Role of Pharmacists in Clinical Pharmacy Services in Saudi Arabia: A Survey of Knowledge, Attitude, and Practice
Abstract
Clinical pharmacy services significantly impact patient care and rapidly progress in the Saudi healthcare system. This study aimed to assess hospital pharmacists’ knowledge, attitude, and practice regarding clinical pharmacy services using a cross-sectional study design at seven government hospitals in Qassim, Saudi Arabia. In total, 236 hospital pharmacists were present in the Qassim region, where 176 reported providing clinical pharmacy services invited to participate. Out of 176 distributed questionnaires, 174 returned, giving a response rate of 98.86%. The number of clinical pharmacists in Qassim hospitals was only 5 (5.7%). The mean knowledge, attitude, and practice scores were 8.72±3.0, 29.39±4.1, and 16.3±3.1, respectively. Most pharmacists had a low level of knowledge about clinical pharmacy services 46 (52.3%). Knowledge scores were significantly associated with the highest academic qualification (p=0.02). Most pharmacists agreed that clinical pharmacists can provide 84 (95.5%) drug information and monitor patient response to drug therapy 82 (93.2%). Attitude scores were significantly associated with age (p=0.001). Practice scores were significantly associated with age (p=0.001) and nationality (p=0.001). Most services provided in hospitals were patient counseling 82 (93.2%). The most common barriers identified were lack of staff, training, and time. Recognizing the importance of clinical pharmacy services and the role of clinical pharmacists in healthcare settings is an essential step toward improving patient safety. Therefore, pharmacists need proper training in clinical pharmacy services to gain confidence.
Keywords: knowledge, attitude, practice, pharmacists, clinical pharmacy services, Saudi Arabia.
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AMERICAN COLLEGE OF CLINICAL PHARMACY. The Definition of Clinical Pharmacy. Pharmacotherapy, 2008, 28(6): 816-817. https://www.accp.com/docs/positions/commentaries/Clinpharmdefnfinal.pdf
LEMAY J., WAHEEDI M., AL-TAWEEL D., BAYOUD T., and MOREAU P. Clinical pharmacy in Kuwait: Services provided, perceptions and barriers. Saudi Pharmaceutical Journal, 2018, 26(4): 481-486. https://pubmed.ncbi.nlm.nih.gov/29844718/
BARKER K.N., and VALENTINO J.G. On a political and legal foundation for clinical pharmacy practice. Journal of the American Pharmaceutical Association, 1972, 12: 202-206. https://pubmed.ncbi.nlm.nih.gov/5020410/
WHO. Role of the pharmacist in support of the WHO revised drug strategy. World Health Organization, 1994. https://apps.who.int/iris/handle/10665/177380
FIP & WHO. Joint International Pharmaceutical Federation and World Health Organization Guidelines on good pharmacy practice: Standards for quality of pharmacy services. 2012. https://www.fip.org/file/1476
TAVAKOLI F.C., ADAMS-SOMMER V.L., FRENDAK L.S., KIEHLE N.D., and DALPOAS S.E. Assessing the impact of a clinical pharmacist in a postsurgical inpatient population. Journal of Pharmacy Practice, 2022, 35(1): 32-37. https://journals.sagepub.com/doi/full/10.1177/0897190020938196
SHAH S.P., DIXIT N.M., MENDOZA K., ENTABI R., MEYMANDI S., BALADY-BOUZIANE N., and CHAN P. Integration of clinical pharmacists into a heart failure clinic within a safety-net hospital. Journal of the American Pharmacists Association, 2022, 62(2): 575-579. https://pubmed.ncbi.nlm.nih.gov/34896014/.
