Pharmacy Work Research Articles

Accuracy and Applicability of a Tool Designed to Address Pharmacy Personnel Stress.

Many pharmacy workplaces are so stressful that pharmacy personnel are unable to meet both clinical and non-clinical duties. Adjustments to training, roles, and responsibilities are not able to be made quickly enough to adapt to change and meet expanding responsibilities. Misalignment between a person's unique personality type and their work dynamics can be associated with a stress reaction, what that reaction looks like, and what strategies would be most effective for reducing stress. The objectives for this study were to: (1) assess variability in the personality types of pharmacy personnel, (2) explore variation in most satisfying job activities and perceptions of stress by personality type, and (3) receive feedback regarding the accuracy, applicability, and recommendations for improving a tool for addressing stress. A self-administered online questionnaire was used for collecting data from 1,098 pharmacy personnel licensed in Minnesota. After answering four Preferred Communication Style Questionnaire (PCSQ) items, a personalized De-Stress RxTM report was generated for each respondent's feedback by answering questions about the tool's accuracy, applicability to them for helping reduce or manage stress, and recommendations for improving its usefulness. Data were analyzed using content analysis and descriptive statistics. The findings showed variability in the personality types of pharmacy personnel and that both the most satisfying job activities and stress perceptions vary by personality type. A tool that was designed to address pharmacy personnel stress was found to be both accurate and applicable. Study participants encouraged the expansion of the tool to include resources for follow-up and implementation. Also, they recommended expansion to teach groups and leaders about how to apply this tool to whole organizations, group dynamics, and evolving practice settings. We propose that the De-Stress RxTM Tool can help reduce the stress that is inherent in current pharmacy work settings.

Exploring facilitators and barriers to scope of practice expansion with Pharmacist independent prescribers in North Wales: a qualitative study

Abstract Introduction Independent non-medical prescribing allows qualified nurses, pharmacists and other healthcare professionals to prescribe within their competence, which is initially narrow in scope. Previous research identified that this competence requirement has potential to limit pharmacist independent prescribers’ (PIPs) ability to expand their prescribing scope1. The Royal Pharmaceutical Society has published guidance for PIPs on expanding scope of practice after qualification2. Research asking how, why and what factors affect the process of scope expansion is lacking. Aim To explore the reasons why PIPs may or may not expand their prescribing scope of practice after qualification and what factors may prevent or enable this. Methods A qualitative semi-structured interview study was utilised. Participants were PIPs working within North Wales who self-reported at least 2 years’ experience as a prescriber, prescribing at least monthly and had expanded their scope of practice since qualification. Recruitment was via gatekeepers. The study obtained ethical approval from Cardiff University School of Pharmacy Research Ethics Committee (Reference 2324-03) and was registered with Betsi Cadwaladr University Health Board. Purposive sampling ensured inclusion of pharmacists from multiple pharmacy sectors. Interviews were face-to-face or online and recorded on MSTeams®. Deidentified verbatim transcripts were analysed via inductive thematic analysis. Results Ten participants were interviewed, from a mixture of hospital, primary care, out of hours and community pharmacy sectors. Themes identified included intrinsic factors (experience and attitude) and extrinsic factors (support, service factors, governance and workplace social context). Experience sub-themes included confidence, a holistic approach and awareness of professional boundaries as facilitators for scope expansion. Attitude included being motivated and fulfilment in the role. Support was a key factor including time, funding, mentorship, peer and managerial support – all identified as facilitators and lack of each as a barrier. Other support sub-themes included structured training programmes, such as the All Wales 111 competency framework, easy access to experienced colleagues for advice on cases and space for reflective thinking, either as a team or with a mentor. Governance was identified as both a barrier and facilitator, with some appreciating the structure of local prescribing policies whilst others found it restrictive. Service factors included new roles, an expectation of the role to prescribe for multiple conditions, such as in 111 or the community pharmacy independent prescribing service, changes in team skill mix, service review and patient requests. Workplace social context that facilitated scope expansion included independent prescriber role models, nurturing teams and working within a multidisciplinary team. A lack of multidisciplinary working, such as lone working in community pharmacy, was seen as a barrier. Discussion / Conclusion Themes identified align with previously published literature and models on expertise development in independent prescribing(4), suggesting that expanding scope of prescribing aligns with expert practice development needs. This exploratory study highlights factors that PIPs found both helpful and a hindrance for expanding their prescribing scope of practice, although limited by the small sample size. Further research is needed to corroborate these findings with other professions and in other parts of the UK before incorporating into future guidance.

