scholarly journals Perceptions of UK Community Pharmacists on Current Consultation Skills and Motivational Interviewing as a Consultation Approach: A Qualitative Study

Pharmacy ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 52
Author(s):  
Zahraa Jalal ◽  
Sania Akhtar ◽  
Katherine Finlay ◽  
Kathryn King ◽  
Neera Goel ◽  
...  
Keyword(s):  
Motivational Interviewing ◽  
Communication Skills ◽  
Behavioural Change ◽  
Community Pharmacists ◽  
Personal Communication ◽  
Skills Training ◽  
Structured Interviews ◽  
Pharmacy Staff ◽  
Face To Face ◽  
Consultation Skills

Objectives: Community pharmacists’ roles in the UK are evolving; pharmacists currently deliver a wider range of clinical services with more patient-focused care. The objectives of this study were (i) to investigate UK community pharmacists’ views on their current communication skills in pharmacist-patient facing consultations, and (ii) to explore the perceptions of UK community pharmacists towards the application of motivational interviewing (MI) in a pharmacy consultation. In-depth qualitative face-to-face, semi-structured interviews with ten practicing community pharmacists were carried out, ranging from 30–60 min in length. The interviews were audio recorded, transcribed verbatim and thematic analysis was employed. Four themes emerged from the data: (1) the fight for time; (2) wrestling with consultation styles; (3) a personal communication evolution; and (4) unfamiliar but engaging motivational interviewing. These themes demonstrated the juxtaposition between the desire for patient-centred care and the pressures of managing broader dispensing work. Participants were critical of academic and continuous professional learning (CPD) training in communication skills and there was a strong recognition of the potential role of MI in promoting patient autonomy and outcomes. Participants recognized a few elements of MI techniques in their current consultations, but welcomed further training on behavioral change for effective consultations, expressing a desire for practical MI-specific training. Face-to-face CPD of consultation skills is needed to avoid the feeling of isolation among UK practicing pharmacists and rigidity in consultation delivery. Support for community pharmacists from other pharmacy staff could relieve current pressures and allow pharmacists time to develop and acquire effective skills for patient facing roles. Behavioural change consultation skills training for pharmacists could be an effective strategy to address these current challenges.

scholarly journals Communications Skills in the Pharmacy Profession: A Cross Sectional Survey of UK Registered Pharmacists and Pharmacy Educators

Pharmacy ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 132 ◽  
Author(s):  
Zahraa Jalal ◽  
Anthony Cox ◽  
Neera Goel ◽  
Nikita Vaitha ◽  
Kathryn King ◽  
...  
Keyword(s):  
Behaviour Change ◽  
Communication Skills ◽  
Behavioural Change ◽  
Skills Training ◽  
Communication Skills Training ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Consultation Skills ◽  
Communications Skills

Objectives: To determine UK pharmacists’ experiences of their current communication skills and undergraduate training and to identify communication skills training and teaching at UK schools of pharmacy. Methods: Two surveys were developed. The first survey was sent to UK practicing pharmacists examining their current communication skills and interest in behavioural counselling techniques such as Motivational Interviewing (MI). A second survey was sent to all UK Schools of Pharmacy investigating communication skills training and teaching. Results: In the first survey pharmacists reported low satisfaction with their undergraduate communication skills training. A convenience sample of 109 UK pharmacists responded to the first survey. Forty-four per cent (n = 48) of the respondents stated that they continued their professional development in communication skills after an undergraduate degree. Seventy (65.4%) were not familiar with behavioural counselling techniques such as MI. The most common patient consultation delivered by pharmacists was around adherence to medicine 22.4% (n = 50). Pharmacists expressed a need for further training in clinical areas such as mental health 25.7% (n = 80). Results from the second survey to pharmacy schools showed that Schools of Pharmacy response rate was 60% (18/30). All 18 schools stated that they teach health behaviour change consultation skills and this is mostly delivered by a clinical pharmacist. Teaching communication skills was mostly delivered as role play with peers (n = 17). Conclusion: This first national survey of communication skills training in Schools of Pharmacy shows that newer graduates have received more communication training compared to older graduates, however pharmacists’ respondents still felt that they were under prepared for behaviour change patient consultations. MI training would be welcomed by those. Practice Implications: Structured courses in communication skills, including behavioural change techniques, are needed for practicing UK pharmacists.

scholarly journals “Basically you wait for an ‘in’’’: community pharmacist views on their role in weight management in New Zealand

2016 ◽  
Vol 8 (4) ◽  
pp. 365 ◽  
Author(s):  
Lesley Gray ◽  
Rachel Chamberlain ◽  
Caroline Morris
Keyword(s):  
New Zealand ◽  
Weight Management ◽  
Community Pharmacist ◽  
Local Community ◽  
Treatment Options ◽  
Management Strategies ◽  
Community Pharmacists ◽  
Structured Interviews ◽  
Pharmacy Staff ◽  
Health Community

