scholarly journals The Pharmacists’ and pharmacy technicians’ scopes of practice in the management of minor ailments at community pharmacies in Indonesia: a cross-sectional study

2021 ◽  
Vol 19 (2) ◽  
pp. 2295
Author(s):  
Vinci Mizranita ◽  
Tin F. Sim ◽  
Bruce Sunderland ◽  
Richard Parsons ◽  
Jeffery D. Hughes

Background: Managing minor ailments in community pharmacy is an evolving pharmacy service in developing countries. Defined scopes of practice for pharmacy staff are essential for the safe management of minor ailments. Limited research exists regarding the perceptions of Indonesian pharmacists’ and pharmacy technicians’ scopes of practice in providing minor ailments management services. Objective: To evaluate pharmacists’ and pharmacy technicians’ understanding of their scopes of practice, perceived competency and factors influencing the delivery of minor ailments services in Indonesian community pharmacies. Methods: Cross-sectional surveys were conducted during January-February 2020 of pharmacists and pharmacy technicians attending seminars conducted by relevant Indonesian Associations in Central Java, Indonesia. Percentage of common responses (PCR) described similarity of perceived scopes of practice for pharmacists and pharmacy technicians. Univariate and multivariate analyses identified associations of scopes of practice with pharmacy characteristics. Results: A total of 185 pharmacists and 142 pharmacy technicians participated. Pharmacy technicians performed minor ailment consultations, however, if considered beyond their scope of practice, they referred the patient to the pharmacist (T=120/142, 84.5%). Vaginal thrush, bacterial conjunctivitis, gastro-oesophageal reflux disease, and acute pain were minor ailments perceived only within a pharmacist’s scope (PCR above 60%). Of 34 minor ailments, 11 showed PCR values between 40-60% overlapping pharmacists and pharmacy technicians perceived scopes of practice (allergy/rash, back pain, cold sores, dermatitis, diarrhoea, eczema, hayfever, haemorrhoids, rheumatism, sore throat, and superficial wounds). Back pain, cold sores, dermatitis, and sore throat associated pharmacists’ scope of practice with years of practice experience (p-value<0.05). Pharmacy technicians perceived their scopes of practice to be wider than perceived by pharmacists. Conclusions: Discordance between pharmacists’ and pharmacy technicians’ perceived scopes of minor ailments management highlights the need for clearly defined scopes of practice for each professional group. Each professional group must practise within their competence to ensure safe pharmacy practices.

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3973 ◽  
Author(s):  
David Balayssac ◽  
Bruno Pereira ◽  
Julie Virot ◽  
Céline Lambert ◽  
Aurore Collin ◽  
...  

Background Like other health professionals, community pharmacists are exposed to stress factors (being efficient, avoiding mistakes and bearing emotional load), but they are also under the pressure of entrepreneurial responsibilities. The main objective was to assess the level of work-related stress in French community pharmacies. The other objectives of the study were to assess the associated comorbidities and causes of work-related stress. Methods This observational cross-sectional study was sent to all French community pharmacies by email. The survey was anonymous and designed to collect the following items: socio-demographic factors, professional status, characteristics of community pharmacy, work-related stress (visual analogic scale—VAS), fatigue (VAS), sleep disturbances (questions), anxiety and depression symptoms (hospital anxiety and depression scale), medical consultation for work-related stress, medication use for work related stress, psychoactive drug-use and causes of work-related stress. Participants were included in the survey if they were pharmacists (owner or assistant) or pharmacy technicians working in a community pharmacy at the time of the survey. Exclusion criteria were defined as follows: pharmacy students or other professionals involved in a community pharmacy (e.g. dietician, beautician) and lack of professional status information. There was no age limitation. Results After three months of data collection, 1,339 participants answered the survey and 1,272 participants were included in conformity with the inclusion and exclusion criteria, and to avoid missing data on the primary endpoint. Work-related stress was detected in 32.8% (417/1,272) of individuals (scores ≥70/100). Men were significantly more affected than women and there was no difference between professional statuses and no relation with the age of the participants. Work-related stress was significantly associated with anxiety, depression, fatigue, sleep disturbances, medical consultations, medication use, alcohol consumption above the WHO recommendations for men and psychoactive drug use. Three causes of stress were clearly identified and related to stress levels, workload, working atmosphere and deterioration of work quality. However, causes of work-related stress were significantly different among professionals, for example: entrepreneurial burden for pharmacists-in-charge and workload for employees (assistant pharmacists and pharmacy technicians). Discussion Work-related stress has a very strong impact in French community pharmacies. This stress was associated with several comorbidities and induces health resource consumption. Several causes of work-related stress have been identified such as workload, working atmosphere and deterioration of work quality; however, these causes could be detected and managed to improve stress levels. We recommend developing individual and organizational stress management in French community pharmacies.


