Practicing pharmacists’ patient counseling skills in the contextof reflectivity

Authors

  • Heli Kansanaho Division of Social Pharmacy, Viikinkaari 5 E (B.O.Box 56), 00014, University of Helsinki, Finland.
  • Maria Cordina Department of Pharmacy, University of Malta, Malta
  • Inka Puumalainen Department of Social Pharmacy, University of Kuopio, Finland.
  • Marja Airaksinen Division of Social Pharmacy, University of Helsinki,Finland.

Keywords:

Counseling, Finland, pharmacists, reflectivity

Abstract

Background: Pharmacists are expected to develop and re-evaluate their expertise in order to succeed in their working life, thus fulfilling the demands of the society. One of the tasks that has become essential in modern pharmacy practice is “reflective communication about medicines” with patients.

Methods: The purpose of this study was to describe the levels of patient counseling skills of 40 Finnish community pharmacists in the context of reflectivity. The theoretical background of the study was based on United States Pharmacopeia(USP) Medication Counseling Stages and Mezirow’s theoretical underpinning. The data consisted of essays written by 40 practicing pharmacists (M.Sc. and B.Sc. Pharm.) before starting the one-year patient counseling courses in 2000 (n=2) and 2001 (n=19). The data were analysed using categorization and thematic analysis.

Results: The results showed that only one pharmacist reached the level of critical consciousness. Altogether, 22 pharmacists remained at the level of affective reflectivity (the novice level of competency) and 10 remained at the level of consciousness (the beginner level of competency). With the exception of one pharmacist, they had poor understanding of the interactive role of a patient.

Conclusion: New teaching methods and evaluation tools applicable to basic education, continuing education and in-house training are needed to support reflective learning process in developing professional competencies, such as patient counseling skills.

References

Airaksinen, M., Vainio, K., Koistinen, J., Ahonen, R., Wallenius, S.,& Enlund, H. (1994). Do the public and pharmacists share opinions about drug information?International Pharmacy Journal,8(4), 168 –171.

Airaksinen, M., Ahonen, R., & Enlund, H. (1998). The “Questions to ask about your medicies” Campaign—an evaluation of pharmacists and the public’s response.Medical Care,36,422 –427.

Benson, A., & Latter, S. (1998). Implementing health promoting nursing: The integration of interpersonal and health promotion.Journal of Advanced Nursing,27, 100–107.

Blenkinsopp, A., Panton, R., & Anderson, C. (2000).Health promotion for pharmacists, 2nd ed. Oxford: University Press.

Boud, D. (1999). Avoiding the traps: Seeking good practice in theuse of self assessment and reflection in professional courses.Social Work Education,18(2), 121 –132.

Boud, D., & Middleton, H. (2003). Learning from others at work:Communities of practice and informal learning.Journal of Workplace Learning,15(5), 194 –202.

Boud, D., & Walker, D. (1998). Promoting reflection in professional courses: The challenge of context.Studies in Higher Education,23(2), 191–206.

Content analysis in qualitative research. http//www.metodix.com. Accessed from the Internet 02/2003.

De Young, M. (1996). Reflections on guidelines and theories for pharmacist–patient interactions.Journal of Pharmacy Teaching,5, 59–81.

Hargie, O., Morrow, N., & Woodman, C. (2000). Pharmacists’evaluation of key communication skills in practice.Patient Education and Counselling,39, 61–70.

Hepler, C. D., & Strand, L. M. (1993). Opportunities andresponsibilities in pharmaceutical care.American Journal of Hospital Pharmacy,47, 533–543, 1990.

Jarvinen, A. (1990). Reflektiivisen ajattelun kehittyminen opetta-jankoulutuksen aikana.Kasvatustieteiden tutkimuslaitoksen julk-aisusarja A. tutkimuksia 35.

Jyvaskyla Jyvaskylanyliopisto.Q5Jarvis, P. (1992). Reflective practice and nursing.Nurse Education,12, 174 –181.

Kansanaho, H., Pietila ̈, K., & Airaksinen, M. (2003). Can a long-term continuing education course in patient counselling promote a change in the practice of Finnish community pharmacists?International Journal of Pharmacy Practice,11,153 –160.

Kansanaho, H., Puumalainen, I., Varunki, M., Ahonen, R., &Airaksinen, M. (2004). Implementation of a professional program in Finnish community pharmacies in 2000–2002.

Patient education and counselling, in press.

Katajavuori, N., Valtonen, S., Pietila ̈, K., Pekkonen, O., Lindblom-Yla ̈nne, S., & Airaksinen, M. (2002). Myths behind patient counselling; a patient counselling study of non-prescription medicines in Finland.Journal of Social Administrative Pharmacy,19(4), 129–136.