Active rest with exercise for pharmacy workers: an ergonomic approach to prevent musculoskeletal injury risk

This study aims to carefully review published articles examining the effect of active rest with exercise to prevent the risk of musculoskeletal injuries among pharmacy workers. Using the systematic literature review method, data were obtained from a thorough search on Google Scholar. The keywords were "Active Rest AND Exercise AND Injury Risk AND Musculoskeletal AND Pharmacy Worker AND Ergonomics". Additionally, inclusion and exclusion criteria were applied to select articles that align with the study objective. For example, it focused on articles indexed in the Scopus database and published between 2019 and 2024. For standard operationalization, this study followed the PRISMA method. Based on the search results, 6,850 articles were found from various sources. Furthermore, the articles went through several stages of the screening process, in which 8 articles that fit the theme and met the inclusion requirements were selected. The results of this study found that active rest programs had a positive impact on the work productivity, physical activity, and physical fitness of pharmacy workers. In addition, an occupational safety and health (OSH) program, a supportive work environment, and the promotion of an active lifestyle with exercise were also important in improving productivity. Adjustment of active rest programs for specific types of workers, effective behavior change interventions, ergonomic education, and multimodal physical therapy have been shown to reduce the risk of musculoskeletal disorders. The findings of this study support the assumption that a comprehensive intervention program can prevent musculoskeletal injuries, improve employee well-being and comfort, and provide guidance for healthcare practitioners and pharmaceutical company managers in designing effective active rest programs.

Exploring the availability and accessibility of medication abortion pills in Delhi, India: A mystery client study in community pharmacies

ObjectivesAlthough medication abortion drugs technically require a prescription in India, research suggests that they are often available directly from pharmacies. We conducted a mystery client study in the capital city of Delhi to explore the availability, accessibility, and pharmacy dispensing practices of mifepristone/misoprostol in the absence of a prescription. Study designUsing two predetermined client profiles – one of an unmarried woman and one of her male partner – we visited community pharmacies in different neighborhoods. Mystery clients began the interaction with a request for “a pill to bring back” a period after a positive pregnancy test. We documented product availability, price, and outcome and assessed the quality of the client-pharmacy worker interaction. We analyzed these encounters using descriptive statistics and for themes. ResultsIn late 2022, we made 172 visits to 86 pharmacies. Medication abortion pills were available at more than half of the pharmacy visits (n=91, 53%) and our mystery clients purchased the drugs without a prescription during 22% (n=37) of all visits. The woman and man clients purchased mifepristone/misoprostol on a similar number of occasions, but we assessed the pharmacy worker interactions with the man as more positive. Pharmacy workers provided varied information about the regimen and the encounters were brief. ConclusionsMedication abortion drugs appear to be available without a prescription in a sizeable minority of pharmacies in Delhi, India. Our findings suggest that identifying ways to work with pharmacy workers to support their ability to provide medically accurate information about the optimal mifepristone/misoprostol regimen is warranted. ImplicationsPharmacy access to mifepristone/misoprostol has the potential to greatly reduce barriers to accessing abortion care in India. Despite technically requiring a prescription, medication abortion drugs are available behind-the-counter at a sub-set of pharmacies in Delhi. Future research on formalizing and supporting pharmacy access and exploring abortion seekers’ experiences with pharmacy access is warranted.

Job Satisfaction and Associated Factors Among Public and Private Pharmacy Professionals in Gondar Town, Northwest Ethiopia.

