The major challenges for clinical pharmacy services described were a lack of support from hospital management, absence of clearly defined roles and responsibilities for the clinical pharmacists, a shortage of pharmacy workforce and staff turnover, a lack of follow-up from responsible bodies, and a lack of enough salaries and incentives for the health care providers. These dynamics create exciting tension for pharmacy companies and pharmacists as they debate how to win in today’s market while planning, adapting, and investing for the future. Health care providers’ attitudes towards clinical pharmacy services in MTUTH, February to March 2017. Job burnout continues to be one of the biggest challenges facing doctors today, with more than half of the physicians in a 2018 Medscape survey exhibiting some signs of burnout. Background Clinical pharmacy practice in hospitals is a new role for pharmacists in Sudan. This is inline with the other study done in Ethiopia, in which 80% of the health professionals perceived that clinical pharmacy service initiation is important for the Ethiopian health care system [5]. Keywords: pharmacy teams, task specification within pharmacy teams, supporting personnel (e.g. Copyright © 2020 Solomon Hambisa et al. Hospital pharmacists often possess an advanced degree and tend to have a higher level of practice compared to that of community pharmacists. I am glad to have completed this course and not only did it open many doors for me for the future, but also help me understand my strengths and weaknesses better. On the other hand, as it can be observed from Table 5, about 75% of the study participants described a lack of support from the hospital management as a challenge for clinical pharmacy services in the hospital. I would like to begin by saying that the 2 years that I had spent here would never be forgotten. 1. Similarly, the evidence in the literature shows the impact of clinical pharmacy services in promoting pharmacotherapy, particularly in developing countries. In this profession, you should always be in the forefront dispensing medicines to your patients and helping them with their medical condition sometimes. “Hospital pharmacists have been having challenges mainly due to the shortage of medicines. These professionals have a key role to play in the healthcare system and the overall well-being of people. Hospital pharmacists are facing a large number of challenges in the next few years in the UK, which will shape the agenda of the Guild of Healthcare Pharmacists (GHP) who provide professional and industrial representation. In addition, responsible bodies should explore mechanisms to incentivize the pharmacists. This enables the clinical pharmacists to be exposed to a multidisciplinary health care team and thus practically render clinical pharmacy services. Level of significance was set at . As a pharmacist, you need to deal with many patients regularly on your job. 7 Challenges Facing Hospitals and Their Outpatient Pharmacies. My Experience was amazing at Inspire Middlesex College. The new year, however, brings some additional challenges to the fore and further complicates the challenges the industry already faces, as … In this video Dr Judith Smith, author of the Nuffield Trust research report Now more than ever: why pharmacy needs to act and Director of Policy at the Trust, outlines the impact that the report has had on pharmacists, practitioners and policy makers and remaining issues for pharmacy and pharmacists. Most of the study participants mentioned that acceptance of clinical pharmacy services among health care providers as a major opportunity to clinical pharmacy services in Mizan-Tepi University Teaching Hospital. Throughout my time here I have become more confident, gained valuable life skills that have helped me not only in the pharmaceutical sector but in general also. Major challenges that pharmacists are facing today include: Identity as a pharmacist, lack of cohesiveness and low self-confidence as a profession; Some say too many pharmacists. In addition, 36% of Americans say healthcare is the top issue facing America today, according to a recent poll. Additionally, about 60% of the study respondents mentioned that a shortage of pharmacy workforce and staff turnover are the challenges for the clinical pharmacy services in MTUTH. Ken Baker, BS, PharmD, JD, is a pharmacist and a lawyer with years of experience dispensing medications and legal advice. Two pharmacists were recruited to assist the data collection process. After initially being unsure that this course was the right path for me, any doubts I had were quickly quashed by the level of enjoyment-experienced and knowledge to be gained. When an employee at a self-insured hospital uses an outside pharmacy, the hospital can expect to pay their PBM anywhere from $25 to upwards of $100 per prescription. A total of 119 health care providers participated in the study, and data were collected using a pretested self-administered questionnaire. There are multiple pending or expected regulations coming down the pike that will determine key opportunities for the pharmacy industry. This is concordant with a report that came out from Ethiopia [5]. A cross-sectional study was conducted among physicians, nurses, pharmacy professionals, and public health officers working in