The evidence-based supply of non-prescription medicines: barriers and beliefs
- 1 June 2004
- journal article
- Published by Oxford University Press (OUP) in International Journal of Pharmacy Practice
- Vol. 12 (2), 65-72
- https://doi.org/10.1211/0022357023475
Abstract
Context The reclassification of prescription only medicines (POMs) to pharmacy only (P) and general sale list (GSL) status is ongoing in the UK. Pharmacy staff need support to ensure the appropriate supply of these non-prescription medicines (NPMs). Objective To investigate the type of evidence used in the decision to supply NPMs and the barriers associated with their supply. Methods A participant observation study was conducted in nine pharmacies in one area of Scotland (Grampian). In-depth interviews were conducted with one pharmacist and one medicine counter assistant (MCA) from each pharmacy to explore and compare their attitudes and beliefs towards evidence-based practice (EBP) and the supply of NPMs. Key findings Most consultations were product requests. Pharmacy staff had little awareness or understanding of the term EBP and no specific evidence was used in the majority of consultations. Pharmacists' attitudes towards EBP varied. Personal experience or feedback from customers were cited as evidence upon which treatment recommendations were based. Many barriers and problems were associated with the supply of NPMs. These included: lack of evidence; MCAs' self-perception of their role; questioning and communication skills; safety; and training needs. There was a gap between pharmacists' and MCAs' perceptions of who should be referred to the pharmacist. Many staff used the WWHAM mnemonic for questioning customers, but this was often used as a matter of rote rather than as a framework to engage the customer in a relevant and constructive consultation. The development of adequate communication skills to allow core information to be obtained to support decision making needs to be addressed. Conclusion An increased awareness of EBP and its role in quality care needs to be promoted to community pharmacists and MCAs. There is currently no formal continuing education provision or requirement for MCAs in the UK. Pharmacy staff, particularly MCAs, require continuing education on the supply of NPMs.Keywords
This publication has 8 references indexed in Scilit:
- Educational strategies to promote evidence-based community pharmacy practice: a cluster randomized controlled trial (RCT)Family Practice, 2002
- Qualitative methods in research on healthcare qualityQuality and Safety in Health Care, 2002
- Systematic review of randomised controlled trials of over the counter cough medicines for acute cough in adultsBMJ, 2002
- Oral versus intra-vaginal imidazole and triazole anti-fungal agents for the treatment of uncomplicated vulvovaginal candidiasis (thrush): a systematic reviewBJOG: An International Journal of Obstetrics and Gynaecology, 2002
- Appropriateness measurement: application to advice-giving in community pharmaciesSocial Science & Medicine (1982), 2000
- Doctor-patient communication and patient satisfaction: a reviewFamily Practice, 1998
- Qualitative research methods in health technology assessment: a review of the literature.Health Technology Assessment, 1998
- Over the Counter Drugs: Patients, society, and the increase in self medicationBMJ, 1996