The quality of the healthcare system and the achievement of specific patient outcomes rely on the contentment of pharmacy experts working in both public and private pharmacies. This study aims to evaluate and compare the levels of job satisfaction among pharmacy professionals employed in public and private medication retail outlets in Gondar town, northwest Ethiopia. A cross-sectional survey was conducted to assess job satisfaction and associated factors among pharmacy professionals in public and private pharmacies in Gondar town from July 20 to August 1, 2022. All pharmacy professionals were included in the study and no sample size was calculated. Bivariable and multivariable binary logistic regression analysis was used to identify the factors associated with job satisfaction and a p < 0.05 was considered significant with 95% CI. A total of 217 private and public pharmacy professionals were included in the study, and 183 volunteered to participate with a response rate of 84%. Among the study participants, 52.5% were dissatisfied with their job. The majority of the respondents (92.3%) believed that the job has a good future, 72% of them received good recognition from the community for their job and more than half (57.3%) received a good salary. Private pharmacy workers were found to be more satisfied than public pharmacy workers (AOR: 2.770), pharmacy professionals who had good salaries and benefits, (AOR: 0.302), and individuals who were closeness of their workplace to home (AOR: 0.298) were significantly associated with job satisfaction levels. In this study, more than half of participants were disatisfied with their job. Pharmacy professionals working in private medication retail outlets, who had good salaries and benefits, and lived close to their homes were significantly associated with job satisfaction levels.

An interprofessional postgraduate quality improvement curriculum: results and lessons learned over a 5-year implementation

ABSTRACT Problem Quality Improvement (QI) is interprofessional by nature; however, most academic QI programs occur in silos and do not leverage the opportunity to bring interprofessional learners together. Intervention To evaluate QI competencies of physician, nursing, pharmacy, behavioral health, and social work residents after participating in a longitudinal QI curriculum. Lessons learned are shared to guide educators in developing QI curriculum for interprofessional learners. Context Cohorts of graduate students over 5 years participated in a QI curriculum that aligned with each professions’ core quality competencies. Residents engaged in didactics and experiential learning in primary care clinics. Impact All learners (N = 74) demonstrated improvement in QI knowledge measured by the QIKAT-R and applied their skills demonstrated by completion of a QI project presented at the Institute for Healthcare Improvement annual forums. Participation in QI curriculum resulted in knowledge and skill improvement. Lessons learned An experiential QI curriculum is a natural place to bring diverse post-graduate learners together to improve QI knowledge and skills. Successful QI curriculum goals are to (a) align projects with institutional and stakeholder goals, (b) include coaches to promote teamwork and project management, (c) narrow project scope, (d) develop an improvement mindset that failures are learning opportunities, and (e) address needs for data access.

Community Pharmacists' Readiness for Breast Cancer Mammogram Promotion: A National Survey from Jordan.

Mammography is the gold standard screening technique for early detection of breast cancer. This study aimed to assess the knowledge of community pharmacists of different aspects emphasized by the JBCP programs. This study also identifies the attitudes and barriers towards promoting early detection services. This study was a cross-sectional survey of community pharmacists in Jordan. Pharmacists were randomly selected and asked to complete an electronic questionnaire. Inclusion criteria: a pharmacist with a bachelor's degree or higher and registered at the JPA working in a community pharmacy. The questionnaire included demographic and socioeconomic information, knowledge, attitudes towards breast cancer screening mammography services, and barriers towards participation in the promotion of these services. A total of 1,088 community pharmacists were approached, 1,000 (91.8%) completed the questionnaire. Participants had an average age of 34 years ± 10.8 and average experience of 9.1 ± 9.5 years. Only 48 (37.8%) of the female pharmacists aged 40 years or older underwent a mammogram. Knowledge of symptoms of breast cancer was the highest with a score of 755, followed by knowledge of risk factors (670) and finally early detection of breast cancer (540). Many barriers were reported by the community pharmacists including lack of educational materials and time constraints. Pharmacists with higher educational levels (p<0.001), of female gender (p<0.001), attended continuous cancer-related education (p<0.001), encountered a higher percentage of female customers (p<0.001), in a certain geographic location (p=0.003), underwent mammography (p=0.014), and encountered high frequency of inquiries on mammogram by the customers (p<0.001) were all associated with higher knowledge scores. Despite the reported barriers and insufficient knowledge in certain aspects of early detection of breast cancer, community pharmacists have positive attitudes and can be a valuable asset for awareness-raising efforts.

The role of the community pharmacy work system in the enactment of pharmacists' non-technical skills.