PROMOTOR ◽  
2019 ◽  
Vol 2 (6) ◽  
pp. 495
Author(s):  
Shinta Bonita Amalia

<p>Upaya perlindungan pada pekerja pembuat tusuk sate terhadap risiko bahaya Kecelakaan Akibat Kerja (KAK) dan Penyakit Akibat Kerja (PAK) seperti <em>Low Back Pain </em>(LBP) merupakan kebutuhan yang mendasar. Tujuan penelitian ini adalah untuk mengetahui faktor- faktor yang berhubungan dengan keluhan LBP pada pekerja pembuat tusuk sate di Desa  Dago Kecamatan Parungpanjang Kabupaten Bogor. Penelitian ini merupakan jenis penelitian kuantitatif dengan desain <em>cross-sectional, </em>populasi 37 pekerja dengan metode sampling jenuh yaitu semua anggota populasi digunakan sebagai sample. Instrumen penelitian yaitu kuesioner, alat timbangan dan <em>microtoise </em>(alat mengukur tinggi badan)<em>. </em>Cara analisis data menggunakan analisa univariat dan bivariat menggunakan uji <em>chi square. </em>Hasil penelitian menunjukkan bahwa tidak ada hubungan antara usia (<em>P Value </em>0,384), IMT (<em>P Value </em>0,603), kebiasaan merokok (<em>P Value </em>0,773), aktivitas fisik (<em>P Value </em>0,211) dan faktor pekerjaan (<em>P Value </em>0,410) dengan keluhan <em>Low Back Pain </em>(LBP). Sedangkan masa kerja (<em>P Value </em>0,037) dengan keluhan <em>Low Back Pain </em>(LBP) terdapat hubungan yang signifikan. Kesimpulan penelitian ini adalah pekerja yang masa kerja ≥ 5 tahun memiliki risiko mengalami <em>Low Back Pain </em>(LBP) dibandingkan dengan pekerja yang memiliki masa kerja ≤ 5 tahun. Disarankan agar adanya edukasi terkait penyakit akibat kerja seperti ergonomi dalam sektor informal khususnya pada pekerja pembuat tusuk sate.</p>


2020 ◽  
Vol 3 (2) ◽  
pp. 63-68
Author(s):  
Yuharika Pratiwi ◽  
Ratih Ayuningtiyas ◽  
Romi Akbar

Low back pain (NPB) is a pain that is felt in the lumbar or lumbosacral areas can be either local pain, radicular pain, or both, and is not a diagnosis of the disease. Almost all populations experience NPB so that it becomes a common health problem in the world. Half of the workers are thought to have experienced NPB. According to the initial survey, more than two-thirds of taxi X drivers experienced NPB. This type of study was quantitative observational with a cross-sectional design, the amount of sample was 43 respondents. The study aimed to determine the relationship between the length of work with the incidence of lower back pain (NPB) of taxi X drivers Pekanbaru. Data analysis was used univariate and bivariate analysis by Chi-square test. The results obtained p-value = 0.008 and PR = 2.917 (95% CI = 1.462-5.819) which means there was a relationship between the length of work with NPB on taxi drivers X Pekanbaru. Taxi drivers who have worked > 8 hours have a risk of 2,917 times more likely to experience NPB compared to those who have worked ≤ 8 hours. The conclusion of the study there was a relationship between the length of work with the NPB on taxi drivers X Pekanbaru which was a risk factor.


Author(s):  
Kamariah Kamariah ◽  
Arifin Arifin ◽  
Gunung Setiadi

Low back pain is one of the musculoskeletal disorders resulting from the wrong ergonomics. Such conditions can occur in the informal work sector, such as clothes tailors at the Martapura Bauntung Batuah Market. The purpose of this study was to determine the relationship of work position with complaints of lower back pain in clothes tailors at the Bauntung Batuah Market Martapura. This study is an analytical study with a cross-sectional approach. The sampling technique uses total sampling with criteria for male sex so that the number of samples is 43 people. Data will be analyzed using the x2 test (Chi-square). The results of the statistical analysis obtained the value of the work position p-value of 0,000 meaning that there is a relationship between the work position and complaints of lower back pain in the clothes tailor at the Martapura Bauntung Batuah Market. For other researchers, further research needs to being done on other factors such as individual factors and physical environmental factors that can cause complaints of lower back pain.


