THE CHOICE OF PHARMACY PROFESSION AS A CAREER: UAE EXPERIENCE

ABSTRACTObjective: Students decision to choose pharmacy as a future career is one of many difficult choices, they have to make as they enter the university, andit is a big decision as they have to live with the consequences the rest of their lives.Aim: The purposes of this study were to evaluate the student's reasons for selecting to study pharmacy major and gauge the student's perception andattitude regarding pharmacy education, pharmacists, and pharmacy profession.Methods: A cross-sectional survey-based study.Results: Family encouragement (213; 84.5%), personal interest (179; 71.0%), and to get a medical professional degree (199; 79.0%) were reportedby the majority of the students under investigation as a personal reason to join pharmacy as a career. Interestingly, when participants were asked toshow their opinion about the relationship between what they had studied and reality of the practice, almost half 25 (47.2%) reported no.â€Conclusion: Despite the positive attitude of students to work as a member of health-care team, pharmacy curriculum in the colleges of pharmacy andpharmacy practice at the community level have to be revised and improved to meet students' expectation after graduation, to change student opinionregarding advising a family member or a friend to study pharmacy, and to help students to find a good relationship between the study and the realityof pharmacy practice.Keywords: Pharmacy students, Pharmacy education, Career preferences, United Arab Emirates, Educational and Practice Research

A Pilot Study Assessing the Barriers to Pharmacy Practice in Dubai, United Arab Emirates

Purpose: To explore the barriers to the practice of pharmacy in Dubai, United Arab Emirates (UAE).Methods: In a questionnaire-based cross-sectional study, 50  questionnaires were distributed torandomly selected pharmacies in Dubai. The questionnaire contained information for collecting data on demographic data, technical-related information, and barriers to optimized pharmaceutical services.Results: A total of 31 of the 50 questionnaires were returned, giving a response rate of 62 percent. Of these, 20 (65 %) were male, 25 (81 %) holding bachelor degree, and almost three quarters 23 (74 %) were Indian and had their bachelor degree in India. More than half (n = 18, 59 %) reported that they functioned as pharmacists-in-charge and dispense more than 100 prescriptions in 1 business week during the study period. Enhanced pharmacy services offered by pharmacists under investigation were minimal for drug outcomes monitoring (9.68 %), counseling in hyperlipidaemia (6.45 %), and hypertension (9.68 %). A high proportion of pharmacists studied agreed that pharmacists lack customers' recognition in Dubai (54.8 %) and receive inadequate salary (67.8 %), and that pharmacy practice in Dubai is business-oriented (74.2 %). Nearly all the pharmacists (93.5 %) agreed that lack of sales bonus and high running costs are major barriers to optimized pharmacy services in Dubai.Conclusion: This pilot study gives some insight into the impediments community pharmacists in Dubai face while delivering pharmacy services to patients. These findings can be used to promote discussion in the profession and with stakeholders about the future role of the community pharmacist in patient care in UAE.Keywords: Barriers; Community pharmacy; Pharmacy practice; United Arab Emirates, Drug outcomes monitoring, Counselin

Identifying Risk Factors for Incautious Use of Non-Prescription Drugs Among Higher Education Institutions' Students in Emirates

Objective: The aim of this research is to identify risk factors for incautious use of oral non-prescription drugs (ONPD) and inform recommendations that promote cautious ONPD use among HEI students in the UAE. Methods: A cross-sectional survey-based study was conducted with 2875 students in three randomly selected UAE universities between January and April 2014. Results: More than half (1348; 57) of participants reported using of ONPD in the past 90 days before study commencement. Of 1348 participants reported using ONPD, one-quarter (1348; 22.2) of ONPD was classified as incautious ONPD usage. Analgesic/antipyretic (84.9), non-steroidal anti-inflammatory drugs (NSAIDs) (1028; 76.3), and cough and cold drugs (562; 41.7) were reported by the majority of participants as the most commonly used ONPD. 10 risk factors were identified for incautious ONPD use. Participants with age group of 21 years and older (OR=0.554, 95; CI=0.373-0.823; p<0.001), female (OR=0.339, 95; CI=0.236-0.486; p<0.001), and students from medical schools (OR=0.619, 95; CI=0.435-0.882; p=0.008) had lower odds of being incautious users compared to lower age group, males, and students from non-medical schools. Furthermore, participants with a polypharmacy behavior had higher odds of being irresponsible ONPD user than monopharmacy users (OR=1.400, 95; CI=1.030- 1.02; p<0.001). Conclusion: One of five students is an incautious ONPD user. There is a need for an educational and behavioral intervention to motivate students to be cautious users. © 2017 The Authors