Non-technical skills are recognised as important in various work domains, but have been the subject of debate regarding their role in ergonomics/human factors, given their focus on human behaviour itself rather than the interaction between people and systems. This study aimed to examine the relationship between non-technical skills and the work system in which they are enacted. The study setting was community pharmacies in England. Qualitative data were obtained from observation of seven pharmacists and semi-structured interviews with 16 pharmacists, and subjected to thematic analysis. Elements of their work system were found to be related to their non-technical skills; either by creating a need for the skill in the first place, or by facilitating or inhibiting its enactment. The findings highlight the importance of considering the work system that contextualises individuals' and teams' behaviour, in addition to the behaviour itself, when investigating non-technical skills.

“Locate the Law” activity: Evaluating student pharmacists' ability to locate and use legal resources

ObjectivePharmacy students must be able to locate and use legal resources to prepare for licensure and be practice-ready. We aimed to assess pharmacy students’ ability and confidence in locating and using publicly available legal resources. MethodsThe “Locate the Law” activity was implemented in a pharmacy law course in the fall of 2021, 2022, and 2023 for third-year pharmacy students at 1 college of pharmacy in the Mid-South. The activity consisted of a 108-question (61 law questions) survey that evaluated the students’ confidence before and after they were required to locate publicly available legal resources online and answer a set of guided questions about each resource. Descriptive and inferential statistics were conducted to evaluate student responses. The University of Tennessee Institutional Review Board approved this study. ResultsA total of 363 students participated in the study (response rate: 77%) over a 3-year period. Most students were female (67%), on average 25 years old, and reported having pharmacy work experience (95%). Before the activity, students reported being slight to somewhat confident in finding a statute (mean [M]: 2.5) or regulation (M: 2.5). Most graded question responses averaged ≥ 90%, and no question scored below a 75% average. After the activity, students’ confidence increased significantly increased in finding a statute (M: 4.1) or regulation (M: 4.1). ConclusionThe “Locate the Law” activity significantly improved student pharmacists’ self-reported confidence in locating publicly available legal resources, and most students correctly answered most activity questions. Pharmacy law educators should consider incorporating training on using legal resources in the pharmacy law course.

The future of pharmacy work: How pharmacists are adapting to and preparing for technology infusion

BackgroundThe pharmacy sector is rapidly evolving due to technological advancements, presenting challenges and opportunities for pharmacists. However, limited literature exists on the future of pharmacy work, especially concerning technology adoption. ObjectiveThis exploratory study investigates pharmacists' perspectives on the impact of technologies on the profession - including career security, role evolution, adjustments to changes - and the impact of the COVID-19 pandemic on technology implementation and the broader future of work in pharmacy. MethodA cross-sectional survey design was used, targeting all registered pharmacists in New Zealand. A questionnaire, adapted from Future of Work literature, was piloted and distributed to 3037 pharmacists. Data were analyzed using descriptive statistics, two-step hierarchical analysis, and content and thematic analysis. Ethics approval was obtained. Results177 responses met the inclusion criteria, yielding a 5.82% response rate. Respondent demographics included a lower proportion of community pharmacists and individuals of Asian ethnicity, but a higher proportion of males and hospital pharmacists compared to the national workforce. Most respondents were aged between 30 and 59 years, representing all District Health Board locations.Qualitative analysis identified two themes: 1) Factors affecting technology adoption across macro, meso and micro levels, including COVID-19's impact on work efficiency, regulatory gaps, fragmented IT and organizational infrastructures, patient safety, and attitudes at workforce and individual levels; 2) Career impacts, highlighting role expansion, job replacement fears, and the need for adaptation and upskilling. Quantitative findings indicate that early technology adopters are more prepared to learn new skills and plan their careers. Technology impact positively correlates with career planning, while job loss concerns negatively affect skill development readiness. ConclusionThe study underscores the importance of early technological adoption for readiness to acquire new skills and career planning in pharmacy. Embracing technological change, supported by regulatory and policy frameworks, is crucial for advancing the profession.

Private pharmacy and community health worker engagement in the provision of TB services.

