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1

Morrow, Norman C. "Communication as a focus in pharmacy education and practice." Thesis, Queen's University Belfast, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.254310.

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Hagemeier, Nicholas E. "Patient Communication and Education." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5434.

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Pihl, Rebecka. "Are Swedish pharmacy students prepared for patient communication at a distance? : A focus group study on pharmacy students' views and opinions on telepharmacy and pharmacy education, with a focus on communication at a distance." Thesis, Uppsala universitet, Institutionen för farmaci, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-446762.

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Background: The use of telepharmacy has increased worldwide during the last decades, and facilitated by the COVID-19 pandemic, it will likely accelerate further. Sweden has several pre-conditions needed for telepharmacy, yet, telepharmacy development is slow. Aim: The present study's objective was to examine Swedish pharmacy students' views and opinions on telepharmacy in Sweden today and their education. A particular interest in communication education and whether it has prepared the students for patient communication at a distance. Additionally, the study explores e-pharmacy professionals views on the needed skills and experiences when working in the Swedish telepharmacy field. Methods: Two focus groups of fourth-year pharmacy students were performed in April 2021 via the web-based videoconference program Zoom. An open-ended questionnaire was sent via e-mail to practising e-pharmacy professionals. Five students and three e-pharmacy professionals participated in the study. Thematic inductive analysis was used to analyse the collected data. Results: The study's result implicates that the Swedish pharmacy education curriculum does not include telepharmacy. The students desire further education regarding communication at a distance but believe that part of the current education could be applied in an e-pharmacy setting.  The students' skepticism to e-pharmacies ability to perform safe and satisfactory pharmaceutical services is largely based on preconceptions and assumptions, partly confirmed by e-pharmacy professionals.  Conclusions: To not inhibit future developments in the pharmacy market, future pharmacists must be educated on telepharmacy methods. This study's insights may be useful for future educational initiatives and developments of the pharmacy education curriculum.
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Hagemeier, Nicholas E., Rick Hess, Kyle S. Hagen, and Emily L. Sorah. "Impact of an Interprofessional Communication Course on Nursing, Medical, and Pharmacy Students’ Communication Skill Self-Efficacy Beliefs." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/1475.

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Objective. To describe an interprofessional communication course in an academic health sciences center and to evaluate and compare interpersonal and interprofessional communication self-efficacy beliefs of medical, nursing, and pharmacy students before and after course participation, using Bandura’s self-efficacy theory as a guiding framework. Design. First-year nursing (n=36), first-year medical (n=73), and second-year pharmacy students (n=83) enrolled in an interprofessional communication skills development course voluntarily completed a 33-item survey instrument based on Interprofessional Education Collaborative (IPEC) core competencies prior to and upon completion of the course during the fall semester of 2012. Assessment. Nursing students entered the course with higher interpersonal and interprofessional communication self-efficacy beliefs compared to medical and pharmacy students. Pharmacy students, in particular, noted significant improvements in communication self-efficacy beliefs across multiple domains postcourse. Conclusion. Completion of an interprofessional communications course was associated with a positive impact on health professions students’ interpersonal and interprofessional communication self-efficacy beliefs.
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Hagemeier, Nicholas E. "Let’s Talk About It: Communication Research in Pharmacy and Primary Care Settings." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5419.

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This session will describe research approaches that have led to innovations in pharmacy practice. Specifically, the program will identify effective strategies to assess the impact of academic partnerships on advancing practicebased research at professional practice sites. This session will utilize a roundtable format to foster discussion and engagement among participants.
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Yaseen, Mohammed. "Gap junctional intercellular communication : methodologies for measurement and application to potential inhibitors of communication." Thesis, University College London (University of London), 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.261718.

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7

Hagemeier, Nicholas E. "Physician-Pharmacist Communication: Quotes, Quandaries and Quality." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1424.

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Hess, Rick, Nicholas E. Hagemeier, Reid B. Blackwelder, Daniel Rose, Nasar Ansari, and Tandy Branham. "Teaching Communication Skills to Medical and Pharmacy Students Using a Blended Learning Course." Digital Commons @ East Tennessee State University, 2016. https://doi.org/10.5688/ajpe80464.

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Objective. To evaluate the impact of an interprofessional blended learning course on medical and pharmacy students’ patient-centered interpersonal communication skills and to compare precourse and postcourse communication skills across first-year medical and second-year pharmacy student cohorts. Methods. Students completed ten 1-hour online modules and participated in five 3-hour group sessions over one semester. Objective structured clinical examinations (OSCEs) were administered before and after the course and were evaluated using the validated Common Ground Instrument. Nonparametric statistical tests were used to examine pre/postcourse domain scores within and across professions. Results. Performance in all communication skill domains increased significantly for all students. No additional significant pre/postcourse differences were noted across disciplines. Conclusion. Students’ patient-centered interpersonal communication skills improved across multiple domains using a blended learning educational platform. Interview abilities were embodied similarly between medical and pharmacy students postcourse, suggesting both groups respond well to this form of instruction.
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Hess, Rick, Nicholas E. Hagemeier, Reid Blackwelder, Daniel Rose, Nasar Ansari, and Tandy Branham. "Teaching Communication Skills to Medical and Pharmacy Students Through a Blended Learning Course." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1478.

