An evaluation of the translation of continuing education into diabetes public health care by pharmacists
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Background Pharmacists are assuming greater public health roles and partaking in continuing education to advance knowledge and skills necessary for the provision of this patient care. Objective We sought to determine what conditions in a Middle East context influence how community pharmacists actually incorporate new information into practice. Setting Community pharmacies in Qatar. Methods A continuing professional development (CPD) program regarding the management of fasting diabetes patients during Ramadan was developed and delivered. Participants then maintained a record of their patient encounters when attempting to screen fasting diabetes patients for risk and offer medication, lifestyle, and monitoring advice. Diary entries were coded using inductive methods and follow-up focus group discussion was conducted to further corroborate the thematic analysis. Main outcome measure Facilitators and barriers to care. Results Forty-one pharmacists attended the CPD program and 35 subsequently made at least one diary entry during the 3-weeks preceding and during Ramadan. One-hundred and forty-eight submitted records and the transcript of one focus group (n = 6) were analyzed. Three main factors were found to influence pharmacists’ ability to engage use new knowledge and skills: situational, patient, and pharmacist. Patient reception was the overwhelming influence whereby positive interactions encouraged pharmacists to continue screening and counseling attempts, but difficult encounters were negative reinforcing stimuli in almost equal measure. Conclusion In this Middle East setting, environmental factors play a considerable role in the pharmacists’ ability to engage in public health care and reinforce that continuing education for health professionals must be closely aligned with the realities of practice and purposefully considered as part of its evaluation.
KeywordsContinuing education Diabetes Fasting Pharmacist Ramadan
This publication was made possible by an Undergraduate Research Experience Program (UREP-17) award from the Qatar National Research Fund (QNRF, a member of the Qatar Foundation). The statements made herein are the sole responsibilities of the authors.
Conflicts of interest
- 1.World Health Organization. Transforming and scaling up health professionals’ education and training: world health organization guidelines 2013. World Health Organization; 2013.Google Scholar
- 2.Davis D, O’Brien MA, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey A. Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? JAMA. 1999;282:867–74.CrossRefPubMedGoogle Scholar
- 9.Caffarella RS, Daffron SR. Planning programs for adult learners: a practical guide. 3rd ed. San Francisco: Wiley; 2013.Google Scholar
- 11.Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs: Prentice Hall; 1986.Google Scholar
- 12.World Health Organization. The role of the pharmacist in the health care system: world health organization report 1994. World Health Organization; 1994.Google Scholar
- 13.The European Pharmacist Forum. The role of pharmacy in supporting the public’s health. An EPF white paper and call to action, March 2015. http://www.europeanpharmacistsforum.com/documents/10429/a18fce74-71e3-4d93-b68d-7377023e3956. Accessed 5 July 2016.
- 15.Lai E, Trac L, Lovett A. Expanding the pharmacist’s role in public health. Universal J Public Health. 2013;1:79–85.Google Scholar
- 17.(FIP) International Pharmacy Federation: Advanced practice and specialisation in pharmacy: global report. The Hague international pharmaceutical federation; 2015.Google Scholar
- 21.Graphic: Qatar’s demographic breakdown. https://dohanews.co/qatars-demographic-breakdown-a-glimpse-into/.
- 22.Salti I, Benard E, Detournay B, Bianchi-Biscay M, Le Brigand C, Voinet C, et al. A population-based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: results of the epidemiology of diabetes and Ramadan 1422/2001 (EPIDIAR) study. Diabetes Care. 2004;27:2306–11.CrossRefPubMedGoogle Scholar
- 25.Principles of Clinical Medicine and Clinical Skills: Assessment video collection website. [http://fitsweb.uchc.edu/pcmlogin/homepage.asp].
- 28.Chandawarkar RY, Ruscher KA, Krajewski A, Garg M, Pfeiffer C, Singh R, et al. Pretraining and posttraining assessment of residents; performance in the fourth accreditation council for graduate medical education competency: patient communication skills. Arch Surg. 2011;146:916–21.CrossRefPubMedGoogle Scholar
- 42.Rayes IK, Hassali MA, Abduelkarem AR. A qualitative study exploring public perceptions on the role of community pharmacists in Dubai. Pharm Pract. 2014;12:363 (Granada).Google Scholar
- 44.Al Ashkar S, Metwaly Z, Shamssain M. Patients’ perceptions of community pharmacy practice in UAE: an overview. IOSR J Pharm. 2014;4:8–14.Google Scholar
- 46.Wilbur K, Berzou S, Meeds R. Framing diabetes public health information during Ramadan - a newspaper content analysis. J Int Med Res 2017. doi: 10.1177/0300060516650983.
- 53.Amin ME: Pharmacists’ role in adjusting medication regimens for Muslim patients in Ramadan. The University of Wisconsin-Madison; 2013.Google Scholar