<sec><title>BACKGROUND</title>Engaging private health providers and community healthcare workers (CHWs) in the provision of TB care services can increase TB case notification and limit community transmission. We determined whether private pharmacy and community engagement could affect access to TB diagnostic and treatment services in Uganda.</sec><sec><title>METHODS</title>We conducted a cross-sectional study on patients diagnosed with TB through three different pathways; by private pharmacies, CHWs, and public health facilities. We collected data on patient demographics, time between symptom recognition and TB treatment initiation, and the amount of money spent on TB care seeking.</sec><sec><title>RESULTS</title>We collected data from 325 participants; 65.2% were male, with a mean age of 35 years (SD 11.50). The time in days between the onset of symptoms and initiation of treatment was significantly different: respectively 149 (IQR 65.5-295), 119 (IQR 51-200), and 106.5 (IQR 60-201) days for CHWs, pharmacies, and public facilities (P = 0.04). The longest time was between the first contact with a health provider and the TB diagnosis (51 days, IQR 19-104). Participants diagnosed at public health facilities incurred the highest costs.</sec><sec><title>CONCLUSION</title>Although the use of CHWs and pharmacies did not shorten the TB treatment pathway, the costs incurred were lower than those in private health facilities.</sec>.

Exploration of Competency-oriented Standardized Training Model for Clinical Pharmacists

Objective: This study aims to explore a training model suitable for hospital pharmacy work, namely, a competency-oriented standardized training model for clinical pharmacists, and evaluate the teaching effectiveness of clinical pharmacists trained under this model, providing reference for improving the pharmaceutical service level of clinical pharmacists. Methods: A survey was conducted on students who participated in the standardized training for clinical pharmacists in our hospital from October 2020 to September 2023. By comparing assessment scores, the study explored the learning outcomes of clinical pharmacists under the competency-oriented training model compared to traditional training models. Results: The competency-oriented training model led to higher scores in bedside assessments, case assessments, training processes, and overall evaluation scores for trainees compared to traditional training methods. This teaching model exploration strengthens the core competencies of clinical pharmacists, making the training content more relevant to clinical work. Conclusion: The competency-oriented standardized training model aimed at enhancing the on-job competency of clinical pharmacists can improve the core professional competitiveness of pharmacists and promote the transformation and development of hospital pharmacy.

MEDICAL STORE MANAGEMENT AT ABVGMC VIDISHA (MP): AN ANALYSIS AT TERTIARY CARE HOSPITAL

Objective: The objective of this study was to perform a qualitative and quantitative comparison of the practice and infrastructure with applicable legislations governing hospital pharmacy while the secondary objective was to calculate the average dispensing time of a prescription in the hospital pharmacy. Methods: Our hospital was established in 2018. A prospective cross-sectional analytic study was carried out in the hospital pharmacy for 6 months (January 23–June 23). A blend of quality control parameters was drafted after referring various guidelines put forward by the statutory bodies. Qualitative data were collected by continuous observation, physical inspection, and after a thorough interview of hospital pharmacists. The collected data were summarized and compared with the standards. Quantitative data on the minimum requirement of hospital pharmacy infrastructure and dispensing time were collected using the designed data collection form and analysis was performed. Results: The hospital pharmacy met all the criteria that are necessary to satisfy legal requirements, availability of medicine, medicine, and general safety, and most of the quality parameters. However, few deviations were observed in the management of the drug store. The shortage in the floor space and waiting area was identified. In the study, we find that the average waiting time for the patient at the drug distribution center is 180 s and the average drug dispensing time was 130 s. On the basis of our good working in pharmacy, we got NABH approval in 2023 which includes pharmacy with other departments of this hospital. Conclusion: Majority of the quality parameters were noted to be compliant with the standards. Few deviations were identified and measures to improve them were suggested.

Opinions of Medical Staff Regarding Antibiotic Resistance.

