Knowledge and perceptions of graduating BS pharmacy students in Metro Manila to counsel on the use of medical devices for diabetes management: A cross-sectional study
DOI:
https://doi.org/10.46542/pe.2024.241.782792Keywords:
Glucometer, Insulin pen, Insulin syringe, Medical device, Patient counselling, Pharmacy studentAbstract
Background: Insulin syringe, insulin pen, and glucometers are crucial for diabetes management, but improper use can cause harm. Effective patient counselling by pharmacy professionals can reduce errors. This study evaluates the knowledge, perceived capability, and preparedness of graduating BS Pharmacy students in Metro Manila to counsel patients on diabetes management devices.
Methods: A cross-sectional online survey (Google Forms) was conducted with 212 students from 7 Philippine Association of College of Pharmacy (PACOP) member pharmacy schools in Metro Manila, using stratified random sampling. The survey assessed knowledge and perceived capability regarding medical devices used for diabetes management.
Results: A significant proportion of participants had low knowledge of insulin syringes (51.89%), insulin pens (26.89%), and glucometers (12.26%). Despite this, most participants reported high perceived capability in counselling on insulin syringes (77.36%), insulin pens (79.72%), and glucometers (85.38%). The presence of course hours was positively correlated with perceived capability: insulin syringe course hours (p = 0.003), insulin syringe practical course hours (p = 0.049), insulin pen course hours (p = 0.032), glucometer course hours (p = 0.003), and glucometer practical course hours (p = 0.006). Laboratory course hours negatively affected glucometer knowledge (coefficient = -0.53, p = 0.029).
Conclusion: Graduating BS Pharmacy students in Metro Manila exhibit low knowledge but high perceived capability in counselling on diabetes management devices. Course hours enhance perceived counselling capability, indicating a need to review the BS Pharmacy curriculum in the Philippines.
References
Agaceta, C., Diano, G. T., Lintag, P. M. P., & Loquias, M. M. (2014). Perceived Bbrriers to the implementation of pharmaceutical care among pharmacists in private and government hospitals in Metro Manila. International Journal of Molecular Sciences, 5, 436‒440. https://www.ijpsr.info/docs/IJPSR14-05-08-101.pdf
Alghadeer, S., Aljuaydi, K., Alanazi, M., Balkhi, B., Alhossan, A., & AlRuthia, Y. (2019). The attitude and basic knowledge of insulin pump therapy among healthcare providers. Biomedical Research, 30(3), 191. https://doi.org/10.35841/biomedicalresearch.30-19-181
American Diabetes Association. (2020). 7. Diabetes technology: Standards of medical care in diabetes—2020. Diabetes Care, 43(Supplement_1), S77‒S88. https://doi.org/10.2337/dc20-s007
American Diabetes Association. (n.d.). Insulin pens. Retrieved December 1, 2022 from https://diabetes.org/tools-support/devices-technology/insulin-pens
Axon, D. R., Alamer, A., Almatruk, Z., & Fazel, M. T. (2022). Assessing student pharmacists' confidence and knowledge of basic diabetes self-management skills. Currents in Pharmacy Teaching & Learning, 14(8), 982–989. https://doi.org/10.1016/j.cptl.2022.07.017
Bain, A., Kavanagh, S., McCarthy, S., & Babar, Z. (2019). Assessment of insulin-related knowledge among healthcare professionals in a large teaching hospital in the United Kingdom. Pharmacy (Basel, Switzerland), 7(1), 16. https://doi.org/10.3390/pharmacy7010016
Bari, B., Corbeil, M. A., Farooqui, H., Menzies, S., Pflug, B., Smith, B. K., & Berard, L. (2020). Insulin injection practices in a population of Canadians with diabetes: An observational study. Diabetes Therapy, 11(11), 2595‒2609. https://doi.org/10.1007/s13300-020-00913-y
Bhandari, R., Basnet, K., & Bhatta, K. (2022). Internship experience: A transition from academic world to health care workplace. JNMA; Journal of the Nepal Medical Association, 60(247), 331–334. https://doi.org/10.31729/jnma.7383
Binos, R. S., Larn, K., & Yu, A. H. (2011). Perceptions of pharmacy students in Metro Manila towards their preparedness to provide pharmaceutical care. International Journal of Pharmacy Teaching & Practices, 2(3), 102‒107. https://www.iomcworld.org/articles/perceptions-of-pharmacy-students-in-metro-manila-towards-their-preparedness-to-provide-pharmaceutical-care.pdf