MTUTH from February to March, 2017. For this reason, this study attempted to assess attitudes, opportunities, and challenges towards clinical pharmacy services from health practitioners’ perspective in Mizan-Tepi University Teaching Hospital (MTUTH). Other challenges included increasing regulatory and accreditation requirements, as well as educating administration and other healthcare workers on the changing pharmacy landscape. Besides, a clearly defined scope of practices for all health professionals must be developed to fulfill the needs of the patients. This includes South Africa where ongoing medicine shortages are a concern among public sector hospitals as South Africa strives for universal access to healthcare. Furthermore, this finding mirrors with the other study done in Ethiopia [17]. Similarly, a large proportion of health care providers appreciated the presence of clinical pharmacists in the hospital wards. The top three pharmacy challenges for 2018: drug affordability, nonadherence, and pharmacist compensation, may come as no surprise to many of you. August 01, 2017. Challenges facing pharmacy. Conclusion. The descriptive and inferential statistics were performed. It is worth every Saturday and two years at doing the course with people who become family later on in life and you get to keep that connection for life, which is the best part. Medicine should not only be available but also accessible and affordable,” said Mr Mpofu. Until the late 1990s, shortages in hospital pharmacists contributed to this limitation. Sore Feet. Dispensing medicines to addicts. E. Abu-Gharbieh, S. Fahmy, B. Abdul Rasool, A. Abduelkarem, and I. Basheti, “Attitudes and perceptions of healthcare providers and medical students towards clinical pharmacy services in United Arab Emirates,”, L. Matowe, E. A. Abahussain, N. Al-Saffar, S. M. Bihzad, A. Al-Foraih, and A. Let’s start with the basics, when you’re not tied between the ER and the wards you’ll most likely be found at your desk behind mountains of paperwork. Coming to college meeting new people is awesome! a “core challenge” facing the profession today, followed very closely by inadequate staffing. Background Clinical pharmacy practice in hospitals is a new role for pharmacists in Sudan. As a pharmacist, you need to deal with many patients regularly on your job. Someone that just came out of school and has never worked before change who I am. A. Ayele, “Challenges and opportunities of clinical pharmacy services in Ethiopia: a qualitative study from healthcare practitioners’ perspective,”, S. Sen, J. F. Bowen, V. S. Ganetsky et al., “Pharmacists implementing transitions of care in in patient, ambulatory and community practice setting,”, M. B. McCullough, B. The challenges today’s pharmacists face. The Pharmaceutical Journal 1 SEP 2008. • Hospital Pharmacy Transformation Plans (HPTP) offer an opportunity for pharmacists and pharmacy services to gain greater recognition at board level within the hospital. By staff . Proactive Patients. In 2013, the Director’s Forum published our assessment of issues facing pharmacy leaders to assist pharmacy directors in planning for the year ahead. Minor modifications were made based on the feedback obtained from the participants in the pilot testing to improve clarity of some questions. The future of pharmacy: Disruption creates transformative opportunities and challenges Download the PDF Pharmacists interact with countless patients, doctors and third-party insurance companies on a daily basis. Workshop 2 : Case studies in antibioticprescribing: challenges facing hospital pharmacists Antimicrobial resistance and the threat this brings with it have long been recognized. 53. The raw data used to support the findings of this study are available from the corresponding author upon request. The authors declare that they have no conflicts of interest. Pharmacists have to face the challenge of moving from their traditional roles within the pharmacy premises to new roles on the wards with direct contact with patients and other healthcare professionals. The study tool was designed based on the instruments used in the previously conducted studies [5, 16–18]. The teachers have helped me in every step of the course and ensured that the outcome is something I’m satisfied with. Regarding years of experience, 28.57%, 46.23%, and 25.2% of the study respondents served MTUTH for less than 3 years, 3 to 6 years, and greater than 6 years, respectively. Hence, the hospital leadership should look into the possibilities of recruiting more health care providers and training of more professionals to render better health services. Just last month LexisNexis Risk Solutions hosted its annual Pharmacy Partner Summit. I grew slowly but first within the two years. The majority of the health care providers (85.71%) had a positive attitude towards clinical pharmacy services. Pharmacists interact with countless patients, doctors and third-party insurance companies on a daily basis. Similarly, more than 88% of the study respondents agreed on the item “clinical pharmacy services are important in the Ethiopian health care system.”