Antibiotic resistance poses a significant threat to public health, that can lead to reduced effectiveness of many therapies, increased morbidity, longer hospitalization times, increased deaths, and additional costs for health care systems. Unreasonable use of antibiotics may result from a lack of adequate knowledge about antibiotic therapy and a lack of knowledge of the risks associated with antibiotic resistance, both among medical personnel and patients. The primary objective of the study was to verify the opinion of medical personnel on the risks associated with antibiotic resistance. The study was conducted in 2023 among 605 Polish sanitary workers. An anonymous survey designed specifically for the purpose of the study was used. The survey was made available on the Internet through the Trade Unions of Pharmacy Workers and directly to hospitals with the support of local authorities. The majority of respondents were women (77.36%). The largest group consisted of individuals over 40 years of age (55.04%). More than half of the respondents were nurses (56.20%), and every fourth of the respondents was a physician (23.64%). Most respondents consider antibiotic resistance to be a very serious (24.13%) or extremely serious (30.75%) problem. The problem of antibiotic resistance on a global scale was mentioned, especially in the opinions of physicians and nurses (p < 0.01), people working in the profession for over a year (p < 0.01), and people with a specialization or undergoing specialist training (p = 0.00). Similarly, these groups most often indicated that antibiotic resistance poses a problem in their workplace. The main problems of antibiotic resistance were the use of antibiotics in farm animals (36.69%), the pressure on patients to take antibiotics (38.84%), and the prophylactic use of antibiotics (43.15%). Medical personnel consider antibiotic resistance a somewhat serious problem, although not all agree in this regard. The risk of antibiotic resistance is much more seriously assessed by physicians and nurses, as well as by people with specializations or undergoing specialization training. Knowledge about antibiotic resistance should be further spread among all groups of medical personnel.

Barriers and facilitators of pharmacists’ integration in a multidisciplinary home care team: a qualitative interview study based on the normalization process theory

BackgroundThere is a growing recognition of multidisciplinary practices as the most rational approach to providing better and more efficient healthcare services. Pharmacists are increasingly integrated into primary care teams, but there is no universal approach to implementing pharmacist services across healthcare settings. In Norway, most pharmacists work in pharmacies, with very few employed outside this traditional setting. The home care workforce is primarily made up of nurses, assistant nurses, and healthcare assistants. General practitioners (GPs) are not based in the same location as home care staff. This study utilized the Normalization Process Theory (NPT) to conduct a process evaluation of the integration of pharmacists in a Norwegian home care setting. Our aim was to identify barriers and facilitators to optimal utilization of pharmacist services within a multidisciplinary team.MethodsSemi-structured interviews (n = 9) were conducted with home care unit leaders, ward managers, registered nurses, and pharmacists in Norway, in November 2022-February 2023. Constructs from the NPT were applied to qualitative data.ResultsFindings from this study pertain to the four constructs of the NPT. Healthcare professionals struggled to conceptualize the pharmacists’ competencies and there were no collectively agreed-upon objectives of the intervention. Consequently, some participants questioned the necessity of pharmacist integration. Further, participants reported conflicting preferences regarding how to best utilize medication-optimizing services in everyday work. A lack of stakeholder empowerment was reported across all participants. Moreover, home care unit leaders and managers reported being uninformed of their roles and responsibilities related to the implementation process. However, the presence of pharmacists and their services were well received in the setting. Moreover, participants reported that pharmacists’ contributions positively impacted the multidisciplinary practice.ConclusionIntroducing new work methods into clinical practice is a complex task that demands expertise in implementation. Using the NTP model helped pinpoint factors that affect how pharmacists’ skills are utilized in a home care setting. Insights from this study can inform the development of tailored implementation strategies to improve pharmacist integration in a multidisciplinary team.

Preliminary Study on Evaluation of Knowledge, Attitudes and Practices (KAP) of Pharmacy Workers on Generic Vs. Branded Medicine in Colombo District, Sri Lanka

