Tuesday, February 3, 2015

Knowledge, perception and attitude of the healthcare staff in a ward of internal medicine of a tertiary care hospital towards Pharmaceutical Care services


Pharmaceutical Care is, “the responsible provision of pharmacotherapy for the purpose of achieving definite outcomes that improve or maintain a patient’s quality of life. It involves four major functions by a pharmacy practitioner on behalf of the patient viz., identifying potential and actual drug-related problems; addressing needs and resolving actual drug related problems; preventing potential drug-related problems and optimizing patient therapy outcomes. Clinical Pharmacy on the whole is in its infancy in the state of Jammu and Kashmir and the concept of Pharmaceutical Care is completely new to most of the physicians, nurses and even pharmacists presently working in our government health facilities. Main objective of this study was to assess the knowledge, perception and attitude of the health care staff towards pharmaceutical care services  

A questionnaire-based assessment involving doctors, pharmacists and nurses of the study department was carried out to assess their knowledge, perception and attitude towards the pharmaceutical care services. From the total number of questionnaires which were distributed to doctors pharmacists and nurses 69% doctors 72% of pharmacists and 75% of  nurses responded . 38.8% of doctors, 32.8%of pharmacist and 24.3% of nurses answered correctly to the first section of questionnaire which was intended to assess the knowledge regarding pharmaceutical care. In second section of the questionnaire which was for assessment of perception in doctors 73.3% agreed and 20%stongly agreed that pharmaceutical services provided by clinical pharmacist can improve the quality of patient care in hospital settings.66.6% agreed and 26.6%stongly agreed that clinical pharmacist as a part of medical team will minimize medication errors.73.3% agreed and 13.3% strongly agreed that clinical pharmacists can educate patients about their safe and appropriate medication use. 73.3% agreed and 20% disagreed that clinical pharmacists can monitor patients response to drug therapy.73.3%agreed and 20% disagreed that doctors can allow pharmacists to be available with them during ward rounds.
 
In third section of the questionnaire which was for assessment of attitude in doctors 66.6% of doctors agreed and 20%disagreed that pharmacists are reliable source of drug information.73.3%agreed and 20% disagreed that pharmacists can inform doctors if patient has experienced some problems with his medications. A separate questionnaire distributed in pharmacists only to assess various services offered by pharmacists to the in-patients revealed that patient education and counseling, Detecting and preventing drug related needs and problems,drug utilization studies were never offered where as QC testing of drugs seldom offered and services like distribution of drugs to wards, dispensing of drugs at pharmacy counters and drug inventory management at stores are regularly offered

Key words:pharmaceutical care,outcome pharmacotherapy,questionnaire,

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