2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Ruth O. Hutasuhut ◽  
Fransiska Lintong ◽  
Jimmy F. Rumampuk

Abstract: Low back pain is a musculoskeletal disorder that is often found in society. Low Back Pain can cause quality of life to deteriorate and inhibits certain activities. Certain influential factors such as age, gender, Body Mass Index, stress, length of sitting, and posture when doing work. Low Back Pain is a risk to medical students. Purpose of this study was to determine the relationship between sitting time and complaints of low back pain in students of the Faculty of Medicine, Sam Ratulangi University. The research method used is an observational analytic method with a cross-sectional design. Data were collected using a questionnaire and then analyzed using the Pearson Chi-square test. The results showed a p value (p <0.001) between the length of sitting and complaints of low back pain, with a sitting time of 5- 8 hours. In conclusion, there is a significant relationship between sitting time and complaints of low back pain in students of the Faculty of Medicine, Sam Ratulangi University.Keywords: Low Back Pain, prolonged sitting, medical students  Abstrak: Nyeri Punggung Bawah (NPB) merupakan gangguan muskuloskeletal yang sering ditemukan dalam masyarakat. NPB dapat menyebabkan kualitas hidup memburuk dan menghambat aktivitas tertentu. Beberapa faktor tertentu yang berpengaruh seperti umur, jenis kelamin, Indeks Massa Tubuh, stres, lama duduk, dan sikap tubuh ketika melakukan pekerjaan. NPB berisiko terjadi pada mahasiswa kedokteran. Tujuan dari penelitian ini adalah untuk mengetahui hubungan lama duduk terhadap keluhan nyeri punggung bawah pada mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi. Metode penelitian yang digunakan adalah metode analitik observasional dengan desain potong lintang. Data dikumpulkan menggunakan kuisioner  kemudian di analisis menggunakan uji statistik Pearson Chi-square. Hasil penelitian menunjukan p value (p < 0,001) antara lama duduk dan keluhan nyeri punggung bawah, dengan lama duduk 5- 8 jam. Sebagai simpulan, terdapat hubungan bermakna antara lama duduk terhadap keluhan nyeri punggung bawah pada mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi.Kata Kunci : Nyeri Punggung Bawah, lama duduk, mahasiswa kedokteran 


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Martina Wulandari ◽  
Dwi Setyawan ◽  
Alfan Zubaidi

Abstract : Risk factors, Low Back Pain, Prosthetics and Orthotics Students of Health Polytechnic of Surakarta. Low Back Pain (LBP) or lower back pain is a common health problem that found in many people, not only in older people but also in younger nowadays. Low Back Pain associated with many kind of conditions and also risk factors. The etiology of LBP is widely accepted to be multi-factorial. The objectives of this study were to determine the risk factors causing LBP on Prosthetics and Orthotics students of Health Polytechnic of Surakarta. The study is cross sectional design used a questionnaire instrument to all Prosthetics and Orthotics students. Data analysis was performed by Chi square. The results showed that the prevalence of LBP after being Prosthetics and Orthotics students of Health Polytechnic of Surakarta is 32,2%. Risk factors associated with Low Back Pain were exercise (p value 0,033), daily time spend standing (p value 0,046), lifting (p value 0,027) and perceived stress (p value 0,008). Gender, body mass index and daily time spend sitting were not associate with Low Back Pain.


Author(s):  
Adelia Suryani Jonathan ◽  
Mulyadi Mulyadi

Ergonomic is compatibility between working tools and workers who not suitable can cause workers to feel uncomfortable and decreased worker of productivity. One from things related of ergonomics is work position. In this case such as long standing, lifting, pushing, sitting position, etc. Workers of body activity that is not good in the long term will cause Low back pain (LBP) or Lower Back Pain (NPB).The aim of this study was to analyze the factors associated with the incidence of Low Back Pain in PT. Maruki International Indonesia Makassar .. This research is an observational analytic study with a cross sectional study design, a total sample of 58 people and using a purposive sampling method and data analysis is tested by conducting a statistical test that is chi square.The results showed there was no relation between age and the incidence of low back pain with P-value is 0.697> 0.05, there was a relation between duration time of work and the incidence of low back pain with P-value is 0.004 <0.05 and there was a relation between work ergonomics with the incidence of low back pain with P-value is 0.012 <0.05.Based on the results of this study concluded there ere no relation between the variables with the incidence of low back pain in workers at PT. Maruki International Indonesia Makssar in the factory section 1. Suggestions It is expected that workers improve their working methods of paying attention to health by applying ergonomic work principles to avoid injury, and other occupational diseases.Keywords: Low Back Pain, Age, Duration Of Work, Ergonomics


2015 ◽  
Vol 20 (5) ◽  
pp. 1575-1582 ◽  
Author(s):  
Everton Alex Carvalho Zanuto ◽  
Jamile Sanches Codogno ◽  
Diego Giulliano Destro Christófaro ◽  
Luiz Carlos Marques Vanderlei ◽  
Jefferson Rosa Cardoso ◽  
...  