ABSTRACT INTRODUCTION Obesity is now widely regarded as the main contributor to poor health globally, overtaking tobacco as the leading potentially modifiable risk to health. Community pharmacists are delivering an increasing number of extended services and are potentially well placed to contribute to obesity management strategies. No studies to date have investigated the views of community pharmacists in New Zealand about their role in weight management. AIM To explore the views of community pharmacists in one region of New Zealand about their role in weight management, including the perceived barriers and facilitators to their involvement. METHODS Qualitative, face-to-face, semi-structured interviews were undertaken with 11 community pharmacists from the Greater Wellington region. Interviews were transcribed verbatim and analysed thematically using an inductive approach. RESULTS Four key themes were identified from data analysis. These were: (i) perceptions of obesity; (ii) perceptions of weight management treatment options; (iii) the unique position of the community pharmacist; and (iv) barriers to involvement. The main barriers described included: (i) a lack of time and remuneration; (ii) the absence of an appropriate space within the pharmacy to discuss weight-related matters; (iii) and a lack of awareness of who to contact for specialist support. DISCUSSION Community pharmacists in Greater Wellington believe that they have a distinct role in their local community and can contribute to a multidisciplinary approach to reduce levels of obesity. Further work is required to determine the most appropriate role for community pharmacy in weight management and the training needs for pharmacy staff to optimally fulfil this role.

scholarly journals Experiences of the Pharmacy-Led Weight Management Service: Views of Service Providers in England

Pharmacy ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 82
Author(s):  
Aliki Peletidi ◽  
Reem Kayyali
Keyword(s):  
Weight Management ◽  
Service Providers ◽  
Adult Population ◽  
Community Pharmacists ◽  
Management Service ◽  
Structured Interviews ◽  
Pharmacy Staff ◽  
Work Pressure ◽  
The Uk ◽  
Training And Support

Obesity constitutes one of the main modifiable risks of developing cardiovascular disease. In the UK, in 2016, 30% of the adult population were obese (30% of females and 29% of males). Community pharmacies are ideally situated to offer weight management (WM) services, enabling individuals to control and lose their excess weight. This study aimed at exploring the views of the pharmacy-led WM service providers in England. Semi-structured interviews were conducted with 15 trained community pharmacists and pharmacy staff—11 (73.3%) from Kent, three (20%) from Kingston and Richmond and one (6.7%) from Hackney and City—offering the WM service, either owning or working in independent pharmacies or for pharmacy chains. All interviews were audio-recorded, transcribed and anonymised. The analysis was conducted using thematic analysis. Three themes emerged: training and support, barriers and approach. Interestingly, service providers (SP) stated that obesity is a tough topic to talk about: they found it difficult to start a conversation about it, even if they had received training to facilitate this role. Additionally, several barriers for running such a service were identified, such as lack of time, too much work pressure and too little advertising, which could potentially lead to poor sustainability of the service. SPs can effectively intervene in an individual’s weight through the WM service that they offer. It is clear that further training should be provided in order for SPs to feel more comfortable in approaching and communicating with people and to increase the public’s awareness of the pharmacy-led WM service, so as to ensure the service’s sustainability.

Oncologists’ experience with discussing cancer prognosis with patients and families: perspectives from India

2021 ◽  
Author(s):  
Sravannthi Maya ◽  
Smita C Banerjee ◽  
Shweta Chawak ◽  
Patricia A Parker ◽  
Sreekanth Kandikattu ◽  
...  
Keyword(s):  
Communication Skills ◽  
Interpretative Phenomenological Analysis ◽  
Skills Training ◽  
Cancer Prognosis ◽  
System Level ◽  
Communication Skills Training ◽  
Structured Interviews ◽  
Open Communication ◽  
Patients With Cancer ◽  
Empathic Communication

Abstract Nondisclosure of prognosis of advanced cancer is commonly practiced in some Asian cultures including India; but research is limited. To describe experiences of Indian oncologists in discussing cancer prognosis with people with cancer and their caregivers, with a focus on barriers and facilitators of prognostic discussions. Thirty oncologists practicing in South India, Hyderabad participated in semi-structured interviews; and analyzed using Interpretative Phenomenological Analysis. Barriers included system-level, patient-level, and physician-level challenges as obstructions to open and honest interactions around cancer prognosis. Most of the barriers focused on communication-related challenges. Lack of communication skills training for providers coupled with over-reliance on use of euphemisms, hesitation in communicating with “weak” patient, and struggles to establish healthcare proxy described communication-related barriers. The study also described factors including family involvement in cancer care and empathic communication as facilitators of honest and open communication about prognosis. In particular, rapport building and getting to know the patient, use of empathic communication, engaging in gradual and individualized disclosure, and balancing hope with honesty were communication-related facilitators that aid open communication with patients with cancer and their caregivers about prognosis and plan of care. Results provide implications for development of communication skills trainings for oncology physicians in India. Adapting, delivering, and evaluating existing communication skills training programs, particularly around discussions of prognosis and goals of care is a requisite step for providing patient-centered and supportive care to patients with cancer and their caregiving families.