A qualitative study exploring public perceptions on the role of community pharmacists in Dubai

Background: The role of community pharmacists is very important due to their access to primary care patients and expertise. For this reason, the interaction level between pharmacists and patients should be optimized to ensure enhanced delivery of pharmacy services. Objective: To gauge perceptions and expectations of the public on the role of community pharmacists in Dubai, United Arab Emirates (UAE). Methods: Twenty five individuals were invited to participate in 4 separate focus group discussions. Individuals came from different racial groups and socioeconomic backgrounds. Interviews were audio-recorded and transcribed. Using thematic analysis, two reviewers coded all transcripts to identify emerging themes. Appropriate measures were taken to ensure study rigor and validity. Results: All facilitators and barriers that were identified were grouped into 5 distinct themes. The pharmacist as a healthcare professional in the public mind was the most prominent theme that was discussed in all 4 focus groups. Other themes identified were, in decreasing order of prevalence, psychological perceptions towards pharmacists, important determinants of a pharmacist, the pharmacy as a unique healthcare provider, and control over pharmacies by health authorities

The role of pharmacists in developing countries: The current scenario in the United Arab Emirates

AbstractPharmacy practice has passed several rounds of advancements over the past few years. It had changed the traditional positioning criteria of pharmacists as business people into patient-centered healthcare professionals. This worldwide shift is increasingly accumulating pressure on UAE pharmacists to turn up into better level of service providing accompanied with higher demand of inter-personal skills and intellectual capabilities. This can be accomplished through stressing the significance of continuing pharmacy education in basic sciences as well as social and administrative pharmacy techniques and its collaboration in elevating the quality of pharmacy practice in the UAE

Attitudes and Perceptions of Healthcare Providers and Medical Students Towards Clinical Pharmacy Services in United Arab Emirates

Purpose: To explore healthcare providers' (HCPs) and medical students’ attitudes to, and perceptions of the pharmaceutical services that clinical pharmacists can provide in United Arab Emirates.Methods: A total of 535 participants (265 HCPs and 270 medical students) were asked to complete a questionnaire over a period of three months (January through March 2009). Results: Almost three quarters of the students perceived that the clinical pharmacist is an important part of the healthcare team while 82% believed that clinical pharmacists can help improve the quality of medical care in hospitals. Eighty one percent of medical students expressed confidence in the ability of clinical pharmacists to minimize medication errors. Although slightly more than half of the respondents (53%) reported that they did not have clinical pharmacy services in their institutions, there was substantial willingness among physicians and nurses to cooperate with clinical pharmacists. The majority of physicians (92%) and nurses (87%) expressed the view that the clinical pharmacist is an important integral part of the healthcare team. Conclusion: The HCPs and medical students in the study setting valued the role of clinical pharmacists in healthcare delivery. However, new developments in pharmacy services in the UAE hospital setting is recommended for adoption in hospitals.Key words: Clinical pharmacy services, Pharmaceutical care, Perception, Healthcare providers

Self-medication with oral antibiotics among University students in United Arab Emirates

Purpose: To investigate the prevalence of antibiotic use without prescriptions and to identify factors associated with this behavior among university students using oral non-prescription drugs (ONPD). Methods: A cross-sectional study was conducted among the students of major universities in UAE. A multistage sampling technique was used in the present study. Results: Out of 2875 students, only 2355 (81.9 %) questionnaire were fully answered and included. Of 2355, more than half (1348; 57.2 %) of the participants reported using ONPD. More than one-third (484, 35.9 %) of 1348 participants used antibiotics without a prescription during the 90 days prior to the present study. Binary logistic regression identified nine statistically significant variables: nationality (OR = 0.471, 95 % CI: 0.326 - 0.681, p &lt; 0.001); cost-influence behavior (OR = 1.716, 95 % CI: 1.175 - 2.508, p &lt; 0.005); belief in ONPD effectiveness (OR = 0.332, 95 % CI: 0 .135 - 0.815, p &lt; 0.05); year of study (OR = 0.310, 95 %, CI: 0.141 - 0.681, p &lt; 0.004); medication knowledge (OR = 0.619, 95 % CI: 0.443 - 0.866, p &lt; 0.005); self-care orientation (OR=1.878, 95 % CI: 1.304 - 2.706, p &lt; 0.001); using ONPD helps to save money (OR=1.665, 95 % CI: 1.047-2.649, p&lt;0.04); and urgency of use (OR = 1.644, 95 %, CI: 1.144 - 2.363, p &lt; 0.007); as well as being healthcare students (OR = 1.465, 95 %, CI: 1.012 - 2.120, p &lt; 0.05). Conclusion: There is a need for educational intervention to improve students’ knowledge, attitude, and awareness regarding the risk of using antibiotics without prescriptions