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Objective. To evaluate the impact of an interprofessional blended learning course on medical and pharmacy students’ patient-centered interpersonal communication skills and to compare precourse and postcourse communication skills across first-year medical and second-year pharmacy student cohorts. Methods. Students completed ten 1-hour online modules and participated in five 3-hour group sessions over one semester. Objective structured clinical examinations (OSCEs) were administered before and after the course and were evaluated using the validated Common Ground Instrument. Nonparametric statistical tests were used to examine pre/postcourse domain scores within and across professions. Results. Performance in all communication skill domains increased significantly for all students. No additional significant pre/postcourse differences were noted across disciplines. Conclusion. Students’ patient-centered interpersonal communication skills improved across multiple domains using a blended learning educational platform. Interview abilities were embodied similarly between medical and pharmacy students postcourse, suggesting both groups respond well to this form of instruction.
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Hagemeier, Nicholas E., Daniel Ventricelli, and Rajkumar J. Sevak. "Situational Communication Self-Confidence Among Community Pharmacists: A Descriptive Analysis." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1481.

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Objective: To compare community pharmacists' self-perceived communication confidence in prescription drug abuse and addiction (PDAA)-related scenarios to their self-confidence in other scenarios. Methods: An 18-item survey instrument adapted from the Self-Perceived Communication Competence instrument was administered to 2000 licensed Tennessee community pharmacists. Items elicited communication confidence across common community pharmacy scenarios. Analysis of communication self-confidence scores across context, receiver, audience, and demographic variables was conducted. Results: Mean self-confidence ratings ranged from 54.2 to 92.6 (0-100 scale). Self-perceived communication confidence varied across context, receiver, audience, personal and practice setting characteristics. Scenarios that involved PDAA communication with patients were scored significantly lower than non-PDAA patient scenarios (mean = 84.2 vs. 90.4, p Conclusion: Community pharmacists are less confident in their ability to communicate with patients about PDAA as compared to non-PDAA scenarios. Practice Implications: Engaging patients and prescribers in PDAA conversations is a critical component of preventing and treating PDAA. Research is warranted to further explore measures of situational communication self-confidence and interventions to optimize self-confidence beliefs across PDAA scenarios.
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Green, Cable Thomas. "Visualizing Understandings Online: Nontraditional Pharmacy Students’ Experiences with Concept Mapping." The Ohio State University, 2003. http://rave.ohiolink.edu/etdc/view?acc_num=osu1059397698.

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Roberts, C., A. Caliano, Nicholas E. Hagemeier, A. Salwan, Kelly N. Foster, Arsham Alamian, J. Arnold, and Robert P. Pack. "Pharmacists’ Prescription Drug Abuse Prevention Communication Behaviors: Prevalence and Correlates." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5428.

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McGuire, Treasure Madeleine. "Consumer medicines call centres : a medication liaison model of pharmaceutical care /." [St. Lucia, Qld.], 2005. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe18728.pdf.

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Dowling, Karilynn, Nicholas E. Hagemeier, A. Salwan, Kelly N. Foster, J. Arnold, Arsham Alamian, and Robert P. Pack. "Using the Theory of Planned Behavior and Communication Theory to Predict Community Pharmacists’ Buprenorphine Dispensing and Communication Behaviors." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5431.

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15

Greenhill, Nicola H. "An exploration of pharmacist-patient communication in clinic-style consultations." Thesis, University of Nottingham, 2010. http://eprints.nottingham.ac.uk/11659/.

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The importance of communication skills for pharmacists has been widely acknowledged. Research has shown that the use of good communication skills can improve patient health outcomes but little research has focussed on communication within new consultation based roles of pharmacists. This study aimed to explore the communication between pharmacists and patients in clinic style consultations and to investigate participant perceptions of communication and consultations. Eleven pharmacists were recruited to the study and were responsible for the recruitment of patients from their own practice; five pharmacists recruited a total of 18 patients. A semi-structured interview was conducted with each pharmacist and with each patient before and after their consultation. Consultations were audio-recorded and observed and all recordings were transcribed verbatim. Thematic analysis based on the principles of grounded theory was conducted. Consultations were additionally coded according to the Calgary–Cambridge guide. NHS Ethics and local research and development approvals were obtained. The data show that patient reports of communication skills during consultations can lack detail, indicating that actual consultation data is required in order to assess communication skills. Pharmacists reported a lack of communication skills training and stated that additional training would need to be focussed on specific, relevant skills and should involve underpinning theory combined with observation of practice and personalised feedback. Pharmacists observed in this study used of a variety of methods for structuring consultations including official computerised or paper based forms, rehearsed segments of speech, and mental checklists. Some difficulties in using computers in a way that did not interfere with communication were identified. Further training may help pharmacists to more effectively structure their consultations. The participants reported that location has important effects on the communication within consultations. Both pharmacists and patients valued privacy in enabling open and honest consultations, particularly in community pharmacy. While it was reported that infrequent use of consultation rooms can lead to stigma being associated with private consultations, the data suggest that having a dedicated space for pharmacist-patient consultations is important. Application of the Calgary-Cambridge guide to recorded consultations showed good usage of many of the skills by the study pharmacists but skills linked to creating a patient centred consultation were under-represented. Some data did not correspond to a specific skill within the guide. Analysis showed the key theme of social conversation, which is essential for relationship building, was present in the non-coded data. Building up a relationship was reported by both pharmacists and patients as important in facilitating communication and that trust in particular played an important part in achieving successful consultations. The study methods enabled collection of rich data about pharmacist-patient communication. The data show that many factors can influence communication within consultations including pharmacist training, location, relationships, structure and use of computers. Pharmacists may need to think widely when aiming to achieve effective consultations. The data suggest that pharmacists made good use of communication skills during consultations but could improve use of the skills that create patient-centred consultations. The Calgary-Cambridge guide could be used to focus both training and research in this area.
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Hagemeier, Nicholas E. "Red Flags, Communication, and Referral to Treatment." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5424.

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Hagemeier, Nicholas E., Nasar Ansari, Tandy Branham, Daniel L. Rose, Richard Hess, and Reid B. Blackwelder. "Teaching Patient-Centered Communication Skills to Medical and Pharmacy Students Using an Interprofessional Blended Learning Course." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1448.