LEE H., RYU K., SOHN Y., KIM J., SUH G.Y., and KIM E. Impact on patient outcomes of pharmacist participation in multidisciplinary critical care teams: a systematic review and meta-analysis. Critical Care Medicine, 2019, 47(9): 1243-1250. https://pubmed.ncbi.nlm.nih.gov/31135496/
BASTIANELLI K.M., NELSON L., and PALOMBI L. Perceptions of pharmacists’ role in the health care team through student-pharmacist led point-of-care screenings and its future application in health care. Currents in Pharmacy Teaching and Learning, 2017, 9(2): 195-200. https://pubmed.ncbi.nlm.nih.gov/29233403/
PRUDENCIO J., CUTLER T., ROBERTS S., MARIN S., and WILSON M. The effect of clinical pharmacist-led comprehensive medication management on chronic disease state goal attainment in a patient-centered medical home. Journal of Managed Care and Specialty Pharmacy, 2018, 24(5): 423-429. https://pubmed.ncbi.nlm.nih.gov/29694290/
ALJADHEY H., MAHMOUD M.A., HASSALI M.A., ALRASHEEDY A., ALAHMAD A., SALEEM F., SHEIKH A., MURRAY M., and BATES D.W. Challenges to and the future of medication safety in Saudi Arabia. Saudi Pharmaceutical Journal, 2014, 22(4): 326-332. https://pubmed.ncbi.nlm.nih.gov/25161376/
MCCULLOUGH M.B., PETRAKIS B.A., GILLESPIE C., SOLOMON J.L., PARK A.M., OURTH H., MORREALE A., and ROSE A.J. Knowing the patient: A qualitative study on care-taking and the clinical pharmacist-patient relationship. Research in Social and Administrative Pharmacy, 2016, 12(1): 78-90. https://pubmed.ncbi.nlm.nih.gov/26004019/
ALMAZROU S., ALNAIM L., and AL-KOFIDE H. Perceptions, expectations and barriers of physicians towards working with clinical pharmacists in Saudi Arabia. Journal of Scientific Research and Reports, 2015, 6: 404-415. DOI: 10.9734/JSRR/2015/11637
ALSUHEBANY N., ALFEHAID L., ALMODAIMEGH H., ALBEKAIRY A., and ALHARBI S. Attitude and perception of physicians and nurses toward the role of clinical pharmacists in Riyadh, Saudi Arabia: A qualitative study. SAGE Open Nursing, 2019, 5: 1-8. https://doi.org/10.1177%2F2377960819889769
BADRELDIN H.A., ALOSAIMY S., and AL-JEDAI A. Clinical pharmacy practice in Saudi Arabia: Historical evolution and future perspective. Journal of the American College of Clinical Pharmacy, 2020, 3(5): 920-929. https://accpjournals.onlinelibrary.wiley.com/doi/abs/10.1002/jac5.1239
LAW M., BADER L., UZMAN N., WILLIAMS A., and BATES I. The FIP Nanjing Statements: Shaping global pharmacy and pharmaceutical sciences education. Research in Social and Administrative Pharmacy, 2019, 15(12): 1472-1475. https://www.sciencedirect.com/science/article/abs/pii/S1551741119301846
FATHELRAHMAN A.I., ALROBAIAN M., ALTOWAYAN W.M., MAGHRABI I., and ASIRI Y.A. Pharmacy education in Saudi Arabia: Achievements and challenges during the last two decades with a focus on Taif University as a case study. Saudi Pharmaceutical Journal, 2022, 30(6): 649-654. https://www.sciencedirect.com/science/article/pii/S1319016422001001
KORAYEM G.B., BADRELDIN H.A., ELJAALY K., ALDEMERDASH A., AL-SUHAIBANI L.K., JOHARJI H., ALJUHANI O., AL-OMARI B.A., ALMUDAIHEEM H.Y., ALHIFANY A.A., and ALAWAGI M. Clinical pharmacy definition, required education, training and practice in Saudi Arabia: A position statement by the Saudi society of clinical pharmacy. Saudi Pharmaceutical Journal, 2021, 29(11): 1343-1347. https://pubmed.ncbi.nlm.nih.gov/34819795/
MINISTRY OF HEALTH. Saudi Arabia Health Statistical Yearbook 2018. https://ghdx.healthdata.org/record/saudi-arabia-health-statistical-yearbook-2018
ALOMI Y.A., SHOROG E., ALSHAHRANI A., ALASMARY S., ALENAZI H., ALMUTAIRI A., and ALMUTAIRI M. National survey of pharmacy practice at MOH hospitals in Saudi Arabia 2016-2017: Prescribing and Medication Management. Journal of Pharmacy Practice and Community Medicine, 2018, 4(1s): 54-59. DOI: 10.5530/jppcm.2018.1s.20
TEGEGN H., ABDELA O., MEKURIA A., BHAGAVATHULA A., and AYELE A. Challenges and opportunities of clinical pharmacy services in Ethiopia: a qualitative study from healthcare practitioners’ perspective. Pharmacy Practice, 2018, 16(1): 1121. DOI: 10.18549/PharmPract.2018.01.1121
RAMALHO DE OLIVEIRA D., BRUMMEL A.R., and MILLER D.B. Medication therapy management: 10 years of experience in a large integrated health care system. Journal of Managed Care Pharmacy, 2010, 16: 185-195. https://pubmed.ncbi.nlm.nih.gov/20331323/
ALSULTAN M., MAYET A., KHURSHID F., and AL-JEDAI A. Hospital pharmacy practice in Saudi Arabia: Drug monitoring and patient education in the Riyadh region. Saudi Pharmaceutical Journal, 2012, 21(4): 361-370. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3824953/.