Pharmacists, apprentice pharmacists and non-pharmacists belong to the same umbrella of pharmacy workers as they all work in a pharmacy. They perform a wide range of tasks within the pharmacy. In addition to ensuring that the medications patients are prescribed are appropriate, speciality pharmacists also help patients with concerns and provide advice on how to take their medications and potential side effects. Therefore, pharmacy employees must have the right knowledge, attitudes, and behaviours for a pharmacy to run well and to provide the right medication along with the right guidance. This study aimed to investigate pharmacy workers' knowledge, attitudes and practices (KAP) in the Colombo district. A descriptive cross-sectional study was performed among pharmacy workers in the Colombo district, including pharmacists and non-pharmacists, using a structured questionnaire. The ethical clearance was obtained from the Ethics Review Committee, CINEC Campus. Out of 100 participants, 15% were pharmacists, 37% were assistant pharmacists and 48% were pharmacy-supporting workers. Among the participants, 60% agreed with substituting generics for branded medicines in all cases where a generic is available. While 14% disagreed with that, 26% were neutral. However, 61% believed some medicine brands are more effective, and 6% disagreed. Among participants, 33% mentioned that sometimes they believe some brands are more effective. Further, 5% of participants always dispense other brands in addition to the brand which the doctor has prescribed. While 89 % are only dispensed to other brands when the prescribed brand is unavailable, 6% have never done so. Out of the 5 % of participants who always dispense other brands 20% are pharmacists and 80% are non-pharmacists. Also, 93% of participants usually inform the patients when they change the brand, and 7% are not informed. According to the results, some workers still needed to have adequate KAP regarding generic and brand of drugs. Hence, it is concluded that some healthcare workers at pharmacies require further improvement based on KAP.

Topical Corticosteroid Phobia among Danish Pharmacy Staff

Introduction: Topical corticosteroid (TCS) phobia may negatively impact treatment adherence. Currently, there are few studies exploring trust and knowledge of TCS use among pharmacy staff. The objective of this work was to examine TCS knowledge and possible phobia among Danish pharmacy staff. Methods: A questionnaire, based on Topical Corticosteroid Phobia (TOPICOP©) questionnaire, was developed and rephrased to fit pharmacy staff. The questions were Likert scales and numerical rating scales (NRS) (0–10). In October/November 2021, 64 pharmacies were invited. If the pharmacies agreed to participate, a researcher visited the pharmacies and distributed the questionnaires. Results: A total of 244 pharmacy workers from 59 pharmacies participated. The majority (95.4%) responded that they were aware of side effects of TCS; however, misconceptions regarding side effects were found in up to 34% of participants. Regarding TCS use, 40% sometimes advised the patients to wait as long as possible before initiating treatment with TCS. Confidence in dispensing TCS to patients was high, with a mean of 8.45 (NRS). Conclusion: Danish pharmacy staff generally reported high confidence in TCS use. Misconceptions regarding side effects were common, and there was a tendency to giving advices on TCS treatment that may indicate low confidence in TCS. Thorough education of pharmacy staff is needed to improve the knowledge of TCS.

ИССЛЕДОВАНИЕ ФАКТОРОВ МОТИВАЦИИ В АПТЕЧНОЙ ОРГАНИЗАЦИИ

The article presents the results of a study of the motivation of pharmaceutical personnel as one of the most important factors in increasing labor productivity in pharmacy organizations (JSC). Motivation serves as a personalized guideline that helps the manager identify a list of tools that lead JSC specialists to increase labor productivity. Currently, most of the motivational policy is occupied by material factors and this is insufficient in personnel management. The purpose of this work is to identify the primary motivating factors, as well as to study the opinions of JSC employees on the problems of motivation in the work of pharmaceutical personnel. Questionnaires, including those based on the Internet platform Google Forms, were used as research materials; the following methods were chosen: statistical, mathematical, content analysis, sociological survey, grouping methods. The study was conducted in the period April-May 2023. In the course of the work, the degree of significance of motivational factors was revealed, personnel motivation systems in specific pharmacy chains were analyzed, and the main advantages and disadvantages of existing systems in specific pharmacy chains in Voronezh were established. The material and monetary factor is the leading one, while among the material and non-monetary motivational factors, JSC employees give preference to additional medical insurance and partial payment for vacations. Based on the results of the study, it can be concluded that the motivational system should not be built on one type of incentive. By properly motivating pharmacy workers, the head of the pharmacy can successfully coordinate their professional activities. Knowledge of the motives that influence work allows you to improve personnel management processes, obtain the greatest return on human resources, and, as a result, increase the effectiveness and profitability of the organization.