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Objectives: 1) To evaluate the impact of an interprofessional blended learning course on pharmacy and medical students’ communication skills; 2) To compare pre- and post-course communication skills across cohorts. Method: Pharmacy (N = 57) and medical (N = 67) students enrolled in a required Communication Skills for Health Professionals course completed asynchronous online modules and face-to-face standardized patient interview sessions over the course of 1 semester. Students completed pre- and post-course objective structured clinical examinations with standardized patients and were evaluated by trained faculty using the validated Common Ground Instrument. Communication skill domains evaluated on a 1 to 5 scale included: rapport building, agenda setting, information management, active listening, addressing feelings, and establishing common ground. Nonparametric statistical tests were used to examine paired pre-/post-course domain scores within professions and pre- and post-course scores across professions. Results: Performance in all communication skill domains increased significantly for pharmacy and medical students (p valuesImplications: The blended learning Communication Skills for Health Professionals course improved students’ interpersonal communication skills across multiple domains. Fostering communication skill development in medical and pharmacy students could improve the extent to which future health care professionals engage in patient-centered communication.
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Knoesen, Brent Claud. "Exploring the communication skills of community pharmacists in the Nelson Mandela Metropole." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/7981.

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Pharmacy is an information-driven profession that requires effective face-to-face pharmacist-client communication. With the addition of corporate community pharmacies to traditional independent community pharmacies in South Africa (SA), new challenges may hamper pharmacist-client interactions. This study aimed to identify, adapt and improve the communication skills pharmacists require for a changing community pharmacy environment. Specific objectives were to identify basic communication skills, to evaluate the use of these skills by community pharmacists in the Nelson Mandela Metropole (NMM), to identify communication barriers, and to identify any differences in pharmacist-client communication in the two community pharmacy sectors. A mixed methods research design was implemented. The empirical activities consisted of three client focus groups (17 citizens from the NMM), a client survey (220 clients visiting seven independent and seven corporate community pharmacies in the NMM), a pseudo-client study (the same 14 community pharmacies in NMM), and a Delphi study. Twenty-one pharmacists from the 14 community pharmacies participated in Phase one of the Delphi study; nine academic pharmacists from five pharmacy departments/schools/faculties in SA participated in Phase two. Various qualitative and quantitative techniques were used to analyse and interpret the results. Results indicated that clients consult on many occasions with community pharmacists. Community and academic pharmacists listed listening and nonverbal skills as most important communication skills to ensure effective pharmacist-client communication. Counselling privacy and language barriers were listed as major problems influencing the interaction. The results obtained allowed the researcher to propose a practical communication model to assist future community pharmacists in communication skills training
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DOSSENBACK, MARCY L. "APPLYING STANDARDIZED PATIENT METHODOLOGY TO TEACH AND EVALUATE THE COMMUNICATION SKILLS OF NUTRITION AND PHARMACY STUDENTS." University of Cincinnati / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1123691609.

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Clayton-Smith, Bevan, and n/a. "He ratonga hauora Maori me nga ratonga rarau rongoa o Aotearoa e tirohanga, he tataritanga i nga mohio o tenei wa, i nga tumanako me etahi huarahi atu = Maori health providers and pharmacy services in New Zealand : a survey and analysis of current awareness, expectations and options." University of Otago. School of Pharmacy, 2005. http://adt.otago.ac.nz./public/adt-NZDU20070501.142338.

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This research aims to assess the existing relationship and characteristics between Maori health providers (MHPs) and pharmacy services in New Zealand and to provide future direction, pathways and strategies for collaboration, planning and improving health outcomes for Maori within the primary health care environment. The characteristics of the relationship were identified and discussed before exploring strategies to strengthen the relationship and to improve Māori health outcomes. The assessment and analysis of the characteristics required an exploration of MHPs current knowledge of pharmacy services, the expectations of MHPs of pharmacy services and the current knowledge of pharmacists of MHP services and Maori health. Themes identified that characterised the relationship were related to knowledge, health philosophies, interaction, service and capacity issues. Knowledge issues incorporated themes of group dynamics, historical context, participant knowledge, pharmacy participant knowledge, MHP participant knowledge, solutions/ outcome knowledge, consideration of Maori. Health philosophies related to themes of paradigms/worldviews, kaupapa Maori, capacity, culture and delivery of services, Treaty of Waitangi, knowledge of culture, communication and te reo, rongoa Maori, environmental culture, access, tino rangatiratanga. Interaction issues discussed the themes of collaboration and communication, extent of collaboration, contact with Maori, community relationships, cost, benefits and opportunities. The pharmacy environment, cost and health service delivery were identified as themes relating to service issues. Capacity issues included themes of mana, direct workforce development (education, employment, promotion), indirect workforce development (education, environment, relationship building, funding), and the Maori Pharmacists Association. This research attempted to follow kaupapa Maori qualitative research methodology, methods and the epistemology of kaupapa Maori throughout the research and design process. One to one semi-structured interviews were conducted with participants from each group. The sample size was established based on the purposeful sampling strategy of maximum variation sampling (7 MHP participants, 8 pharmacy participants. Responses were directly related to differences in world-views and the historical context of the two health provider groups with respect to their roles in health. Variations within each group were related to knowledge, location and previous experience working with their counterparts. Recommendations were associated with themes/issues of environment, knowledge, communication, cultural awareness, collaboration, services and the increased awareness of the roles and responsibilities with respect to each health provider group. This dissertation also highlighted a number of key components that formed a collaborative, empowerment model of health created between organisations with different world-views, which can be adapted to a number of environments where there are different or opposing world-views within the overall same patient population. It is anticipated that the results and outcomes from this research will help develop Maori responsive pharmacy services based on health promotion and wellness to Maori locally, regionally, nationally and have a positive impact on Maori health in collaboration with MHPs. Areas of pharmaceutical care are highlighted which may encourage projects or initiatives in collaboration with MHPs to enhance health gains for Maori, while increasing professional practice roles and scope for pharmacy.
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Edwards, Ruth M. "Opening the door on student learning : using artefacts to explore pharmacy students' learning practices." Thesis, University of Stirling, 2013. http://hdl.handle.net/1893/16412.