HUSSAIN R., HASSALI M., HASHMI F., and FAROOQUI M. A qualitative exploration of knowledge, attitudes and practices of hospital pharmacists towards adverse drug reaction reporting system in Lahore, Pakistan. Journal of Pharmaceutical Policy and Practice, 2018, 11, Article number: 16. DOI: 10.1186/s40545-018-0143-0
TEOH B.C., ALRASHEEDY A.A., HASSALI M.A., TEW M.M., and SAMSUDIN M.A. Perceptions of doctors and pharmacists towards medication error reporting and prevention in Kedah, Malaysia: A Rasch model analysis. Advances in Pharmacoepidemiology and Drug Safety, 2015, 4(5): 1000192. DOI: 10.4172/2167-1052.1000192
ABDEL-LATIF M. Knowledge of healthcare professionals about medication errors in hospitals. Journal of Basic and Clinical Pharmacy, 2016, 7(3): 87-92. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4910473/
ALMALKI Z.S., ALQAHTANI N., SALWAY N.T., ALHARBI M.M., ALQAHTANI A., ALOTAIBI N., ALOTAIBI T.M., and ALSHAMMARI T. Evaluation of medication error rates in Saudi Arabia: a protocol for systematic review and meta-analysis. Medicine, 2021, 100(9): 24956. DOI: 10.1097/MD.0000000000024956
ALSHAMMARI F.M., ALANAZI E.J., ALANAZI A.M., ALTURIFI A.K., and ALSHAMMARI T.M. Medication Error Concept and Reporting Practices in Saudi Arabia: A Multiregional Study among Healthcare Professionals. Risk Management and Healthcare Policy, 2021, 14: 2395-2406. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8187088/
AHMED A., SAQLAIN M., TANVEER M., BLEBIL A.Q., DUJAILI J.A., and HASAN S.S. The impact of clinical pharmacist services on patient health outcomes in Pakistan: a systematic review. BMC Health Services Research, 2021, 21(1): 1-14. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-021-06897-0
SUHAJ A., MANU M.K., UNNIKRISHNAN M.K., VIJAYANARAYANA K., and MALLIKARJUNA RAO C. Effectiveness of clinical pharmacist intervention on health‐related quality of life in chronic obstructive pulmonary disorder patients–a randomized controlled study. Journal of Clinical Pharmacy and Therapeutics, 2016, 41(1): 78-83. https://pubmed.ncbi.nlm.nih.gov/26775599/
ABDULSALIM S., UNNIKRISHNAN M.K., MANU M.K., ALSAHALI S., ALRASHEEDY A.A., MARTIN A.P., GODMAN B., and ALFADL A.A. Impact of a clinical pharmacist intervention on medicine costs in patients with chronic obstructive pulmonary disease in India. PharmacoEconomics – Open, 2020. 4(2): 331-342. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7248138/
ABDULSALIM S., UNNIKRISHNAN M.K., MANU M.K., ALRASHEEDY A.A., GODMAN B., and MORISKY D.E. Structured pharmacist-led intervention programme to improve medication adherence in COPD patients: a randomized controlled study. Research in Social and Administrative Pharmacy, 2018, 14(10): 909-914. https://pubmed.ncbi.nlm.nih.gov/29104008/
AL-ARIFI M.N., ALGHAMDI B., AL-SAADI M., IDRIS A.E., WAJID S., SAID R., and BABELGHAITH S.D. Attitudes and perceptions of healthcare providers towards clinical pharmacy services at a tertiary care hospital in Riyadh, Saudi Arabia. Tropical Journal of Pharmaceutical Research, 2015, 14(5): 913-918. http://www.tjpr.org. http://dx.doi.org/10.4314/tjpr.v14i5.23
AL-TAMEEMI N., and SARRIFF A. Knowledge, attitude and practice of pharmacists on medication therapy management: a survey in Hospital Pulau Pinang, Penang, Malaysia. Journal of Pharmaceutical Health Care and Sciences, 2019, 5, Article number: 1. https://pubmed.ncbi.nlm.nih.gov/30652009/
DUEDAHL T.H., HANSEN W.B., KJELDSEN L.J., and GRAABÆK T. Pharmacist-led interventions improve quality of medicine-related healthcare service at hospital discharge. European Journal of Hospital Pharmacy, 2018, 25(e1): 40-45. https://pubmed.ncbi.nlm.nih.gov/31157065/
YAO D., XI X., HUANG Y., HU H., HU Y., WANG Y., and YAO W. A national survey of clinical pharmacy services in county hospitals in China. PLOS One, 2017, 12(11): 0188354. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0188354
KARA E., KELLECİ ÇAKIR B., SANCAR M., and K. DEMİRKAN Impact of Clinical Pharmacist-led Interventions in Turkey. Turkish Journal of Pharmaceutical Sciences, 2021, 18(4): 517-526. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8430404/
ALAHMED A.A., ALKHEZI O.S., ALFAYEZ O.M., ASEERI M., MAHROUS A.J., ALHOSSAN A.M., FANIKOS J., and ALALWAN A. Characteristics of the ideal clinical pharmacy residency candidate: A survey of residency program directors and preceptors in Saudi Arabia. Saudi Pharmaceutical Journal, 2022, 30(1): 66-71. https://www.sciencedirect.com/science/article/pii/S1319016421002607
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