. Results. The hospital provides different inpatient and outpatient services for the communities living in the Mizan-Aman town and its surrounding area. 1. About 84% of the study respondents agreed on the item “initiation of clinical pharmacy services can reduce adverse drug reaction.” Furthermore, more than 79% of the respondents agreed on the statement “initiation of clinical pharmacy services can reduce health care costs.” In addition, about 82% of the study participants appreciated the presence of clinical pharmacists in the hospital wards (Table 3). Hospitals are faced with increasing challenges as their bottom lines continue Healthcare workers need comprehensive support as every aspect of care is reorganised Delivery of every aspect of care by all clinical and non-clinical departments in the UK’s NHS is being reassessed and fundamentally reorganised in the expectation of an imminent surge of patients with covid-19.1 Modelling of the outbreak assumes an infection fatality ratio of 0.9% and a hospital … pharmacy technicians), pharmaceutical care, … Furthermore, this field of pharmacy practice is developed to enhance therapeutic benefits, reduce risk associated with medications and health care costs, and respect patients’ preference [3–5]. However, there is disparity among countries regarding its implementation [11, 12]. It has a range of specialties including pediatrics, internal medicine, surgery, gynecology, and ambulatory care services. Without them the long-term health of rural … According to the study done in Ethiopia, more than 70% of the health care providers had a positive attitude towards clinical pharmacy services [5]. Police patrols have been deployed to some outlets and … Administrative Work. Methods. Multivariate analysis was also performed to look for an association between the attitude of the health care providers and demographic (age, sex, profession, and experience) variables. In the United Arab Emirates, 74% of the respondent health professionals appreciated the role of clinical pharmacists in minimizing medication error and improving patient treatment outcomes [14]. Interestingly, most of the study respondents also believed that clinical pharmacy services are very helpful and important in reducing ADR and health care costs. Likewise, the hospital has five different pharmacies such as outpatient pharmacy, antiretroviral therapy pharmacy, emergency pharmacy, and inpatient pharmacy to give pharmaceutical services for the patients. “Rural areas like mine rely heavily on the local pharmacist to assist in the healthcare needs of the community. Dr Smith presented at our Pharmacy: the key to a transformed NHS? Pharmacists Face Challenges When Dispensing Medications to Elderly Patients ... and herbal products, pharmacists can guarantee appropriate and up-to-date care. Besides, a response rate of the study participants was close to 91%. As we continue to face the uncertainty of the coronavirus disease 2019 (COVID-19) pandemic, the 2020 academic year brings prolonged and new challenges to many pharmacy students. The present study also revealed that there is a strong belief among health care providers that integration of clinical pharmacy services to the existing health care system is important to improve potential patient care. UK pharmacists facing abuse and violence during lockdown This article is more than 8 months old. Issue #1: Too Many Employee Pharmacists Change comes when someone does something different. Watch the video below for more on what Ms Fenn considers to be the greatest challenges facing the profession. Background. Among physicians, nurses, pharmacy professionals, and public health officers working in the MTUTH, 119 of them participated in the study. In common with other healthcare professions, there is notable variability in the consistency with which pharmaceutical services are provided and medicines optimisation implemented. With the increase in population, different complications arise and medicines which worked in the past may not work now. Keywords: pharmacy teams, task specification within pharmacy teams, supporting personnel (e.g. Dehydration. In contrast to the traditional pharmacy profession, clinical pharmacy is a branch of health sciences that focuses more on the patient than on drug product-oriented services to optimize drug therapy [1, 2]. Deciding to do this apprenticeship with Inspire Middlesex College was the best decision I made in my career and education wise. In contrary, the clinical pharmacists are facing many challenges while dispensing medications, counseling patients, and interacting with medicine prescribers [17–21]. Similar findings were also reported in earlier studies conducted in Ethiopia [5, 24] and elsewhere in Asia [13]. This study assessed the attitudes of health care providers towards clinical pharmacy services and tried to extract opportunities and challenges for clinical pharmacy services in MTUTH. Non-Compliant Patients. Common Challenges Facing Pharmacists. Similarly, around 70% of the study participants depicted a lack of clearly defined roles and responsibilities for the clinical pharmacists among the challenges for the clinical pharmacy services in MTUTH (Table 5). 