17 research outputs found
Optimizing clopidogrel dose response: a new clinical algorithm comprising CYP2C19 pharmacogenetics and drug interactions
Potentially inappropriate medications use in community-based aged patients: a cross-sectional study using 2012 Beers criteria
Descriptive assessment of graduates' perceptions of pharmacy-related competencies based on the Lebanese pharmacy core competencies framework
Background: Pharmacists possess a unique and complex body of knowledge, skills, attitudes, and behaviors necessary to enable them to optimize health outcomes. Pharmacy organizations publish routinely updated versions of professional competencies that help pharmacy schools integrate advances into their curricula. In Lebanon, no national framework for pharmacy education is officially adopted yet. In 2017, the Official Pharmacistsâ Association in Lebanon [OPL - Order of Pharmacists of Lebanon] took the initiative to develop a pharmacy core competency framework.
Objective: The primary objective of this survey was to evaluate graduates' perceptions of pharmacy-related competencies âtaughtâ across Lebanese pharmacy schools/faculties, based on the suggested Lebanese Pharmacy Competencies Framework. This study also explored the association between graduates' demographics, university attributes, and self-assessed competency performance.
Methods: A cross-sectional study involving pharmacists who graduated from Lebanese universities was performed through a 40-minute online questionnaire distributed over social media platforms and groups of pharmacists.
Results: Pharmacists perceived their competence as moderate upon graduation, the lowest scores being in fundamental knowledge and medicine supply; the highest reported scores were in personal skills and safe/rational use of medicines. Moreover, females, younger graduates, PharmD holders, and pharmacists working in hospitals/clinical settings and academia had the highest perception of their competencies. Pharmacists in the public sector and medical laboratory directors had the lowest perception of competence.
Conclusions: When comparing the taught curriculum to the suggested Lebanese Pharmacy Competency Framework, all domains need to be improved to optimize the perception, education, and practice of pharmacists. It is essential to emphasize fundamental knowledge, medicines supply, and public health competencies in undergraduate curricula and improve continuing professional education
Lebanese community-based pharmacistsâ interest, practice, knowledge, and barriers towards pharmacy practice research: A cross-sectional study
Objective: To assess the interest, knowledge, practice and barriers of Lebanese community-based pharmacists towards research, and to examine factors associated with interest. Methods: A cross-sectional survey, conducted between January and May 2017, enrolled community pharmacists using a proportionate random sample of community pharmacies in the five districts of Lebanon, using the list of pharmacies provided by the Lebanese Order of Pharmacists. In the absence of validated questionnaires to answer our objectives, we created a questionnaire based on previous research. The questionnaire was modified based on the experiences and issues raised during focus groups with research active pharmacists and research oriented community pharmacists. Results: A total of 399 pharmacists was enrolled. The results showed that 231 (72%) were conscious about the important role of research in the community pharmacy setting whereas only 5.6% considered it not important. Over two-thirds (68.5%) of the pharmacists declared being interested in participating in research. There was a statistical difference in the percentage of correct answers between auto-declared and corrected responses for all terms, with all pâŻ<âŻ0.001.The most reported barrier was lack of time during hours of work (90.9%), followed by the lack of pharmacy staff (73.7%), lack of financial resources (68.9%), patientâs lack of education and resistance to participation (64.8%), and lack of support (63.8%). Age (aORâŻ=âŻ0.92), years of experience (aORâŻ=âŻ1.06), and having been involved in research (aORâŻ=âŻ3.17) were associated with higher interest in research. Having studied in Lebanon (aORâŻ=âŻ3.63), having received previous research courses (aORâŻ=âŻ11.12) and being interested in research (aORâŻ=âŻ2.74) were associated with having participated in research projects during their professional experience. Conclusion: Lebanese pharmacists have the good will to conduct and participate in research, but are lacking knowledge; this issue needs to be addressed vividly. Addressing the identified barriers could improve the research output of Lebanese community pharmacists. Keywords: Barriers, Community pharmacist, Interest, Knowledge, Researc
Pharmacy education and workforce: strategic recommendations based on expert consensus in Lebanon
