RESEARCH ARTICLE: A survey on student pharmacists' knowledge, attitude and perceptions about drug and poison information elective rotation in Saudi Arabia
Keywords:Drug and Poison information, Knowledge, Attitude, Perception, PharmD interns.
Background: Drug and poison information (DPI) elective rotation develops interns into drug information experts, educators, and policymakers. DPI is an important pharmaceutical service built on technical skills, knowledge and expertise.
Aim: A pre- and post-rotation survey to assess the current knowledge, attitude and perceptions of student pharmacists about DPI rotation.
Methods: Three cohorts of student pharmacists responded to the survey, which was composed of closed- and open-ended questions. Descriptive statistics, McNemar's test, and Chi-square test were utilised for data analysis.
Results: Knowledge of primary resources increased from 37.2% to 85.6% at the end of the rotation. In the beginning, only 13.8% were aware of Pharmacy and Therapeutic committee related activities, and 15.9% considered identification adverse drug reactions as auxiliary responsibilities. However, the proportion increased to 82% and 83.5% by the end of the rotation. Both at the beginning and the end, student pharmacists felt the training was essential to appraise literature. Twice the number of respondents expressed that there were job opportunities in the DPI centre post-rotation compared with the pre-rotation response (p<0.001). The perception of responding to queries at their own pace was significantly reversed post-rotation (p<0.001). A significant association was found between opportunities in DPI centre and motivation to choose this rotation (p<0.05). Also, knowledge of primary resources with previous research was significantly associated (p<0.05).
Conclusion: Interventions such as journal club, guest lectures and visit to the DPI centre significantly improved the knowledge, attitude and perceptions of student pharmacists towards this DPI rotation.
Abou-Auda, H.S., (2008). Information-seeking behaviors and attitudes of physicians toward drug information centers in Saudi Arabia. Saudi Medical Journal, 29, 107-115
Ahmed Al-jedai, A., (2016). Pharmacy practice and the health care system in Saudi Arabia. Canadian Journal of Hospital Pharmacy, 69(3), 231-237. https://doi.org/10.4212/cjhp.v69i3.1561
Alamri, S.A., Ali Al Jaizani, R., Naqvi, A.A., & Ghamdi, M. (2017). Assessment of drug information service in public and private sector tertiary care hospitals in the Eastern Province of Saudi Arabia. Pharmacy (Basel, Switzerland), 5(3), 37. https://doi.org/10.3390/pharmacy5030037
Al Doughan, F.F., Alomi, Y.A., Iflaifel, M.H., (2019). Pharmacist's awareness and knowledge of reporting adverse drug reactions in Saudi Arabia. International Journal of Pharmacology and Clinical Sciences 8(1), 60-65. https://doi.org/10.5530/ijpcs.2019.8.11
Almazrou, D.A., Ali, S., Alzhrani, J.A., (2017). Assessment of queries received by the drug information center at King Saud Medical City. Journal of Pharmacy and Bioallied Sciences, 9(4), 246-250
Alomi, Y.A., AL-Mudaiheem, H., Alsharfa, A., Albassri, H., Alonizi, K., Alothaian, M., Alreshidi, M., Alzahrani, T., (2016). National drug information center services through Ministry of Health hotline calling center (937) in Saudi Arabia. Advances in Pharmacoepidemiology and Drug Safety, 5(1), 198
Asiri, Y.A., Al-Arifi, M.N., Al-Sultan, M.S., Gubara O.A., (2007). Evaluation of Drug and Poison Information Center in Saudi Arabia During the Period 2000-2002. Saudi Medical Journal, 28(4), 617-619
Batool, M., Muzzamil, U., & Qureshi, R., (2019). Assessment and utilization of a pharmacist-assisted drug and poison information centre in Pakistan. International Journal of Medical Research & Health Sciences, 8(4), 117-123
Cafege, A., (1989). The Pharmacist as a Source of Drug Information. Annals of Saudi Medicine, 9(3), 291-295. https://doi.org/10.5144/0256-4947.1989.291
Churi, S., Abraham, L., Ramesh, M., & Narahari, M.G., (2013). Evaluation of poison information services provided by a new poison information center. Indian Journal of Pharmacology, 45(5), 496-501. https://doi.org/10.4103/0253-7613.117781