Brown, V., & Grobbelaar, L. (2019). Getting the most out of your continuous glucose monitor. Diabetes Lifestyle, 2019(1), 44‒46. https://journals.co.za/doi/abs/10.10520/EJC-13af9c6c2c
Centers for Disease Control and Prevention. (2021). Monitoring your blood sugar. Retrieved December 1, 2022 from https://www.cdc.gov/diabetes/managing/managing-blood-sugar/bloodglucosemonitoring.html
Diabetes.co.uk. (2022). Injecting insulin with a syringe. Retrieved December 22, 2022 from https://www.diabetes.co.uk/insulin/injecting-insulin-with-a-syringe.html
Fathelrahman, A. I. (2020). Pharmacy students' perception of their preparedness to counsel patients about medical devices: An exploratory study from Saudi Arabia. Archives of Pharmacy Practice, 11(4). https://archivepp.com/article/pharmacy-students-perception-of-their-preparedness-to-counsel-patients-about-medical-devices-an-exploratory-study-from-saudi-arabia
Forough, A. S., & Esfahani, P. R. (2017). Impact of pharmacist intervention on appropriate insulin pen use in older patients with type 2 diabetes mellitus in a rural area in Iran. Journal of Research in Pharmacy Practice, 6(2), 114. https://doi.org/10.4103/jrpp.JRPP_16_151
Jittsue, A., Sangjam, P., Treesak, C., & Hanlerdrit, T. (2016). Assessment of knowledge and practice of patients before and after counseling in the use of the reusable insulin pen at Vachiraphuket Hospital. Songklanagarind Medical Journal, 34(1), 27‒37. http://smj.medicine.psu.ac.th/index.php/smj/article/view/18
Kilgour, J. M., Grundy, L.., & Monrouxe, L. V. (2016). A rapid review of the factors affecting healthcare students' satisfaction with small-group, active learning methods. Teaching and Learning in Medicine, 28(1), 15–25. https://doi.org/10.1080/10401334.2015.1107484
Kurnia, T. A., Trisyani, Y., & Prawesti, A. (2020). The relationship between nurses' knowledge and self-confidence in implementing palliative care in an intensive care unit. International Journal of Palliative Nursing, 26(4), 183–190. https://doi.org/10.12968/ijpn.2020.26.4.183
Mane, D., Demba, D., Djiby, S., Assane, N., Camara, A., Barrage, A., Ka-Cissé, M., Anna, S., & Maimouna, N. (2019). Knowledge, attitudes and practices (K.A.P) of pharmacy pharmacists of the Department of Dakar in the care of diabetics. Journal of Diabetes Mellitus, 09, 113‒125. https://doi.org/10.4236/jdm.2019.93011
Ng, C. J., Lai, P. S. M., Lee, Y. K., Azmi, S. A., & Teo, C. H. (2015). Barriers and facilitators to starting insulin in patients with type 2 diabetes: A systematic review. International Journal of Clinical Practice, 69(10), 1050–1070. https://doi.org/10.1111/ijcp.12691
Penm, J., & Potter, L. (2019, September 24). A2 - Pharmacists’ role in medical devices: From diagnosis to monitoring of therapy. International Pharmaceutical Federation. https://abudhabi2019.fip.org/programme-session/pharmacists-role-in-medical-devices-from-diagnosis-to-monitoring-of-therapy-a2/
Tase, A., Vadhwana, B., Buckle, P., & Hanna, G. B. (2022). Usability challenges in the use of medical devices in the home environment: A systematic review of literature. Applied Ergonomics, 103, 103769. https://doi.org/10.1016/j.apergo.2022.103769
Truong, T. H., Nguyen, T. T., Armor, B. L., & Farley, J. R. (2017). Errors in the administration technique of insulin pen devices: A result of insufficient education. Diabetes Therapy: Research, Treatment and Education of Diabetes and Related Disorders, 8(2), 221–226. https://doi.org/10.1007/s13300-017-0242-y
Valliant, S. N., Burbage, S. C., Pathak, S., & Urick, B. Y. (2022). Pharmacists as accessible health care providers: Quantifying the opportunity. Journal of Managed Care & Specialty Pharmacy, 28(1), 85‒90. https://doi.org/10.18553/jmcp.2022.28.1.85
Vreeland, K. C. B., Arteta, L. C. G., Basto, K. M. L., Cabaron, C. K. D., Chicombing, R. J. C., Dagayloan, A. J. B., & Andal, M. S. (2022). Public awareness, expectations, and views on community pharmacist’s roles and practices in the Philippines. GSC Biological and Pharmaceutical Sciences, 20(1), 022‒031. https://gsconlinepress.com/journals/gscbps/sites/default/files/GSCBPS-2022-0260.pdf
Weinhold, T., Del Zotto, M., & Rochat, J. (2018). Improving the safety of disposable auto-injection devices: A systematic review of use errors. AAPS Open, 4, 7. https://doi.org/10.1186/s41120-018-0027-z