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Pharmacy as a profession is on a path of significant change with many external and internal influences on the nature and conceptions of professional practice and the diverse and changing nature of this knowledge in turn creates a challenge for pharmacy educators. Conceptual changes to pharmacy knowledge and practice have profound pedagogical implications for how pharmacy education will change over the next few years. This study makes an original contribution to knowledge in pharmacy education, both in terms of the methodology used (the use of artefacts to explore learning with pharmacy students and the use of theory from anthropology, fine art and literature from English medieval poetry to view the data) and also in terms of the findings. The key findings of the study are that artefacts afford access to insight into pharmacy students’ learning, and use of these identified a number of learning and assessment practices, particularly some normally un-noticed practices. Using fine art to view participants’ assessment practices has allowed insight into their conceptions of assessment (as the summative written examination) and hence their views on feedback. In particular there was a strong affective dimension expressed in participants’ accounts of their learning, which is often ignored in teaching, learning and assessment practices. Participants’ learning is constructed through a ‘meshwork’ of interconnected and interwoven practices. The difficulties experienced by participants were explored and were found to be primarily modal (relating to a particular way of thinking or practising) or ontological (relating to ‘being’ or ‘becoming’ as a pharmacy student or to their professional identity). Recommendations for MPharm curriculum development at Robert Gordon University are discussed along with the implications for the wider professional community. (Please note this is a redacted version of the thesis. Some images have been removed for copyright reasons.)
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Slawson, Deborah L., and Nicholas E. Hagemeier. "Scientific Writing. Mastering the Art of Verbal Communication." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1416.

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Melton, Tyler C., Nicholas E. Hagemeier, Kelly N. Foster, Jesse Arnold, Billy Brooks, Arsham Alamian, and Robert P. Pack. "Primary Care Physician and Community Pharmacist Opioid-Related Communication and Screening Behaviors." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7743.

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Witry, Matthew John. "Community pharmacist medication monitoring attitudes and decision making." Diss., University of Iowa, 2013. https://ir.uiowa.edu/etd/4979.

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Medication related problems occur frequently and can be difficult to predict. Medication monitoring by health care providers allows for problems to be identified before they become severe. Medication monitoring is an an emerging role for community pharmacists. This mixed methods study examines pharmacist perspectives on medication monitoring. Study methods included 12 semi-structured interviews, a mixed methods item generation process to create a pharmacist medication motioning attitude measure, and mailed factorial survey designed to assess pharmacist decision making related to asking non-adherence, side effect, and effectiveness questions for randomly generated refill dispensing vignettes. Hierarchical linear modeling was used to identify significant vignette level and pharmacist level variables associated with likelihood to ask the three monitoring questions. The qualitative analysis showed barriers to medication monitoring including time limitations, busyness, low patient expectation, and a perceived routine nature of refills by both patients and pharmacists. Monitoring non-adherence was a challenge because workflows often do not make non-adherence apparent to the pharmacists when the patient presents to the pharmacy. Lastly, monitoring interactions often are precipitated by "gateway conversations" which begin as technical or cost issues related to the prescription but then progress to monitoring issues when the patient reflects interest. Analysis of the survey showed in general, pharmacists had positive medication monitoring attitudes and worked in pharmacies somewhat conducive to medication monitoring, although there was variation. The factorial survey showed pharmacist monitoring attitudes were significantly associated with the likelihood to ask all three monitoring question types. For the different prescriptions involved, warfarin and hydrocodone were significantly associated with asking monitoring questions whereas fluoxetine and metoprolol appeared less question-worthy. The number of days late was associated with greater question asking likelihood suggesting days late is an important activator for pharmacist medication monitoring. Number of patients waiting was a barrier. This study shows community pharmacists are oriented to monitoring, but there are significant barriers which need to be addressed when advancing this role.
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Jirků, Jitka. "Marketingová komunikace ve farmaceutickém průmyslu." Master's thesis, Vysoká škola ekonomická v Praze, 2009. http://www.nusl.cz/ntk/nusl-76931.

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The object of this thesis is to give a self-contained theoretical basis for understanding of the specifics of the communication in marketing of pharmaceutical companies. To formulate a marked differences in this field and to summarize the main acquired information towards the plan of optimal marketing communication for pharmaceutical companies.
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Mospan, Courtney M., Rick Hess, Reid B. Blackwelder, Susan Glover, and Chris Dula. "A Two-Year Review of Suicide Ideation Assessments Among Medical, Nursing, and Pharmacy Students." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6904.

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Suicide is the 10th leading cause of death in the U.S. and has increased in prevalence during the past 15 years. Patients who attempt suicide are more likely to have contact with their primary care provider than a mental health provider in the month before attempting suicide, highlighting the need for competency in suicide ideation (SI) assessment. The Communications Skills for Health Professionals is an interprofessional course involving first-year medical, nursing, and pharmacy students. Specific instruction regarding assessment of SI was delivered through an online module and later practiced by students with standardized patients (SP). A final Objective Structured Clinical Examination featured an SP with depression, but without SI, though an assessment of SI was indicated. Three hundred fifty six interviews were reviewed and 55.1% (196/356) of students assessed for SI. Across professions, 65.5% (93/142) of medical students, 52.5% (32/61) of nursing students, and 46.4% (71/153) of pharmacy students performed an assessment. Medical students’ SI assessment was highest across the groups (p = 0.001), while pharmacy students’ SI assessment was lowest (p = 0.004). Results suggest that additional educational strategies should be developed and implemented to increase SI assessment performance in all professions, but especially in pharmacy students.
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Hagemeier, Nicholas E., Rajkumar J. Sevak, and Daniel Ventricelli. "Situational Prescription Drug Abuse-Related Communication Confidence among Community Pharmacists: An Exploratory Analysis." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1446.