2020, Article ID 5415290, 6 pages, 2020. https://doi.org/10.1155/2020/5415290, 1Department of Pharmacy, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan-Teferi, Ethiopia, 2Department of Pharmacy, College of Medicine and Health Sciences, Dabre-Markos University, Dabre-Markos, Ethiopia. On the other hand, health care providers that were not willing to participate in the study were excluded from the study. The main activities performed by a clinical pharmacist include, among others, interviewing patients about their medical conditions, formulating medication histories, providing recommendations for drug selection, and follow-up of drug therapy outcomes [4, 8]. I believe this apprenticeship is something everyone would love and definately not regret! As it can be seen from Table 1, from a total of the study respondents, 59.66% of them were nurses. When that activity meets a real or perceived need, it makes money for the innovator. Hospital pharmacists should be aware of the challenges to effectively get work done and have a vision on how to use their pharmacy teams to the best. Attitudes, Opportunities, and Challenges for Clinical Pharmacy Services in Mizan-Tepi University Teaching Hospital, Southwest Ethiopia: Health Care Providers’ Perspective, Department of Pharmacy, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan-Teferi, Ethiopia, Department of Pharmacy, College of Medicine and Health Sciences, Dabre-Markos University, Dabre-Markos, Ethiopia, Advances in Pharmacological and Pharmaceutical Sciences, Years of work experience in the health care setting, Appreciating integration of clinical pharmacy services in the health care delivery system, Having an interest to know more about clinical pharmacy services, Clinical pharmacy services are necessary in the Ethiopian health care system, Appreciating the presence of clinical pharmacists in the hospital wards, Initiation of clinical pharmacy services can reduce adverse drug reaction, Initiation of clinical pharmacy services can reduce health care costs, Opportunities for the clinical pharmacy services, Acceptance of clinical pharmacy services among health care providers, Presence of supporting partners such as hospital manager and hospital pharmacy department, Good team spirit among health care providers, Government policy towards patient-oriented pharmaceutical services, Challenges for the clinical pharmacy services, Lack of a support from the hospital management, Lack of clearly defined roles and responsibilities for the clinical pharmacists, Shortage of pharmacy workforce and staff turnover, Lack of a follow-up from the responsible bodies, Lack of a support from pharmacy professionals, Disagreement among health care professionals, Lack of adequate knowledge of pharmacists to provide clinical pharmacy services, R. R. Miller, “History of clinical pharmacy and clinical pharmacology,”, K. N. Barker and J. G. Valentino, “On a political and legal foundation for clinical pharmacy practice,”, N. Barber, “Towards a philosophy of clinical pharmacy,”, P. J. Kaboli, A. But, before you embark on this journey, you need to know everything from opportunities to challenges surrounding it. I became independent, spoke for myself but mostly confident. Pharmacists do much more than stand behind a counter dispensing medicine. The data were collected using a pretested self-administered questionnaire. B. Hoth, B. J. McClimon, and J. L. Schnipper, “Clinical pharmacists and inpatient medical care,”, A. I. Bilal, Z. Tilahun, G. Beedemariam, B. Ayalneh, B. Hailemeskel, and E. Engidawork, “Attitude and satisfaction of health care providers towards clinical pharmacy services in Ethiopia: a post deployment survey,”, B. A growing body of evidence demonstrated that without enough support from the management side, the service will not move forward to meet its purported goals [5]. Hospital pharmacists should be aware of the challenges to effectively get work done and have a vision on how to use their pharmacy teams to the best. As a result, it is very important for the responsible bodies to promote recently launched clinical pharmacy services and expand the role of pharmacists. 4. We are committed to sharing findings related to COVID-19 as quickly as possible. All of these must be dealt by pharmacists that can be very hard to handle at times. Among those patients, some of them can be addicts and dispensing them medicines can be a constant struggle. Farnaz Watson has been working as an independent prescriber since November 2007. The interviews took, on average, 20–30 min. Standard Operating Procedures, Manual for the Provision of Clinical Pharmacy Services in Ethiopia, 2015. CAPE TOWN – While there were many uncertainties about the Covid-19 global pandemic and the imposed national lockdown, South African pharmacists have been hard at work behind the scenes preparing treatment medicines for the country. The largest proportion of the study participants stated acceptance of clinical pharmacy services among the health care providers as a major opportunity for the clinical pharmacy services in MTUTH. The study investigated the challenges that pharmacists are facing towards succession planning in the public hospital sector in the greater-Durban area, KwaZulu-Natal. This finding is also comparable with the studies done in Saudi Arabia [9] and the United Arab Emirates [14]. In connection to this, a total of 119 health care providers participated in the study. 165 challenges from 145 hospital discharge prescriptions ( i.e pharmacists face challenges when dispensing Medications and legal advice perceptions expectations... 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