PHARMACISTS COMPLIANCE TO PRACTICE REGULATIONS AND GOOD PROFESSIONAL PRACTICE: A CASE STUDY OF NIGERIAN COMMUNITY PHARMACISTS
Objective: This study was designed to assess community pharmacistsâ€™ compliance to rules and regulations guiding the practice of pharmacy in Anambra state, Nigeria.
Methods: The study was carried out using a mixed method. In the first phase, adapted and validated questionnaire was used to obtain demographic data and information on some practice standards. While in the second phase, the researcher interviewed the practicing pharmacists on some of the key practice standards followed by observation of the items included in the interview. Statistical analysis was computed using SPSS and minitab versions 23.0 and 14.0 respectively. Descriptive analysis was carried out on the demographic items and other sections of the questionnaire. Quantitative data were analysed by computing frequency tables. Average percentage score for each section of the questionnaire was calculated. One-way ANOVA [with post hoc testâ€”LSD] and Independent-Samples T Test were used to examine significance relationship between demographic variables and the different dimensions of the questionnaire.
Results: The response rate to the study questionnaire was 82%. While the questionnaire study had a mean good compliance level to environmental and dispensing practice standards, the interview and observation phase observed poor compliance to some items in this section. The study further observed good implementation level for pharmaceutical care, except for proper documentation. Although the pharmacistsâ€™ knowledge of pharmacovigilance activities was observed to be fair, their involvement in the activity was poor.
Conclusion: The Overall findings of the study did not record an excellent compliance level to good professional practice by community pharmacists in Anambra state, Nigeria.
2. Ludwig Boltzmann. Institute for the sociology of health and medicine. health promotion in general practice and community pharmacyâ€“conclusions and proposals from a European Project; 2002.
3. Malik M, Kanwal N, Hussain A. Role of community pharmacist and nutritionist in obesity management: a literature review. Asian J Pharm Clin Res 2017;10:40-2.
4. Keban S, Abdillah S, Najuah N. The role of pharmacists in evaluating and intervening the patients with diabetic neuropathy. Asian J Pharm Clin Res 2017;10:127-31.
5. Maria C, Vladimir S, Ala C, Nina S. An assessment of community pharmacistsâ€™ attitudes towards professional practice in the republic of Moldova. Pharm Pract 2008;6:1-8.
6. Hanafi S, Somayeh H. Evaluation of community pharmacistsâ€™ knowledge, attitude and practice towards good pharmacy practice in Iran. J Phys Chem 2013;1:19-24.
7. Villako P, Raal A. A survey of Estonian consumer expectations from the pharmacy service and a comparison with the opinions of pharmacists. Pharm World Sci 2007;29:546-50.
8. Pharmacistâ€™s council of Nigeria. Four-part compendium of minimum standards of pharmaceutical care in Nigeria, Abuja; 2005.
9. Pharmacists council of Nigeria. Pharmacy practice-code of ethics; 2015. Available from: http://www.pcn.gov.ng. [Last accessed on 15 Nov 2015].
10. Pharmacists council of Nigeria. Brief history; 2016. Available from: http://www.pcn.gov.ng/webpages.php?cmd=Nandpages =2andmt=Registryandsmt=Brief%20History. [Last accessed on 25 Sep 2016].
11. Yamane, Taro. Statistics: An Introductory Analysis. 2nd Ed. New York: Harper and Row; 1967.
12. Puspitasari H, Aslani P, KrassI. A review of counselling practices on prescription medicines in community pharmacies. Res Social Adm Pharm 2009;5:197-210.
13. Kirking D. Pharmacists' perceptions of their patient counselling activities. Contemp Pharm Pract 1981;5:230-8.
14. Schnipper J, Kirwin L, Cotugno C, Wahlstrom A, Brown A, Tarvin E, et al. Role of pharmacist counselling in preventing adverse drug events after hospitalization. Arch Intern Med 2006;166:565-71.
15. Azhar H, Mohamed I. Perceptions of dispensers regarding dispensing practices in Pakistan: a qualitative study. Trop J Pharm Res 2011;10:117-23.
16. Gokcekus L, Toklu Z, Demirdamar R, Gumusel B. Dispensing practice in the community pharmacies in the Turkish Republic of Northern Cyprus. Int J Clin Pharm 2012;34:312-24.
17. Sinaa A, Norah O. Counselling practices in community pharmacies in Riyadh, Saudi Arabia: a cross-sectional study. BMC Health Serv Res 2015;15:557.
18. Ansari J. Drug interaction and pharmacist. J Young Pharm 2010;2:326-31.
19. Dameh M, Norris P, Green J. New Zealand pharmacistsâ€™ experiences, practices and views regarding antibiotic use without a prescription. J Prim Health Care 2012;4:131-40.
20. Erah PO, Nwazuoke JC. Identification of standards for pharmaceutical care in benin city. Trop J Pharm Res 2002;1:55-67.
21. Oparah A, Eferakeya A. Attitudes of nigerian pharmacists towards pharmaceutical care. Pharm World sci 2005; 27:208-14.
22. The Royal Pharmaceutical society of Great Britain guidance on recording interventions; 2006.
23. Currie J, Doucette R, Kuhle J, Sobotka J. Identification of essential elements In the documentation of pharmacist-provided care. J Am Pharm Assoc 2003;43:41-7.
24. World Health Organization. Joint FIP/WHO guidelines on good pharmacy practice: standards for quality of pharmacy services. WHO Technical Report Series, No. 961. Geneva; 2011.
25. WHO Technical Report Series, No. 717. Health manpower requirements for the achievement of health for all by the year through primary health care: Report of a WHO Expert Committee; 2000.
26. AneGedde D, Pernille H, Hanne S, Marit B, Gerd G, Anne M. Characteristics and quality of adverse drug reaction reports by pharmacists in Norway. Pharmacoepidemiol Drug Saf 2007;16:9.
27. Salim M, Hussain N, Balasubramanian T, Lubab M, Nayana S. The current perspective of community pharmacists towards pharmacovigilance. J Pharmacovigil 2015;3:180.
28. Mahmoud M, Alswaida Y, Alshammari T, Khan M, Alrasheedy A, Hassali A. Community pharmacistsâ€™ knowledge, behaviours and experiences about adverse drug reaction reporting in Saudi Arabia. Saudi Pharm J 2014;22:411-8.
29. Mahendra J, Sandeep A, Soumya M. A survey on assessing the knowledge, attitude and behaviour of community pharmacists to adverse drug reaction related aspects. Indian J Pharm Sci 2012;5:51-5.
30. Kulkarni G, Patil L. Analysis of adverse drug reactions spontaneously reported to adverse drug monitoring centre of a tertiary care hospitalâ€“ a prospective study. Int J Curr Pharm Res 2018;10:23-5.