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Prescription drug abuse and misuse (PDA/M) prevalence has increased dramatically in the United States over the last two decades. Community pharmacists are intimately involved in the dispensing of a majority of eventually abused/misused prescription drugs and are thus well positioned to engage in PDA/M prevention and treatment. A known barrier to engagement in prevention efforts among providers is discomfort with PDA/M communication. The objective of this study was to explore relative situational self-perceived PDA/M communication confidence among Tennessee community pharmacists. Using the validated Self-Perceived Communication Competence instrument as a framework, an 18-item survey instrument (0-100 scale; 0=completely unconfident, 100=completely confident) was developed and administered to 2000 Tennessee pharmacists. Items elicited communication confidence across multiple contexts and receivers, including PDA/M situations and common community pharmacy situations. Parametric statistical tests were used to examine differences in communication confidence across demographic variables. A 40% response rate was obtained. Mean self-perceived communication confidence ratings ranged from 54.2 to 92.6. Statistically significant differences were noted across receiver type and context. Addiction communication confidence was significantly lower than all other scenarios involving patient communication, including items that could be considered accusatory to patients (non-adherence, smoking cessation). Differences in communicative self-confidence were noted across gender, practice setting, years in practice, hours worked per week, and number of prescriptions filled per week. Pharmacists’ self-perceived communication confidence is situational and varies across pharmacist and practice setting characteristics. Efforts to engage community pharmacists in PDA/M prevention and treatment should foster development of communicative self-confidence across multiple PDA/M situations.
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Zachry, Woodie Moore. "A study of the relationship of direct-to-consumer advertising to epidemiologic indices /." Full text (PDF) from UMI/Dissertation Abstracts International, 2000. http://wwwlib.umi.com/cr/utexas/fullcit?p9992948.

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Pontefract, Sarah Katie. "The impact of computerised physician order entry with integrated clinical decision support on pharmacist-physician communication in the hospital setting." Thesis, University of Birmingham, 2018. http://etheses.bham.ac.uk//id/eprint/8167/.

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An analysis of over 34,000 free-text messages assigned by pharmacists to prescription orders over a 12-month period showed a sub-optimal exchange of information with the physician. Focus groups and observational research were conducted to provide a more in-depth understanding of the factors involved. The use of CPOE did not reduce opportunities for personal interaction. The capability to communicate electronically facilitated a non-interruptive workflow, beneficial for staff time and for limiting distractions. It also improved clinical documentation, which helped coordinate care of patients between members of the pharmacy team. However, the research identified several barriers to the effectiveness of communication via the CPOE system, including: the increased frequency of messages sent; poor display characteristics of the message; poor access to information to inform decision-making; one-way communication; and no assigned responsibility to respond. These factors need to be considered in the design of systems and supported by interprofessional training to optimise communication between the professionals.
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Koblížková, Beáta. "Vliv marketingové komunikace na spotřební chování u vybraného otc léčiva." Master's thesis, Vysoká škola ekonomická v Praze, 2015. http://www.nusl.cz/ntk/nusl-205278.

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The first part of my master thesis is devoted to theoretical knowledge, which will be then used as a basis for the second part. In this theoretical part will be introduced basic concepts related to marketing communications. This part is also focused on the main aspects of marketing communications in pharmacy, including legislative restrictions in the Czech Republic, the current development of the pharmaceutical industry and trends in this area. The second part is dedicated to the practical application of knowledge from the theoretical part. Main focus in the practical part is on the execution of own research. Main task in this research will be to determine what level of awareness do respondents have (from the general public and healthcare professionals) about brand Panadol and its products for children. And also what impact has the current marketing communication on consumers behavior. Based on the findings from the theoretical part, suggestions made by respondents from both parts of the research, after viewing additional information obtained from the MML data and after considering the current use of marketing communication tools (used by GlaxoSmithKline) will be prepared my own proposal for the use of these communication tools. Research method will be direct electronic survey used for respondents from the general public, which will complement the method of structured personal interviewing of experts. In conclusion of the master thesis I will make a summary of the main findings of this thesis together with my own opinion on the thesis subject.
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Hagemeier, Nicholas E., Matthew M. Murawski, Nicolas C. Lopez, Arsham Alamian, and Robert P. Pack. "Theoretical Exploration of Tennessee Community Pharmacists' Perceptions Regarding Opioid Pain Reliever Abuse Communication." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/1329.

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Background: Community pharmacists are a key intervention point in efforts to prevent and mitigate the impact of prescription drug abuse and misuse (PDA/M); yet pharmacists' perceptions regarding PDA/M have been explored only briefly in the literature. Objectives: 1) To explore Tennessee community pharmacists' perceptions regarding opioid pain reliever (OPR) prescribing, dispensing and abuse; 2) to explore community pharmacists' self-efficacy beliefs regarding PDA/M-specific communication; and 3) to evaluate perceived barriers to engaging patients in PDA/M-specific communication. Methods: A 55-item survey instrument was developed using the Theory of Planned Behavior (TpB) as a theoretical framework. Questionnaires were mailed to a stratified sample of 2000 licensed Tennessee pharmacists using the Tailored Design Method of survey administration during October and November, 2012. Results: A response rate of 40% was obtained. A majority of pharmacists (87.5%) perceived OPR abuse to be a problem in their practice settings. On average, a little more than half (53%) of prescriptions issued for OPRs were estimated to be for patients with one or more legitimate medical reasons justifying the medication(s). A small fraction of pharmacists (13%) reported having addiction treatment facility information in their practice settings, and only a small percent reported strong self-efficacy beliefs regarding PDA/M patient communication. Job-related time constraints were perceived as the primary barrier to engaging in PDA/M communication. Conclusions: Community pharmacists in Tennessee are aware of PDA/M by patients receiving opioid prescriptions and value their role in communicating with these patients but indicate their ability to do so effectively is hindered by a lack of confidence, training, and time. Further research to identify and test methods for facilitating PDA/M communication by pharmacists is indicated.
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32

Hess, Richard, Nicholas E. Hagemeier, Kyle S. Hagen, and Emily L. Sorah. "Interprofessional and Interpersonal Communication: Self-Efficacy Beliefs of Academic Health Science Center Students." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/1460.