Katajavuori, N., Hirvonen, J., & Lindblom-Yla ̈nne, S. (2003).The Development of excellence in pharmaceutical knowledge–New curriculum for the B.Sc.(Pharmacy) studies.Pharmacy education,3(3), 149–160.

Katajavuori, N., Lindblom-Yla ̈nne, S., & Hirvonen, J. (2004).Practical training period in pharmacy curriculum– mentors’ point of view.Research in Science Education, in press.

Katajavuori, N., Lindblom-Yla ̈nne, S., & Hirvonen, J. (2005). Thesignificance of practical training in linking theoretical studieswith practice.Higher Education, IN PRESS.

Marinker, M. (1997).From compliance to concordance: Achievingshared goals in medicine taking. Merck Sharp and Dohme: Royal Pharmaceutical Society of Great Britain

Mezirow, J. (1981). A critical theory of adult learning and education.Adult Education,32(1), 3 –24.

Mezirow, J. (1991).Transformative dimensions of adult learning.San Francisco, CA: Jossey-Bass publishers.

Narhi, U., Vainio, K., Ahonen, R., & Enlund, H. (1999). Detecting problems of patients with asthma in a community pharmacy- a pilot study.Journal of Social Administrative Pharmacy,16(3/4),127 –133.

Ora-Hyytiainen, E. (2004). Auttajasta reflektiiviseksi sairaanhoita-jaksi – Ammattikorkeakouluopiskelijan kasvu ja kehittyminenammattiin. (In Finnish with English abstract: The professional growth and development of a polytechnic student from a helperto a nurse) Doctoral Thesis, Acta Universitatits Tamperensis1032, The Univeristy of Tampere, Tampereen YliopistopainoOy, Juvenes Print, Tampere.

Pietila V. (1976).Sisallon erittely. (In Finnish: Content analysis) Helsinki: Gaudeamus.

Poskiparta, M. (1996). Terveysneuvonta, oppimaan oppimista.Videotallenteet hoitajien terveysneuvonnan ilmentajina ̈javuoro-vaikutustaitojen kehittamismenetelmana. (in Finnish) (Nurses’self-assessment via videotaping to development communication skills)Studies in sport physical education and health 46 (Doctoraldissertation), Jyvaskylan yliopistopaino, University of Jyvaskyla ,Jyvaskyla.

Puumalainen, I., Halonen, P., Enlund, H., Johnson, K., &Airaksinen,M.(2004).Validation of the United States Pharmacopeia (USP) Medication Counselling Behavior Guide-lines.Pharmacy World and Science, under review at the moment.

Schon, D. (1987).Educating the reflective practitioner: Toward a new design for teaching and learning in problems. San Francisco: JosseyBass Publishers.

Sihvo, S., & Hemminki, E. (1999). Self medication and health habits in the management of upper gastrointestinal symptoms. Patient Education and Counselling,37, 55–63.

Sihvo, S., Ahonen, R., Mikander, H., & Hemminki, E. (2000). Self medication with vaginal anti fungal drugs: Physicians’ experiences and women’s utilization patterns.Family Practice,17(2),145 –149.

Smyth, J. (1992). Teacher work and the politics of reflection. American Education Research,2, 267–300.

Szasz, T., & Hollander, M. (1956). A contribution to the philosophy of medicine.Archives of Internal Medicines,97, 585–592.

Tiuraniemi, J. (2002). Reflektiivisyys asiantuntijatyossa TeoksessaTaitavan toiminnan psykologia. (Reflectivity in professionalcompetence) (In Finnish) In P. Niemi, & E. Keskinen (Eds.),Turun yliopiston psykologian laitoksen julkaisuja. Turku: Yliopis-topaino.

Tynjala, P., Nuutinen, A., Etelapelto, A., Kirjonen, J., & Remes, P.(1997). The acquisition of professional expertise—a challengefor educational research.Scandinavian Journal of Educational Research,41, 475 –494.United States of Pharmacopeia. On the Internet: http://www.usp.org. Accessed 06/2002.

Van Manen, M. (1977). Linking ways of knowing with ways of beingpractical.Curriculum Inquiry,6, 205–228.

WHO/Regional Office of Europe (1999). Health 21—Health for allin the 21st century. The Health for all Policy Framework for theWHO European Region. European “Health for All” Series no. 6.Regional office of Europe, Copenhagen.

Wong, F. K. Y., Kember, D., Chung, L. Y. F., & Yan, L. (1995).Assessing the level of student reflection from reflective journals.Journal of Advanced Nursing,22, 48–57

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Kansanaho, H., Cordina, M., Puumalainen, I., & Airaksinen, M. (2018). Practicing pharmacists’ patient counseling skills in the contextof reflectivity. Pharmacy Education, 5(1). Retrieved from https://pharmacyeducation.fip.org/pharmacyeducation/article/view/110

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Research Article