scholarly journals Nurses’ Knowledge, Attitudes, and Practice in Relation to Pharmacovigilance and Adverse Drug Reaction Reporting: A Systematic Review

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Tahmine Salehi ◽  
Naiemeh Seyedfatemi ◽  
Mohammad Saeed Mirzaee ◽  
Maryam Maleki ◽  
Abbas Mardani

Aim. To describe and synthesize aspects of knowledge, attitudes, and practice regarding pharmacovigilance and adverse drug reaction (ADR) reporting and to explore associated barriers from a nurse perspective. Methods. A systematic review was conducted. Electronic databases including MEDLINE, Embase, Scopus, and Web of Knowledge from January 2010 to October 2020 were searched. Original observational studies that were written in English and which focused on nurses’ knowledge, attitudes, practice, and perceived barriers regarding pharmacovigilance and ADR reporting in various healthcare settings were included. Results. Twenty-three studies published in English from 2010 to 2020 were retrieved during the search process. Overall, in the knowledge domain, the median percentages of nurses who were aware of the definitions of ADRs were 74.1%, while only 26.3% were aware of the adverse drug reaction reporting form. In the attitude domain, 84.6% of nurses believed ADR reporting to be important for patient/medicine safety and 37.1% had a fear of legal liability following ADR reporting. Although 67.1% of nurses encountered ADRs during their professional life, only 21.2% had a history of ADR reporting. In addition, lack of knowledge/training (median: 47.1%) was identified as the most common barrier in ADR reporting from a nursing viewpoint. Conclusion. Despite positive nurse attitudes, knowledge and practice in relation to pharmacovigilance activities and ADR reporting did not occur regularly or often. Improving nurses’ knowledge through in-service training and degree-level education and addressing the main barriers of ADR reporting may help to achieve an improved level of reporting.

Author(s):  
Zuzaan Zulzaga ◽  
Erdenetuya Myagmarsuren ◽  
Herman J. Woerdenbag ◽  
Eugene P. van Puijenbroek

AbstractMonitoring adverse drug reactions is a vital issue to ensure drug safety and to protect the general public from medication-related harmful effects. In order to properly monitor drug safety, a regulatory system needs to be in place as well as an infrastructure that allows for analyzing national and international safety data. In Mongolia, adverse drug reaction (ADR) reporting activities have been implemented in the past decade. During this period, the basic structure and legal basis of an adverse drug reaction monitoring system was established. Because of the fragmented but growing healthcare system and the complexity of pharmaceutical issues in Mongolia, a sustainable process for the development of the adverse drug reaction reporting system is a key issue. The aim of this article is to disclose the Mongolian situation for the rest of the world and to share experiences on how an ADR reporting system can be developed towards a higher and more advanced level to contribute to both national and international drug safety issues. In this article, we review the features of the Mongolian health care and pharmaceutical systems, as well as the current development of the adverse drug reaction reporting system.


Drug Safety ◽  
2013 ◽  
Vol 36 (5) ◽  
pp. 317-328 ◽  
Author(s):  
Cristian Gonzalez-Gonzalez ◽  
Elena Lopez-Gonzalez ◽  
Maria T. Herdeiro ◽  
Adolfo Figueiras

2017 ◽  
Vol 53 (3) ◽  
pp. 177-187 ◽  
Author(s):  
Hussen Shanko ◽  
Jemal Abdela