Changes of some Health Indicators in Patients with Type 2 Diabetes: A Prospective Study in three Community Pharmacies in Sharjah, United Arab Emirates

Aim: The study aimed to examine changes in some health indicators in people with type 2 diabetes mellitus, namely: reported self-care activity, health related quality of life, and patient opinion of the services provided by three community pharmacies in Sharjah, UAE. Method: A group of patients was followed over 24 months. Patients under investigation received reminders packages during the first three months of the study. No reminders were sent after 3 months after the study was underway. Repeated measures ANOVA were used to test differences between means over different periods. Results: All patients included in this study were found to have poor diet and exercise behavior at baseline. Three months into the study, more than 27% of the patients had acceptable diet, exercise, foot care and self-testing behavior. However, evaluation at six months and 24-months show that mean scores had almost returned to baseline levels. There were significant differences between the mean values of initial (baseline data) and final (at the end of the study) scores for general health (5.86, p = 0.001), vitality (5.25, p < 0.001), and role physical scales (3.81, p = 0.02). There was a significant (p < 0.001) 25% increase in the patients' perception of the ability of the pharmacist to assist in decreasing blood glucose level. Conclusion: Ongoing reminder packages are needed for continued progress in self-care activities and for achieving lasting changes in the behavior. Implementation of such a strategy through community pharmacies could help to improve patients' views of the quality of services received from these pharmacies and patient's quality of life, which should improve patient's drug therapy and reduce complications of diabetes

What Drives Using Antibiotic without Prescriptions? A Qualitative Interview Study of University Students in United Arab Emirates

Bacterial resistance to antibiotics is considered as natural phenomenon that occurs over the time due to genetic changes. Bacterial resistance to antibiotics is significantly increasing in the UAE. Self-medication with antibiotics has been identified as a major factor for the development of antibiotic resistance, which is significantly increasing in the UAE.The purpose of this study was to explore the factors that contribute to the use of antibiotics without prescriptions among first year healthcare university students in UAE.Based on the findings of an earlier survey study, a qualitative interview study was designed to explore common themes related to student's knowledge, awareness, attitude, views, and perceptions. Data were analyzed thematically for the identification of themes and subthemes within the data through the use of coding.The interview study identified four main themes with multiple subthemes related to the use of antibiotics without a physician's prescription by first-year healthcare students. The thematic analysis of the interviews revealed four main themes; medication habits and practices; reasons for self-medication; access to antibiotics without a prescription and gaps in students' knowledge regarding antibiotic resistance.Healthcare students in UAE are influenced by several factors including parents and friends influence, successful previous experience and investment of time and money to visit a physician. Our sample of healthcare students has a misconception about the use of antibiotics. The current interview study identified six new reasons for using antibiotics without prescriptions as compared to our earlier survey study. There is a need of multifaceted strategies to decrease unnecessary antibiotic use in our population sample

Self-medication with oral antibiotics among University students in United Arab Emirates

Purpose: To investigate the prevalence of antibiotic use without prescriptions and to identify factors associated with this behavior among university students using oral non-prescription drugs (ONPD). Methods: A cross-sectional study was conducted among the students of major universities in UAE. A multistage sampling technique was used in the present study. Results: Out of 2875 students, only 2355 (81.9 %) questionnaire were fully answered and included. Of 2355, more than half (1348; 57.2 %) of the participants reported using ONPD. More than one-third (484, 35.9 %) of 1348 participants used antibiotics without a prescription during the 90 days prior to the present study. Binary logistic regression identified nine statistically significant variables: nationality (OR = 0.471, 95 % CI: 0.326 - 0.681, p < 0.001); cost-influence behavior (OR = 1.716, 95 % CI: 1.175 - 2.508, p < 0.005); belief in ONPD effectiveness (OR = 0.332, 95 % CI: 0 .135 - 0.815, p < 0.05); year of study (OR = 0.310, 95 %, CI: 0.141 - 0.681, p < 0.004); medication knowledge (OR = 0.619, 95 % CI: 0.443 - 0.866, p < 0.005); self-care orientation (OR=1.878, 95 % CI: 1.304 - 2.706, p < 0.001); using ONPD helps to save money (OR=1.665, 95 % CI: 1.047-2.649, p<0.04); and urgency of use (OR = 1.644, 95 %, CI: 1.144 - 2.363, p < 0.007); as well as being healthcare students (OR = 1.465, 95 %, CI: 1.012 - 2.120, p < 0.05). Conclusion: There is a need for educational intervention to improve students’ knowledge, attitude, and awareness regarding the risk of using antibiotics without prescriptions