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Objectives: To assess and compare interprofessional and interpersonal communication self-efficacy beliefs of medical, nursing and pharmacy students before and after participation in a communication skills course. Method: Using self-efficacy as a theoretical framework, a 37-item survey instrument was developed based on Interprofessional Education Collaborative (IPEC) Core Competencies and course learning objectives. Medical, nursing, and pharmacy students voluntarily completed the survey instrument before and after the required course. Nonparametric tests were employed to examine matched pre- and post-assessments within colleges and to explore differences in self-efficacy beliefs across college. Results: A response rate of 87% (168/193) was achieved. Overall, nursing students entered the course with higher self-efficacy beliefs as compared to medical and pharmacy students. Pharmacy students indicated particularly low self-efficacy beliefs regarding their ability to communicate with other health professionals (p=0.009) and contribute to healthcare teams (p=0.002). Matched pre/post analyses indicated statically significant increases in student self-efficacy beliefs across all colleges. After the course, pharmacy students continued to perceive a relative lack of confidence in their ability to develop positive relationships with other health care providers as compared to medical and nursing students (p=0.02). Implications: Our findings suggest that completion of an interprofessional communications course was associated with a positive effect on self-efficacy beliefs aligned with IPEC competencies across all colleges. Pharmacy students, in particular, noted significant improvements in self-efficacy beliefs across multiple domains. Research is being conducted to examine relationships between validated observational assessments and student self-perceptions.
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Bardet, Jean-Didier. "Les pratiques pharmaceutiques collaboratives en soins de premier recours dans le contexte de l'émergence des TIC." Thesis, Université Grenoble Alpes (ComUE), 2016. http://www.theses.fr/2016GREAS027/document.

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Suite à l’analyse des causes d’iatrogénie médicamenteuse en soins ambulatoires en France, la collaboration entre professionnels de santé en soins de premiers recours, soutenue par les technologies de l’information et de communication, apparait comme un enjeu de première importance pour la sécurisation de la prise en charge des patients. L’objectif de ce travail de thèse était d’identifier les aspects de la pratique pharmaceutique officinale sur lesquels s’appuyer pour développer la collaboration entre médecins et pharmaciens d’officine en soins de premier recours et d’explorer les formes organisées d’exercice pharmaceutique collaboratif, dans le contexte du déploiement du Dossier Pharmaceutique (DP).Nous nous sommes tout d’abord intéressés au processus de développement de la collaboration entre médecins et pharmaciens d’officine. Une revue de la littérature a été conduite afin d’identifier les modèles spécifiques à cette collaboration. Aussi, 16 articles ont été inclus et ont permis d’identifier 4 modèles distincts. Leur analyse a mis en évidence que la collaboration repose sur un processus individuel sous-tendu par 2 catégories déterminants : (1) les attentes professionnelles vis-à-vis de l’autre – et par là même envers la collaboration - et l’intérêt personnel pour la pratique collaborative ; (2) la perception que le professionnel a de l’autre et l’évaluation de ses compétences.La collaboration reposant sur la reconnaissance des compétences du professionnel, la deuxième partie de ce travail a consisté à valoriser les rôles du pharmacien d’officine et du DP dans la sécurisation de la prise en charge médicamenteuse. L’étude DOPI-OFFI ainsi menée est une étude observationnelle, transversale et multicentrique portant sur les Interventions Pharmaceutiques (IP) réalisées en officine et l’apport du DP dans la sécurisation de la dispensation médicamenteuse. Un total de 243 pharmacies d’officine ont documenté 7231 IP. Le DP apparait comme un bon substitut lorsque le dossier local du patient est vierge ou incomplet et comme un outil efficace pour prévenir les divergences par rapport à l’historique médicamenteux. L’étude a également permis d’identifier le contexte associé à la formulation des IP en officine. Ainsi, il sera désormais possible de proposer des actions adéquates pour aider à l’amélioration des pratiques pharmaceutiques officinales. Enfin, l’étude a mis en évidence la communication soutenue entre pharmaciens et médecins généralistes quant aux problèmes liés aux thérapeutiques.La dynamique de collaboration repose également sur les attentes spécifiques de chaque professionnel de santé. L’objectif de la troisième partie de ce travail était de déterminer des préférences de la population générale, des médecins et des pharmaciens d’officine quant à l’offre de services pharmaceutiques et leur organisation. Pour se faire, nous avons développé un outil d’analyse de type Best-Worst Scaling. Nous avons identifié les caractéristiques clefs des services pharmaceutiques à tester à partir de 6 entretiens de recherche en groupe conduits auprès de patients, des médecins généralistes et des pharmaciens d’officine. Trois questionnaires de 20 attributs chacun ont ensuite été développés.Le développement des missions du pharmacien d’officine doit s’appuyer sur la pratique actuelle mais également sur des services pharmaceutiques ayant fait la preuve de leur efficacité et sur la légitimité du pharmacien à les proposer. Les résultats du BWS compléteront les résultats déjà établis par ce travail
With the analysis of the causes of drug-induced diseases in the French primary care, the collaboration between healthcare professionals, supported by information and communication technology, appears to be a major challenge to secure the patient’s care. The objective of this thesis was to identify the aspects of pharmacy practice on which to develop the physician – community pharmacist collaboration and to explore the organized forms of collaborative pharmacy practice in the context of the deployment of the Pharmaceutical Record (DP).First, we explored the process of the physician – community pharmacist collaboration. A literature review was conducted to identify the specific models of collaboration. A total of 16 articles were included and four different models were identified. Their analysis showed that collaboration is based on an individual process underpinned by two categories of drivers: (1) towards the other professional and the personal interest for collaborative practice; (2) the perception of the other professional and the evaluation of his skills.As the collaboration is based on the recognition of professional skills, the second part of this work was to analyze the pharmacists’ role and the impact of the DP in the safety of the dispensing. The DOPI-OFFI study is an observational, cross-sectional and multicenter study on pharmacists’ interventions (PIs) performed in the primary care and on the evaluation of the DP in the dispensing process. A total of 243 community pharmacies have documented 7231 PIs. The DP appears to be a valuable complement when the patient's local pharmacy record is blank or incomplete and as an effective tool to prevent discrepancies with the medication history. The study also identified the context associated with the PIs. Thus appropriate actions would be proposed to enhance the quality of pharmacy practices. Finally, the study demonstrated the sustained communication between general practitioners and community pharmacists about the drug-related problems.The collaborative dynamics is also based on the specific healthcare professionals’ and patients’ needs. The objective of the third part of this work was to determine the preferences of the general population, the physicians and the community pharmacists on pharmacy services and their organization. We developed a Best-Worst Scaling experiment. We identified the key characteristics of pharmacy services from 6 focus groups that were conducted with patients, general practitioners and community pharmacists. Three questionnaires, each consisting of 20 attributes, were developed.The development of the community pharmacists’ role must be based on the current practice, on pharmacy services that have demonstrated their effectiveness and on the legitimacy of the pharmacist to propose them. The results of the BWS will complement the results that were already established by this work
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Abdulbasid, Samad Delan. "Farmaceut-patientkommunikation på öppenvårdsapotek i Kurdistan : En observationsstudie som undersöker i vilken omfattning apotekspersonalen informerar om läkemedelsanvändningen och dess verkan." Thesis, Umeå universitet, Farmakologi, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-119725.

