Open Access Open Access  Restricted Access Subscription Access

Assessment of Pharmacist Attitudes and Knowledge toward Prescribed Medications for Dialysis Patients at a Tertiary Hospital

Lolwa Al-Abdelmuhsin, Maha Al-Ammari, Salmeen Babelghaith, Syed Wajid, Mohammed N. Al-Arifi

Abstract


The present study examined the quality of pharmacist counseling by assessing both knowledge and attitude towards dialysis patients. We further assessed the impact of a pharmacist’s current position and years of experience on attitude and knowledge. A cross sectional survey distributed to outpatient pharmacists, clinical pharmacy residents, and discharge counseling pharmacists working at King Abdul-Aziz Medical City-Central Region. Eighty-five questionnaires distributed, with a response rate of 66.65%. More than 42% of the hospital pharmacists showed optimal attitudes toward dialysis patients. Further, more than 31% of pharmacists chose the correct answer to questions assessing their knowledge about medication prescribed to dialysis patients. In total, 71.2% of them typically seek drug information resources for newly prescribed medications. Sixty-six percent of pharmacy practice residents, 91.7% of discharge-counseling pharmacists, and 55.6% of outpatient pharmacists check patient laboratory results prior to dispensing medications (p-value 0.001). Outpatient pharmacists with more than 10 years of experience tended to review patient laboratory-related findings before dispensing medications (p-value 0.003). In Conclusions most of the hospital pharmacists showed good attitudes toward dialysis patients, with limited knowledge regarding some prescribed medications.

Keywords


Attitude; knowledge; hospital pharmacists; CKD; dialysis.

Full Text:

PDF

References


Alan JZ, Joseph JS, Renee MD, Peter D, Darren WG, Cheryl G, et al. Caring for patients with chronic kidney disease: A joint opinion of the Ambulatory Care and the Nephrology Practice and Research Networks of the American College of Clinical Pharmacy. Pharmacotherapy 2005; 25:123–143.

Allenet B, Chen C, Romanet T, Vialtel P, Calop J. Assessing a pharmacist-run anaemia educational programme for patients with chronic renal insufficiency. Pharmacy World & Science 2007; 29:7–11.

Alsultan MS, Khurshid F, Mayet AY, Al-Jedai AH, Hospital pharmacy practice in Saudi Arabia : Dispensing and administration in the Riyadh region. Saudi Pharm J 2012; 20:307–315.

Amoxicillin and Clavulanate (Lexi-Drugs). In: Lexicomp ® Database by Wolters Kluwer [online]. Available at: www.online.lexi.com. Accessed January 1, 2018.

Beardsley JR, Schomberg RH, Heatherly SJ, Williams BS. Implementation of a standardized discharge time-out process to reduce prescribing errors at discharge. Hosp Pharm 2013; 48:39–47.

Basey AJ, Krska J, Kennedy TD, Mackridge AJ. Prescribing errors on admission to hospital and their potential impact: a mixed-methods study. BMJ Qual Saf 2014, 23:17–25.

Colette BR, Lori DW, Amy RS. Standards of clinical practice for renal pharmacists. Canadian Journal of Hospital Pharmacy 2013; 66:369–374.

Chisholm-Burns MA, Kim Lee J, Spivey CA, Slack M, Herrier RN, Hall-Lipsy E, et al. US pharmacists’ effect as team members on patient care: systematic review and meta-analyses. Medical Care 2010; 48:923–933.

Dialysis in the Kingdom of Saudi Arabia. In: Saudi Center for Organ Transplantation 2017; 28:949-957.

Ghimirey A, Sapkota B, Shrestha S, Basnet N, Shankar PR, Sapkota S., Evaluation of pharmacist counseling in improving knowledge, attitude, and practice in chronic kidney disease patients. SAGE Open Med 2013; 1:2050312113516111.

Gillespie U, Alassaad A, Henrohn D, Garmo H, Hammarlund-Udenaes M, Toss H, et al. A Comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: A randomized controlled trial. Archives of Internal Medicine 2009; 169:894–900.

Indian Society of Nephrology. Standard Treatment Guidelines Hemodialysis. Ministry of Health & Family Welfare Govt. of India .Last accessed on 10 October 2019.avaialble on http://clinicalestablishments.gov.in/WriteReadData/358.pdf .

Jones M, Ibels L, Schenkel B, Zagari M. Impact of epoetin alfa on clinical end points in patients with chronic renal failure: A meta-analysis.Kidney Int 2004; 65:757–767.

Kimberley LC, Colette BR, Lindsay DM, Nicholas H. Audit of renal drug dosing: comparison of two methods and evaluation of pharmacists’ knowledge, attitudes, and behavior. Canadian Journal of Hospital Pharmacy 2012; 65:277–284.

Kondo Y, Ishitsuka Y, Shigemori E, Irikura M, Kadowaki D, Hirata S, et al. Awareness and current implementation of drug dosage adjustment by pharmacists in patients with chronic kidney disease in Japan : a web-based survey. BMC Health Services Research 2014; 14:615.

Legris MÈ, Séguin NC, Desforges K, Sauvé P, Lord A, Bell R, et al. Pharmacist web‐based training program on medication use in chronic kidney disease patients: impact on knowledge, skills, and satisfaction. J Contin Educ Health Prof 2011; 31:140–150.

Muhammad A, Asim M, Saleem UA, Muhammad I. Knowledge attitude and practice (kap) of chronic kidneys disease among medical officers of teaching hospitals of Lahore. Annals of King Edward Medical University 2014; 20:5–12.

Nathan RH, Samuel TF, Jason LO, Jennifer AH, ChristopherAO, Daniel SL, et al. Global prevalence of chronic kidney disease – A systematic review and meta-analysis. PLoS One 2016; 11:e0158765.

Peter JK, Angela BH, Brad JM, Schnipper JL. Clinical pharmacists and inpatient medical care: A systematic review. Archives of Internal Medicine 2006; 166:955–964.

Singh AK, Szczech L, Tang KL, Barnhart H, Sapp S, Wolfson M, et al. Correction of anemia with epoetin alfa in chronic kidney disease, N Engl J Med 2006; 355:2085–2098.

St. Peter WL. Improving medication safety in chronic kidney disease patients on dialysis through medication reconciliation. Adv Chronic Kidney Dis 2010; 17:413–419.

Salgado TM, Moles R, Benrimoj SI, Fernandez-Llimos F. Exploring the role of renal pharmacists in outpatient dialysis centres: a qualitative study. Int J Clin Pharm 2012; 34:569–578.

Uday VM, Anantha NN, Manohar B, Shankar PN, Ravindra PA. Pharmaceutical care for dialysis patients. Systematic Reviews in Pharmacy 2013; 4:1–6.

Wallace KL, Beckett RD, Sheehan AH. Pharmacist perception and use of UpToDate®. J Med Libr Assoc 2014; 102:296–300.

Zhu L, Fox A, Chan YC. Enhancing collaborative pharmaceutical care for patients with chronic kidney disease : survey of community pharmacists. Can J Hosp Pharm 2014; 67:268–273.


Refbacks

  • There are currently no refbacks.