Abstract Pharmacy in Lebanon has been taught for years, and the profession has known the golden ages in previous years. However, with the recent graduation of hundreds of pharmacists, without prior workforce planning, the oversupply of non-specialized pharmacists caused a mismatch with the needs of the market. The context of severe socioeconomic and sanitary crises has further exacerbated the situation, with hundreds of pharmacists leaving the country. A group of pharmacy experts joined to suggest strategic solutions to face such challenges, suggesting a clear strategy for education and the workforce, overarched by educational and professional values and based on six main pillars: (1) implement a national competency framework (including the core and specialized competency frameworks) to be used as a basis for licensure (colloquium); (2) implement a national pharmacy program accreditation, encompassing standards related to competencies adoption and assessment, curricula, teaching methods, research and innovation, instructorsâ and preceptorsâ skills, and experiential training; (3) organize training for students and early-career pharmacists; (4) optimize continuing education and implement continuous professional development, fostering innovation and specialization among working pharmacists; (5) develop and implement a pharmacy workforce strategy based on pharmacy intelligence, job market, and academic capacities; (6) develop and implement a legal framework for the above-mentioned pillars in collaboration with ministries and parliamentary commissions. Under the auspices of the relevant authorities, mainly the Order of Pharmacists of Lebanon and the Ministry of Education and Higher Education, the suggested strategy should be discussed and implemented for a better future for the pharmacy profession
The effect of research on the perceived quality of teaching: a cross-sectional study among university students in Lebanon
Abstract Introduction The complementarity between research and teaching is still debated, although several higher education institutions require instructors to do research. In the absence of a consensus on this matter and given the lack of related studies in Lebanon, this study aimed to describe studentsâ perception of research integration into teaching, and to link research and professional skills to quality teaching, using validated scales related to these concepts. Methods A standardized questionnaire was diffused to university students; it included validated scales: the Student Perception of Research Integration Questionnaire (SPRIQ), the Adapted-Teachersâ quality assessment questionnaire (A-TQAQ), the Student Evaluation of Teaching short form (SET37-QS), and Knowledge and Attitudes Towards Health Research Questionnaire. Results Research integration was well perceived, and teaching was well evaluated by 445 participants from various disciplines, particularly those of a higher socioeconomic level, majoring in health, and females, as indicated by their mean scores. Research-active instructors had a significantly better-perceived teaching quality (17%; pâ<â0.001) than their non-active counterparts. This finding was particularly true among postgraduate and higher GPA students. The multivariable analysis showed that the knowledge and attitude towards research were related to studentsâ better perception of research integration and higher evaluation of teaching. Conclusion This study showed an overall good perception of research and teaching evaluation among participants from various disciplines, with research-active instructors having a better-perceived teaching quality. These findings could guide decisions on research integration into curricula using multidisciplinary methodologies to strengthen research integration and involve students in research activities
Descriptive assessment of graduates' perceptions of pharmacy-related competencies based on the Lebanese pharmacy core competencies framework
Background
: Pharmacists possess a unique and complex body of knowledge, skills, attitudes, and behaviors necessary to enable them
to optimize health outcomes. Pharmacy organizations publish routinely updated versions of professional competenc
ies that help
pharmacy schools integrate advances into their curricula. In Lebanon, no national framework for pharmacy education is officia
lly
adopted yet. In 2017, the
Official Pharmacistsâ Association in Lebanon [OPL
-
Order of Pharmacists of Lebanon]
t
ook the initiative to
develop a pharmacy core competency framework.
Objective
: The primary objective of this survey was to evaluate graduates' perceptions of pharmacy
-
related competencies âtaughtâ
across Lebanese pharmacy schools/faculties, based on the s
uggested Lebanese Pharmacy Competencies Framework. This study also
explored the association between graduates' demographics, university attributes, and self
-
assessed competency performance.
Methods
: A cross
-
sectional study involving pharmacists who gradua
ted from Lebanese universities was performed through a 40
-
minute online questionnaire distributed over social media platforms and groups of pharmacists.
Results
: Pharmacists perceived their competence as moderate upon graduation, the lowest scores being i
n fundamental knowledge
and medicine supply; the highest reported scores were in personal skills and safe/rational use of medicines. Moreover, female
s,
younger graduates, PharmD holders, and pharmacists working in hospitals/clinical settings and academia h
ad the highest perception of
their competencies. Pharmacists in the public sector and medical laboratory directors had the lowest perception of competence
.