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Introduktion: Apotekens riktlinjer har utvecklats från att ha begränsat farmaceuter ideras utdelning av medicin till att ge råd eller erbjuda rådgivning om patientens medicinering. Det är viktigt att farmaceuter ger rådgivning kring patienters medicinering då det ger effektivt behandlingsresultat, ökad följsamhet och minskar konfusion och osäkerhet hos patienten. Studier har visat att den farmaceutiska rådgivningen varierar mycket på apotek. En svensk studie har visat att samtalet mellan farmaceut och patient fokuserar mer på ekonomi och regelverk än att ge farmaceutiskrådgivning. Det har tidigare inte gjorts studier på hur kommunikation samt den farmaceutiska rådgivningen fungerar i mellanöstern. Syfte: Syftet med den här studien är att undersöka kommunikationen mellan farmaceut och patient på öppenvårdsapotek i Kurdistan, Irak. Kommunikationen kommer att undersökas utifrån hur lång tid patientmötena tar och innehåll. Det som studeras är i vilken utsträckning apotekspersonalen konsulterar patienter samt den information som tillhandahålls till patienterna ur ett farmaceutiskt perspektiv. Metod: En kvantitativ och icke- deltagande observationsstudie där patientmöten observerades utifrån innehåll och tidsmätning av mötet. Observatören bockade avämnen som tas upp under mötet utefter en empirisk fastställd observationsmall. Resultat: 4 apotek deltog i studien och det gjordes sammanlagt 90 observationer varav 85 stycken inkluderades i studien. Apotekmiljön har en negativ påverkan på patientmötena, exempelvis att det saknas ett avskilt ställe för ett privatsamtal medpatienter, bullret i omgivningen och dålig organiserad läkemedel. Den stora delen av den medicinska konsulteringen är information om administrering, lite om läkemedelsverkan och nästan inget om biverkningar. Det icke-medicinska innehållet var frågor om pris och tillgänglighet av läkemedel. Diskussion: Det finns säkert många anledningar för varför kommunikationen inte är fokuserad på konsultering till patienter. En orsak kan vara otillräcklig kunskap bland informatörerna som konsultering kring biverkningar och läkemedels verkan exkluderas i kommunikationen. En annan förklaring kan vara att rådgivningen tar mer tid och at tapoteksägare upplever rådgivning som en dyr tjänst och av den anledningen inteprioriterar sin uppmärksamhet på läkemedelsrådgivning. Försäljningen som uppenbarligen inte ligger i att ge läkemedelsrådgivning till patienterna. Slutsats: Den här observationsstudien visade att mycket lite tid (medeltid 125,5 smin7 s/max 427 s) tillägnas till rådgivning kring patientens medicinering. Läkemedel är en stor behandlingsmetod inom hälso- och sjukvården av den orsaken borde farmaceutisk rådgivning vara tillgänglig för personer som besöker apotek. Resultatet avden här studien visar att dagens patientmöten på öppenvårdapotek i Kurdistan inte fokuserar på konsultering kring läkemedel. Eventuellt kommer patienten inte få ett nyttigt behandlingsresultat.
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35

Alyousif, Abdulmohsen A. "Examining the most economical ways in which medicines can be both presribed and dispensed in Saudi outpatient hospitals : a study carried out, exclusively in Saudi Arabian Hospitals, to determine the consraints, problems and possible solutions to effective medicines supply for outpatients." Thesis, University of Bradford, 2012. http://hdl.handle.net/10454/5696.