scholarly journals Development of a Community Advance Care Planning Guides Program and the RELATE Model of Communication

2019 ◽  
Vol 37 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Carey Candrian ◽  
Susan Lasker Hertz ◽  
Daniel Matlock ◽  
Lierin Flanagan ◽  
Channing Tate ◽  
...  
Keyword(s):  
Communication Skills ◽  
Advance Care Planning ◽  
Retention Rate ◽  
Skills Training ◽  
Care Planning ◽  
Structured Interviews ◽  
Community Based ◽  
Direct Observations ◽  
Hospice Volunteers ◽  
Advance Care

Objective: Quality communication is an important aspect of advance care planning (ACP). This study evaluates a certification program that trains lay people in communication skills to support community-based ACP conversations. Methods: The program was developed with an emphasis on communication skills training. The testing of the program included ACP Guides and conversation partners, who were hospice volunteers, to assess the use of communication skills in ACP conversations. The evaluation used direct observations of conversations between trained ACP Guides and conversation partners as well as semi-structured interviews with those trained to become ACP Guides and those participating in the conversation. Results: Twenty-two ACP Guides participated in the testing phase with a retention rate of 100% completing all 4 sessions. The RELATE model of communication emerged during program development and testing. Evaluation of 15 ACP Guides having ACP conversations found that trained ACP Guides could use the RELATE model of communication to support ACP conversations. Conclusion: A community–academic partnership developed an ACP Community Guides Program that trained individuals to have community-based ACP conversations. Next steps include additional testing of the program and RELATE in small numbers, especially among minority populations, to evaluate acceptability and usability of this approach. Practice Implications: Laypersons with concrete communication skills can facilitate effective peer-to-peer ACP conversations.

scholarly journals Staff and Users’ Experiences of Pharmacy-Based Sexual and Reproductive Health Services: A Qualitative Interview Study from the UK

Pharmacy ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 206
Author(s):  
Julia Gauly ◽  
Jonathan Ross ◽  
Joanne Parsons ◽  
Helen Atherton
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual Health ◽  
Sexual And Reproductive Health ◽  
Reproductive Health Services ◽  
Structured Interviews ◽  
Pharmacy Staff ◽  
Qualitative Interview Study ◽  
Consultation Skills ◽  
The Uk

Since August 2015, a large range of sexual health and reproductive health services have been provided in more than 120 pharmacies across Birmingham (England). Our study aimed to explore how pharmacy staff and pharmacy users experience delivering or being provided with sexual health and reproductive health services. Between March and September 2019, semi-structured interviews were conducted with 15 pharmacy staff delivering sexual and reproductive health services and 15 people who had used a sexual and reproductive health service at the pharmacy. Interviews were analysed thematically. Pharmacy users found services convenient to use and were largely satisfied with pharmacy staff consultation skills. Staff were motivated to deliver the services, although some felt that they did not receive sufficient recognition for their work. Barriers to pharmacy-based sexual and reproductive health services were identified, including lack of privacy for users, lack of staff and user awareness of the services, lack of trained staff to deliver services and lack of capacity for copper coil insertions in females presenting for emergency contraception. The identification of barriers to effective service provision can be used to improve the delivery of sexual and reproductive health services in pharmacies and lead to a greater uptake.

Pharmaceutical care services to people living with dementia in care homes: A qualitative study of community pharmacists' perceptions

Dementia ◽  
2017 ◽  
Vol 18 (6) ◽  
pp. 2282-2302
Author(s):  
Beryl Navti ◽  
Bugewa Apampa
Keyword(s):  
Drug Therapy ◽  
Pharmaceutical Care ◽  
Community Pharmacists ◽  
Care Homes ◽  
Pharmacy Services ◽  
Structured Interviews ◽  
Care Needs ◽  
Face To Face ◽  
Care Services ◽  
Dementia Patients

There is a paucity of information on the perceptions of community pharmacists about the nature and effectiveness of pharmaceutical care services they provide to people living with dementia in care homes. This paper explores pharmacists’ perceptions of the nature and effectiveness of pharmacy services provided, and their experiences when providing these services. Community pharmacists delivering services to care homes with dementia in Thurrock, Essex and in Medway, Kent, England were invited to participate in the study involving face-to-face interviews. Analysis of semi-structured interviews with 15 community pharmacists revealed that the main pharmaceutical service provided by the pharmacists was prescription processing, normally involving the clinical review and supply of medication into monitored dosage systems (dosette boxes) and delivery to the homes. This was coupled with advice to care homes on the appropriate storage and administration of drugs and appliances supplied, which was in line with the NHS Community Pharmacy Contractual Framework Enhanced Service for care homes. A majority of the community pharmacists interviewed acknowledged that the services they were currently commissioned to provide did not meet the pharmaceutical care needs of dementia patients in care homes, including the monitoring of the appropriateness, safety and effectiveness of drug therapy.

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