Objective: To determine the prevalence of low back pain and some related variables among adults of both genders.Methods: Was conduct a cross-sectional study of population-based in the urban area of Presidente Prudente, São Paulo. The sample consisted of 743 adult residents for over two years in this city. Low back pain, quality of sleep and physical activity were collected through face to face interview at the residence of respondents. Was used the chi-square test to analyze the association between variables, later was created tree multivariate models with hierarchical inclusion of confounding factors.Results: The prevalence of low back pain reported last year was 50.2% (95% CI: 46.6, 53.8), and the last week 32.3% (95% CI: 28.9, 35.6). Was association among low back pain and females (p-value = 0.031), older age, lower education, altered sleep and overweight, the adjusted model found that people over the age of 45 years (45 to 59.9 years, OR = 13.1 [1.72-98.5] and ≥ 60 years, OR = 9.10 [1.15-71.7]), with some alteration of sleep (OR = 3.21 [1.84-5.61]) and obese (OR = 2.33 [1:26 to 4:33]) seems to be a risk group for low back pain.Conclusion: The prevalence of low back pain is high and obese people aged over 45 years, with any sleep disturbance are a group at higher risk for low back pain.


2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Ayyuba Rabiu ◽  
Mustapha Ibrahim Usman ◽  
Muhammad Kabir Abubakar ◽  
Sulaiman Muhammad Daneji ◽  
Ibrahim Garba ◽  
...  

Persistence of symptoms of low back pains and pelvic girdle pains are frequent complaints after pregnancy. Knowledge of back pain prevention and back education is essential for prevention and relief of persistence pains after delivery. The aim is to determine the factors that are associated with persistence of low back/girdle pains after pregnancy, the severity of the pains and measures undertaken by the patients for alleviation of this chronic condition. The study was a cross sectional survey. Ethics approval was obtained from Aminu Kano Teaching Hospital Ethics Committee. Information such as socio demographic characteristics of the clients, persistence and severity of low back pains/pelvic girdle pains after pregnancy and associated risk factors, was asked and documented on a questionnaire. Consecutive, consenting clients were recruited for the survey. Data collected were analyzed using SPSS Version 19. Qualitative data were summarized using frequencies and percentages. χ2 and Fishers’ Exact tests were used, where appropriate, for categorical data. A P value of ≤0.05 was considered significant. During the period, 51 patients with chronic back/pelvic girdle pains or both were recruited. Their mean age (±SD) was 30.9±5.62 years. Bed rest was the most means of relief of low back/pelvic girdle pains. Variables such as advancing age, ethnic group, high parity, educational status and obesity were found to be present and high among patients with persistence of low back/pelvic girdle pains. However, only their employment status was found to be associated with the severity of their pains (χ2 =11.443, P=0.001). The survey showed only employment status was statistically associated with severity of the low back/pelvic girdle pains (χ2 =11.443, P=0.001). Other variables were not associated. There was low knowledge of back pain prevention and back education among the study group.


Biomedika ◽  
2019 ◽  
Vol 11 (1) ◽  
pp. 35
Author(s):  
Atthariq Wahab

Data from the Ministry of Health's 2006 research on diseases and accidents that occur in fishermen and traditional divers, said that a number of fishermen on Bungin Island, West Nusa Tenggara suffered from joint pain (57.5 percent) and mild to deafness hearing loss (11.3 percent ) The results of the initial research health research on fishermen in Batukaras Village showed that the 10 most diseases were dominated by diseases related to low back pain. The aim of this study is to explore causes factor asscociation with low back pain in Batu Karas Village Community Fishermen Group. This study uses a quantitative approach with a cross sectional study design. The population in this study was the Batu Karas Village Community Fishermen Group. This sampling was carried out based on the fishermen presented at the time of the study (accidental sampling) and willing to become research respondents by filling out and signing informed consent as many as 140 respondents. Data retrieval is done by structured interviews with questionnaires. Variables that have a statistically significant relationship with the incidence of complaints of lower back pain are years of work, smoking habits, with a p-value <0.005. The conclusion of this study are the work period of more than 20 years and smoking habits associated with lower back pain.Key words: Fishermen, Low Back Pain, The Work Period, Smoking Habits


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