmacists are included in the support system for any patient group, their capabilities of fulfilling their role have to be assessed. In particular, communication skills and outcome‐oriented counselling require attention.

Asthma Continuing education Counselling Knowledge Pharmacist Practice research Role Skills Survival analysis 

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References

  1. 1.
    Hunter KA, Bryant BG. Pharmacist provided education and counseling for managing pediatric asthma. Patient Educ Couns 1994;24:127-34.Google Scholar
  2. 2.
    Grainger-Rousseau T-J, McElnay JC. A model for community pharmacist involvement with general practitioners in the management of asthma patients. J Appl Ther 1996;1:145-61.Google Scholar
  3. 3.
    Herborg H, Søndergaard B, Frøkjær B, Fonnesbæk L, Gustafsson T, Hepler C. Pharmaceutical care value proved. Int PharmJ 1996;10:167-8.Google Scholar
  4. 4.
    Comino EJ, Ruffin R, Bauman A. Asthma management survey of Australian community pharmacists. Austr J Pharm 1992; 73:59-61.Google Scholar
  5. 5.
    Heslop IM, Cairns A, Carson T, MacDonald A, Pratt MA, Stout L. An audit of the extent of inhaler counselling by community pharmacists in Dumfries and Galloway. Pharm J 1994; 253:350-1.Google Scholar
  6. 6.
    Liu MY, Jennings JP, Samuelson WM, Sullivan CA, Veltri JC. Asthma patients' satisfaction with the frequency and content of pharmacist counseling. J Am Pharm Assoc 1999;39:493-8.Google Scholar
  7. 7.
    Osman LM, Bond CM, Mackenzie J, Williams S. Asthma advice giving by community pharmacists. Int J Pharm Pract 1999;7:12-7.Google Scholar
  8. 8.
    Vainio K, Pennanen M, Tuomainen L, Enlund H. Views of pharmacists on asthma patients and their counselling. J Appl Ther 1998;2:49-58.Google Scholar
  9. 9.
    Henry RL, Fitzclarence CAB, Henry DA, Cruickshank D. What do health care professionals know about childhood asthma? J Paediatr Child Health 1993;29:32-5Google Scholar
  10. 10.
    Kesten S, Zive K, Chapman KR. Pharmacist knowledge and ability to use inhaled medication delivery systems. Chest 1993;104:1737-42.Google Scholar
  11. 11.
    Wiederholt JB, Clarridge BR, Svarstad BL. Verbal consultation regarding prescription drugs: Findings from a statewide study. Med Care 1992;30:159-73.Google Scholar
  12. 12.
    Airaksinen M, Vainio K, Koistinen J, Ahonen R, Wallenius S, Enlund H. Do the public and pharmacists share opinions about drug information. Int Pharm J 1994;8:168-72.Google Scholar
  13. 13.
    Blom L, Jonkers R, Kok G, Bakker A. Patient education in 20 Dutch community pharmacies: analysis of audiotaped patient contacts. Int J Pharm 1998;6:72-6.Google Scholar
  14. 14.
    Watkins RL, Norwood GJ, Meister FL. Improving the quality of the pharmacist as a drug advisor to patients and physicians through continuing education. Am J Pharm Educ 1976; 40:34-9.Google Scholar
  15. 15.
    Mason HL. Using attitudes and subjective norms to predict pharmacist counselling behaviors. Pat Couns Health Educ 1983;4:190-6.Google Scholar
  16. 16.
    Farris KB, Kirking DM. Predicting community pharmacists' intention to try to prevent and correct drug therapy problems. J Soc Adm Pharm 1995;12:64-79.Google Scholar
  17. 17.
    Odedina FT, Hepler CD, Segal R et al. The Pharmacists' Implementation of Pharmaceutical Care (PICP) model. Pharm Res 1997;14:135-44.Google Scholar
  18. 18.
    Berardo DH, Kimberlin CL, Barnett CW. Observational research on patient education activities of community pharmacists. J Soc Adm Pharm 1989;6: 21-30.Google Scholar
  19. 19.
    Airaksinen M, Ahonen R, Enlund H. The “Questions to ask about your medicines” campaign. An evaluation of pharmacists' and public's response. Med Care 1998;36:422-7.Google Scholar
  20. 20.
    International asthma management project. International consensus report on diagnosis and treatment of asthma. Eur Respir J 1992;5:601-41.Google Scholar
  21. 21.
    Ministry of Social Affairs of Health. Asthma programme in Finland 1994-2004. Clin Exp Allergy 1996; 26:Supplement 1:1-24.Google Scholar
  22. 22.
    Morrow NC, Hargie ODW. Effectiveness of a communication skills training course in continuing pharmaceutical education in northern Ireland: A longitudinal study. Am J Pharm Educ 1987;51:148-52.Google Scholar
  23. 23.
    Savela E, Hannula A-M. Different forms of in-company training and their suitability for pharmacies. J Soc Adm Pharm 1991;2:76-80.Google Scholar
  24. 24.
    Richards W, Blank JW. Needs analysis of practicing pharmacists in drug utilization review and patient counseling. Am J Pharm Educ 1997;61:26-33.Google Scholar
  25. 25.
    Kennie NR, Schuster BG, Einarson TR. Critical analysis of the pharmaceutical care research literature. Ann Pharmacother 1998;32:17-26.Google Scholar
  26. 26.
    De Young M. An inquiry into community pharmacists' views of patient-communication. J Soc Adm Pharm 1996;13:121-30.Google Scholar

Copyright information

© Kluwer Academic Publishers 2001

Authors and Affiliations

  • Kirsti K. Vainio
    • 1
  • Maarit J.H. Korhonen
    • 1
  • K. Hannes Enlund
    • 1
  • Anne M. Hirvonen
    • 2
  1. 1.Department of Social PharmacyUniversity of KuopioKuopioFinland
  2. 2.Association of Finnish PharmaciesHelsinkiFinland

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