Conclusions
: When comparing the taught curriculum to the suggested Lebanese Pharmacy Competency Fra
mework, all domains need
to be improved to optimize the perception, education, and practice of pharmacists. It is essential to emphasize fundamental
knowledge, medicines supply, and public health competencies in undergraduate curricula and improve continui
ng professional
educatio
The association of management and leadership competencies with work satisfaction among pharmacists in Lebanon
Abstract Background Pharmacists are at the core of the healthcare system and are the most accessible healthcare professionals. Their new roles involve leadership skills, among others. Work satisfaction of pharmacists might affect the quality of the services they provide. Hence, the primary objective of this study was to evaluate the management/leadership skills and work satisfaction of pharmacists and working pharmacy students. The secondary objective was to establish the relationship between management/leadership competencies and work satisfaction. Methods This cross-sectional study enrolled 415 Lebanese pharmacists and fifth-year pharmacy students (undergraduates) working in different pharmacy sectors across Lebanon from August 2021 through October 2021 using the snowball sampling technique and validated tools to assess management/leadership competencies and work satisfaction. Results Management/leadership competencies were significantly correlated with work satisfaction (Bâ=â0.288) and inversely associated with being engaged/married (Bâ=ââ 2.825) and living outside Beirut or Mount Lebanon (Bâ=ââ 1.873). Pharmacy students did not significantly differ in their leadership/management level from graduate pharmacists. Work satisfaction was significantly associated with management/leadership competencies (Bâ=â0.062) and inversely related to education level (Bâ=ââ 0.644). Conclusions Pharmacistsâ work satisfaction and management/leadership competencies are interrelated, although the level of satisfaction seemed lower than the declared level of competencies. These concepts are differentially affected by personal and work-related characteristics. More efforts should be exerted to improve both the satisfaction and management/leadership competencies of pharmacists in Lebanon
Should samples be weighted to decrease selection bias in online surveys during the COVID-19 pandemic? Data from seven datasets
International audienceBackground: Online surveys have triggered a heated debate regarding their scientific validity. Many authors have adopted weighting methods to enhance the quality of online survey findings, while others did not find an advantage for this method. This work aims to compare weighted and unweighted association measures after adjustment over potential confounding, taking into account dataset properties such as the initial gap between the population and the selected sample, the sample size, and the variable types. Methods: This study assessed seven datasets collected between 2019 and 2021 during the COVID-19 pandemic through online cross-sectional surveys using the snowball sampling technique. Weighting methods were applied to adjust the online sample over sociodemographic features of the target population. Results: Despite varying age and gender gaps between weighted and unweighted samples, strong similarities were found for dependent and independent variables. When applied on the same datasets, the regression analysis results showed a high relative difference between methods for some variables, while a low difference was found for others. In terms of absolute impact, the highest impact on the association measure was related to the sample size, followed by the age gap, the gender gap, and finally, the significance of the association between weighted age and the dependent variable. Conclusion: The results of this analysis of online surveys indicate that weighting methods should be used cautiously, as weighting did not affect the results in some databases, while it did in others. Further research is necessary to define situations in which weighting would be beneficial
Motivation to quit smoking and acceptability of shocking warnings on cigarette packages in Lebanon
Introduction: Health warnings on tobacco packages have been considered an essential pillar in filling the gap of knowledge and communicating the health risks of tobacco use to consumers. Our primary objective was to report the perception of smokers on the textual health warnings already appearing on tobacco packages in Lebanon versus shocking pictures about the health-related smoking consequences and to evaluate their impact on smoking behaviors and motivation. Methods: A pilot cross-sectional study was undertaken between 2013 and 2015 in five hospitals in Lebanon. Participants answered a questionnaire inquiring about sociodemographic characterisÂtics, chronic respiratory symptoms, smoking behavior and motivation to quit smoking. Only-text warning versus shocking pictures was shown to the smokers during the interview. Results: Exactly 66% of the participants reported that they thought shocking pictorial warnings would hypothetically be more effective tools to reduce/quit tobacco consumption compared to only textual warnings. Also, 31.9% of the smokers who were motivated to stop smoking reported that they actually had stopped smoking for at least 1 month secondary to the textual warnings effects. A higher motivation to quit cigarette smoking was seen among the following groups of smokers: males (odds ratio [OR] =1.8, P=0.02), who had stopped smoking for at least 1 month during the last year due to textual warning (OR =2.79, P<0.001), who considered it very important to report health warning on cigarette packs (OR =1.92, P=0.01), who had chronic expectoration (OR =1.81, P=0.06) and who would change their favorite cigarette pack if they found shocking images on the pack (OR =1.95, P=0.004). Conclusion: Low-dependent smokers and highly motivated to quit smokers appeared to be more hypothetically susceptible to shocking pictorial warnings. Motivation to quit was associated with sensitivity to warnings, but not with the presence of all chronic respiratory symptoms.SCOPUS: ar.jinfo:eu-repo/semantics/publishe