Aims: This study was designed to assess knowledge, attitude and practices of adverse drug reaction reporting among healthcare professionals in Hiwot Fana Specialized University Hospital (HFSUH). Method: Hospital based descriptive cross sectional study was conducted on healthcare professionals of HFSUH. Based on purposive sampling technique, all eligible healthcare professionals (nurses, physicians and pharmacists) were involved in the study. A pretested self-administered questionnaire was used to collect data. Data were coded, entered and analyzed using SPSS version 16. The test of association of selected categorical variables were done using cross tabulation and Pearson Chi-square test. Result: Our study indicated that about 297 participants provided their response to the distributed questionnaires which makes the response rate 91.4%. Of the total healthcare professionals involved in the study, 99 (33.6%) of them were able to understand the difference between adverse drug reaction (ADR) and side effects, of which pharmacists were significantly reported (95.24%, P<0.05). About 175(59.3%) of the respondents engaged in the study were reportedly knew the national ADR reporting system in Ethiopia. On the other hand, 181(61.36%) of the participants were recognized the presence of ADR reporting form while 114 (38.64%) of the respondents had no any information about its presence in the country. Conclusion: The study revealed that a gap in knowledge, awareness and practice of healthcare professionals on ADR reporting. Therefore, specific strategies should be designed in order to improve awareness, knowledge and practice of healthcare professionals to tackle issue related to under-reporting of ADR.


Author(s):  
Akash Vishwe ◽  
Satish Chandel ◽  
Ratinder Jhaj ◽  
Santenna Chenchulla ◽  
Niket Rai

Background: Adequate knowledge, positive attitude and motivated practice of pharmacovigilance are the building pillars of ADR reporting. This study was conducted to evaluate the knowledge and attitude towards pharmacovigilance and adverse drug reaction reporting among the resident doctors and nursing staff in AIIMS Bhopal, Madhya Pradesh, India.Methods: This cross-sectional questionnaire based study was carried out in a tertiary care centre. The survey was carried out using a pre-validated questionnaire that included 20 questions to evaluate the participant’s knowledge, attitude and practice.Results: Answers to knowledge based questions were given correctly by around 82.6% (95% CI 0.7576 to 0.8794) of resident doctors and 74% (95% CI 0.6033 to 0.8424) nursing professionals. The difference of basic knowledge about pharmacovigilance between resident doctors and nursing professionals was insignificant (p-value is 0.7967). The most common reason for underreporting was unawareness, which was opted by 69% (95% CI 0.6153-0.7617) of resident doctors, while among the 58% (95% CI 0.4422-0.7064) nursing staff, the major factor was non-feasible ADR monitoring system in hospital. The suggestion of conducting training and awareness programme to promote ADR reporting given by resident doctors and nursing staff were 85% (95% CI 0.7872-0.0957) and 80% (95 % CI 0.6677-0.8895) respectively.Conclusions: The participants were well aware of pharmacovigilance and adverse drug reaction reporting. They had expressed the positive attitude towards pharmacovigilance and ADR reporting. But the routine practice of reporting ADRs is lacking. Hence there is need for increasing awareness and building positive attitude and practices among the health care professionals.


2017 ◽  
Vol 18 (10) ◽  
pp. 964-969 ◽  
Author(s):  
Ashish Sharma ◽  
Kumar G Chhabra ◽  
Chaya Chhabra ◽  
J Jyothirmai Reddy ◽  
Shravani G Deolia ◽  
...  

ABSTRACT Introduction This is a cross-sectional knowledge, attitude, and practices (KAPs) study on pharmacovigilance (PV) and adverse drug reaction (ADR) reporting among dental students in a teaching hospital in India. Aim The aim of this study was to assess the KAP of dental students regarding PV, ADR reporting, and barriers toward the same. Materials and methods A cross-sectional survey using a selfadministered, investigator-developed, close-ended questionnaire was conducted in an academic dental hospital in India. All prescribers including third year students, final year students, and house surgeons of the same institute were included for assessment of KAP regarding PV using 16, 8, and 8 items respectively. Data regarding barriers toward ADR reporting and demographics were also collected. Mann–Whitney U-test and Kruskal–Wallis test were applied followed by post hoc test. Results A total of 241 of 275 respondents participated in the study with a response rate of 87.5%. Overall, 64% reported that they had no idea about the term PV. Age was significantly associated with knowledge (p = 0.045) and attitude (p = 0.016). Barriers contributing to underreporting were difficulty in deciding whether or not an ADR has occurred (52.0%), concerns that the report may be wrong (37%), lack of confidence to discuss ADR with colleagues (29%), and almost no financial benefits (24%). Conclusion Participants had a comparatively favorable attitude toward PV, but their knowledge and practice need considerable improvements. This study highlights the need for appropriate dental curriculum changes and further multicentric studies to shed more light on important issues of PV among dentists in India. Clinical significance This study explores dentists’ knowledge, attitude, and behavior regarding PV, which could help to improve patient's safety and care. The favorable attitude of dentists is an indication that PV could be added in depth in the curriculum and in general practice. Information on barriers for reporting the ADRs could help to find possible solutions for removing the barriers precisely. How to cite this article Chhabra KG, Sharma A, Chhabra C, Reddy JJ, Deolia SG, Mittal Y. Knowledge, Attitude, and Practices regarding Pharmacovigilance and Adverse Drug Reaction reporting among Dental Students in a Teaching Hospital, Jodhpur, India: A Cross-sectional Study. J Contemp Dent Pract 2017;18(10):964-969.