Gelayee, D.A., Mekonnen, G.B., Birarra, M.K., (2007). The needs and resources of drug information at community pharmacies in Gondar town, Northwest Ethiopia. BioMed Research International 2017, 1-6. https://doi.org/10.1155/2017/8310636
Gharibyar, H., Sharif, Y., Al-Quasme, K., & Fahmy, S., (2013). Physicians perception of drug information resources in the emirate of Abu Dhabi - UAE. Pharmacology & Pharmacy, 4(1), 52-6. https://doi.org/10.4236/pp.2013.41007
Ghaibi, S., Ipema, H., & Gabay, M., (2015). ASHP guidelines on the pharmacist's role in providing drug information. American Journal of Health-System Pharmacy, 72, 573-577. https://doi.org/10.2146/sp150002
Hedegaard, U., & Damkier, P., (2009). Problem-oriented drug information: Physicians' expectations and impact on clinical practice. European Journal of Clinical Pharmacology, 65, 515-522. https://doi.org/10.1007/s00228-008-0604-5
Khaliq, A., & Sayed, S.A., (2016). Drug and poison information centres: An emergent need for health care professionals in Pakistan. Journal of Pakistan Medical Association, 66(6), 639-643
Omer, A.A.A., & Abdularhim, M.E., (2017). The criteria of constructive feedback: The feedback that counts. J Health Specialties, 5(1), 45-48. https://doi.org/10.4103/2468-6360.198798
Ponampalam, R., & Anantharaman, V. (2003). The need for drug and poison information - The Singapore physicians' perspective. Singapore Medical Journal, 44(5), 231-242
Reppe, L.A., Spigset, O., & Schjøtt, J., (2010). Which factors predict the time spent answering queries to a drug information centre? Pharmacy World and Science, 32, 799-804. https://doi.org/10.1007/s11096-010-9440-7
Rahmner, P.B., Eiermann, B., Korkmaz, S., Gustafsson, L.L., Gruvén, M., Maxwell, S., et al (2017). Physicians' reported needs of drug information at point of care in Sweden. British Journal of Clinical Pharmacology, 73(1), 115-125. https://doi.org/10.1111/j.1365-2125.2011.04058.x
Ruppelt, S.C., & Vann, A.R. (2001). Marketing a hospital based drug information center (letter). American Journal of Health-System Pharmacists, 58(11), 1040. https://doi.org/10.1093/ajhp/58.11.1040
Shankar, P.R., Mishra, P., Subish, P., & Upadhyay, D.K. (2007). The drug information center at the Manipal teaching hospital-Going beyond drug information. Drug Information Journal, 41(6), 761-768. https://doi.org/10.1177/009286150704100608
Steel, N., Abdelhamid, A., Stokes, T., Edwards, H., Fleetcroft R., Howe A., & Qureshi, N. (2014). A review of clinical practice guidelines found that they were often based on evidence of uncertain relevance to primary care patients. Journal of Clinical Epidemiology, 67(1), 1251-1257. https://doi.org/10.1016/j.jclinepi.2014.05.020
Strobach, D., Gruber, A.C., Möhler, N.C. & Vetter-Kerkhoff, C., & (2015). Clinical impact of the hospital pharmacy drug information service: How does information on drug-drug interaction inquiries translate into clinical decisions? European Journal of Hospital Pharmacy, 22, 83-88. https://doi.org/10.1136/ejhpharm-2014-000487
Tefera, Y.G., Gebresillassie, B.M., Ayele, A.A., Belay, Y.B., & Emiru, Y.K., (2019). The characteristics of drug information inquiries in an Ethiopian university hospital: A two-year observational study. Scientific Reports, 9, 13835 https://doi.org/10.1038/s41598-019-50204-1
Verhoef, J.A.C., Miedema, H.S., Meeteren J.V., Stam, H.J., & Marij E Roebroeck, M.E., (2013). A new intervention to improve work participation of young adults with physical disabilities: a feasibility study. Developmental Medicine & Child Neurology, 55, 722-728. https://doi.org/10.1111/dmcn.12158
Walton, C.A., & Knodel, L.C. (1983). Drug information centers: ASHP's role and effect of clinical pharmacy. American Journal of Hospital Pharmacists, 40(7), 1217-1218. https://doi.org/10.1093/ajhp/40.7.1217
WHO [World Health Organisation]. (2004). WHO medicines strategy: Countries at the core, 2004-2007. Available at: https://apps.who.int/iris/bitstream/handle/10665/84307/WHO_EDM_2004.5_eng.pdf;jsessionid=BB92924962B81A0BBB3497E9F42C92CC?sequence=1