SARS-CoV-2 infection prevalence and associated factors among primary healthcare workers in France after the third COVID-19 wave

Data on the SARS-CoV-2 infection among primary health care workers (PHCWs) are scarce but essential to reflect on policy regarding prevention and control measures. We assessed the prevalence of PHCWs who have been infected by SARS-CoV-2 in comparison with modeling from the general population in metropolitan France, and associated factors. A cross-sectional study was conducted among general practitioners (GPs), pediatricians, dental and pharmacy workers in primary care between May and August 2021. Participants volunteered to provide a dried-blood spot for SARS-CoV-2 antibody assessment and completed a questionnaire. The primary outcome was defined as the detection of infection-induced antibodies (anti-nucleocapsid IgG, and for non-vaccinees: anti-Spike IgG and neutralizing antibodies) or previous self-reported infection (positive RT-qPCR or antigenic test, or positive ELISA test before vaccination). Estimates were adjusted using weights for representativeness and compared with prediction from the general population. Poisson regressions were used to quantify associated factors. The analysis included 1612 PHCWs. Weighted prevalences were: 31.7% (95% CI 27.5–36.0) for GPs, 28.7% (95% CI 24.4–33.0) for pediatricians, 25.2% (95% CI 20.6–31.0) for dentists, and 25.5% (95% CI 18.2–34.0) for pharmacists. Estimates were compatible with model predictions for the general population. PHCWs more likely to be infected were: GPs compared to pharmacist assistants (adjusted prevalence ratio [aPR] = 2.26; CI 95% 1.01–5.07), those living in Île-de-France (aPR = 1.53; CI 95% 1.14–2.05), South-East (aPR = 1.57; CI 95% 1.19–2.08), North-East (aPR = 1.81; CI 95% 1.38–2.37), and those having an unprotected contact with a COVID-19 case within the household (aPR = 1.48; CI 95% 1.22–1.80). Occupational factors were not associated with infection. In conclusion, the risk of SARS-CoV-2 exposure for PHCWs was more likely to have occurred in the community rather than at their workplace.

An analysis of the intention of female pharmacy students to work in community pharmacy settings in Saudi Arabia using the theory of planned behavior

ObjectiveThis study aimed to determine the intention of female Saudi pharmacy students to work in community pharmacies and the factors associated with this intention. MethodsThis cross-sectional study was conducted between April 2022 and June 2022 and included female students from pharmacy colleges in Saudi Arabia. The survey was created based on the Theory of Planned Behavior. It included items that measure student intentions, attitudes, subjective norms, and perceived behavioral control regarding working in community pharmacies in Saudi Arabia. The study also included items that assessed sociodemographic characteristics, pharmacy program degrees, training, and job preferences of students. ResultsA total of 407 participants completed the survey. The average age was 21.8 (±1.6) years, and most participants were Saudi nationals (97.79 %). The intention of participants to work in community pharmacies after graduation was low (mean = 3.2 ± 1.8; range: 1–7). Slightly positive attitudes toward working in a community pharmacy after graduation were revealed as participants showed an overall attitude mean of 4.5 ± 1.6 (range: 1–7). Furthermore, the participants perceived a low social pressure toward working in a community pharmacy after graduation (mean of 3.3 ± 1.9; range: 1–7). The intention of female pharmacy students to work in community pharmacies was significantly predicted by attitudes (p-value < 0.0001), perceived behavioral control (p-value = 0.0017), nationality (p-value = 0.0151), residence in the Saudi Arabian region (p-value = 0.0013), monthly income (p-value = 0.0231), pharmacy degree program (p-value = 0.0035), training received in community pharmacies (p-value = 0.0145), had a relative working in a community pharmacy (p-value = 0.0257), and preference to work in community pharmacies after graduation (p-value = 0.0001). ConclusionFemale pharmacy students in Saudi Arabia had a low intention to work in community pharmacies, a positive attitude toward working in community pharmacies, and perceived no social pressure to work in them. A positive attitude and behavioral perception of control toward working in community pharmacies were demonstrated among pharmacy students who study at a university outside Riyadh, undertaking a bachelor’s degree in pharmacy, have a monthly income higher than 5000 Saudi riyals (USD 1,333.3), previously received training in community pharmacies, having a relative working in a community pharmacy, prefer to work in community pharmacies after graduation.