Author(s):  
Nirav N. Patel ◽  
Devanshu J. Patel ◽  
Haresh A. Desai

Background: The objective of the present study was to assess knowledge, attitude and practice of adverse drug reaction reporting among healthcare professionals of Parul Sevashram Hospital, Parul University, Vadodara.Methods: The study was prospective, observational and questionnaire-based involving medical doctors, nurses and pharmacists of Parul Sevashram Hospital. A total number of 210 structured questionnaires were distributed among health care professionals (100 clinicians from various specialities, 100 nurses and 10 pharmacists). Written informed consent forms were obtained from participants as their consent to participate in the study.Results: All questionnaires were filled and returned producing overall response rate of 100%. 80% of the respondents were aware of the existence of Pharmacovigilance Program of India (PvPI). 90.95% and 91.90% of respondents felt ADR reporting is necessary and it would be beneficial to the patients respectively. Only 11.43% of respondents had reported ADRs. 90.95% and 85.24% of respondents suggested training is required in reporting ADR and regular information should be provided regarding ADR by PvPI respectively.Conclusions: The health care professionals had positive knowledge and attitude towards pharmacovigilance and there is a need to create awareness for better practice of ADR reporting. It would help to improve patient care.


2021 ◽  
Author(s):  
Libsuye Yalgaw Zimamu ◽  
Muluken Chanie Agimas ◽  
Gashaw Mehiret Wubet

Abstract Background: Drugs can treat diseases, reduce symptoms, and enhance patients’ health and quality of life. However, taking a drug is not always as easy as just swallowing a pill. This is because drugs have some unwanted effects. Adverse Drug Reactions (ADRs) are one of the leading causes of morbidity and mortality and contribute to excessive health care costs. Objectives: To assess knowledge, attitude, and practice of health care providers on adverse drug reporting among community pharmacists, Gondar, Ethiopia Methods: Community-based cross-sectional study designs were used from July - August 2021. The sampling method was a survey from community pharmacists. Self-administered questioner was used, and the collected data was entered into Epi-info Version 7.0 and exported to SPSS version 20 software for analysis. Result: The study included 215 community pharmacy professionals to assess the knowledge, attitudes, and practices of adverse drug reaction reporting. From a total of 215 community pharmacy professionals, 34 (15.8%) of the respondents were able to differentiate ADR from side effects and only 56(26%) respondents felt that they are adequately trained in ADR reporting. Out of 215 respondents, 78(36.3%) and 146(67.9%) knew the availability of the national reporting system and ADR reporting form in Ethiopia respectively. The study revealed that 21.4% [95% CI: 18.6-35.9] and 42.3% [95% CI: 38.2-65.9] of community pharmacists have poor knowledge and negative attitude towards ADR reporting respectively. Conclusion: Underreporting of ADR by community pharmacists was identified in this study. Training sessions to clarify the role of various community pharmacists in ADR reporting will hopefully fill the observed gap in knowledge and practices. The community pharmacy should formulate strategies to enhance the detection and reporting of ADRs.


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