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Backround. Based of my personal observations when employed as a pharmacist in a Saudi hospital it was clear that there were problems with medicine supply to outpatients. This thesis was designed to scientifically investigate the types of shortages, the reason(s) for such problems and potential solutions to the problem. Methods . This study was undertaken using a variety of experimental techniques to determine the views and perceptions of patients, pharmacists, physicians and administrative staff of the hospital under examination. To establish the scale of the problem: focus groups (n=25), structured questionnaires, structured interviews/meetings for health care professionals and a national survey (n=650) were the research tools used to objectively determine the relevant data. The data were analyzed by appropriate statistical methods. Results and Discussion That there was a real problem was quickly established in the data obtained from patients. A similar finding was made for each of the 'professional groups'. The central problem was one of shortages of medicines for prescriptions presented by outpatients. It was not a case the medicines were simply not available because they were never stocked but rather a simple shortage in the dispensary stock. It was established the lack of medicines was not due to central budget arrangements but involved prescribing quantities outside of the hospital guidelines which no degree of planning could accommodate. There was also the very unexpected finding that a prescription could be filled in a variety of hospital dispensaries as individuals could access more than one hospital or they could consult more than one physician for the same condition and obtain effectively double the supplies. Communications between the hospital and patients and the health care professionals could all be improved by perhaps increasing the knowledge of the patient about the correct use of medicines. Recommendations. A series of recommendations for future work is provided
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36

Mathis, Stephanie M., Angela Hagaman, Nicholas Hagemeier, Katie Baker, and Robert P. Pack. "Provider–Patient Communication about Prescription Drug Abuse: A Qualitative Analysis of the Perspective of Prescribers." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7842.

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Background: Provider–patient communication underpins many initiatives aimed at reducing the public health burden associated with prescription drug abuse in the United States. The purpose of this qualitative analysis was to examine the characteristics of provider–patient communication about prescription drug abuse from the perspective of prescribers. Methods:From 2014 to 2015, 10 semi-structured interviews were conducted with a purposive sample of prescribers from multiple professions and medical fields in Central and South Central Appalachia. The interviews were conducted using a guide informed by Social Cognitive Theory and community theory research, audio-recorded, and transcribed verbatim. Thematic analysis, facilitated by NVivo 10 software, was used to generate themes.Results:Prescribers described 3 primary communication patterns with patients related to prescription drug abuse—informative, counteractive, and supportive. Prescribers also reported multiple factors—personal (e.g., education, experiences, and feelings of tension) and environmental (e.g., relationship with a patient, clinical resources, and policies on controlled prescription drugs)—that affect provider–patient communication and, by association, delivery of patient care related to prescription drug abuse.Conclusions:The findings suggest that provider–patient communication about prescription drug abuse is multidimensional and dynamic, characterized by multiple communication patterns and contributory factors. They have implications for (1) research aimed at advancing theoretical understanding of prescriber prescription drug abuse communication behaviors with patients and (2) interventions aimed at strengthening prescriber prescription drug abuse communication behaviors with patients.
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Hagemeier, Nicholas E., Fred Tudiver, Scott Brewster, Elizabeth J. Hagy, Brittany Ratliff, Angela Hagaman, and Robert P. Pack. "Interprofessional Prescription Opioid Abuse Communication Among Prescribers and Pharmacists: A Qualitative Analysis." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1323.

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Background: Prescribers and community pharmacists commonly perceive prescription opioid abuse to be a problem in their practice settings and communities. Both cohorts have expressed support for interventions that improve interprofessional communication and reduce prescription opioid abuse. The objective of this study was to describe prescription opioid abuse-related communication among and between prescribers and community pharmacists in South Central Appalachia. Methods: The investigators conducted five focus groups with 35 Appalachian Research Network practice-based research network providers between February and October, 2014. Two prescriber-specific, two pharmacist-specific, and one interprofessional (prescribers and pharmacists) focus groups were conducted, recorded, and transcribed. Data collection and analysis occurred iteratively. Emerging themes were inductively derived and refined. Five member-checking interviews were conducted to validate themes. Results: Providers noted several factors that influence intraprofessional and interprofessional communication, including level of trust, role perceptions, conflict history and avoidance, personal relationships, and prescription monitoring program use. Indirect communication approaches via patients, office staff, and voicemail systems were common. Direct pharmacist to prescriber and prescriber to pharmacist communication was described as rare and often perceived to be ineffective. Prescriber to pharmacist communication was reported by prescribers to have decreased after implementation of state prescription monitoring programs. Difficult or uncomfortable conversations were often avoided by providers. Conclusions: Interprofessional and intraprofessional prescription opioid abuse communication is situational and influenced by multiple factors. Indirect communication and communication avoidance are common. Themes identified in this study can inform development of interventions that improve providers' intra- and interprofessional communication skills.
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Parker, Mariam B. "Pharmacy perspectives in the design and implementation of a mobile cellular phone application as a communication aid for dispensing medicines to deaf people in the South African context." Thesis, University of the Western Cape, 2015. http://hdl.handle.net/11394/5188.

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Doctor Pharmaceuticae - DPharm
South Africa's White Paper for the transformation of the health care system in South Africa (DOH, 2007) acknowledges major disparities and inequalities as a result of an imprint by apartheid policies. In its transition to democracy, health promotion strategies have been initiated to address these disparities. However, such strategies have been narrowed and "favoured target audiences that are literate, urban-based and who have easy access to print and audio-visual media" (DOH, 1997). This implies that many vulnerable and marginalised groupings in South Africa, including the Deaf community are excluded from health promotion endeavours. Deaf people in South Africa communicate using South African Sign Language (SASL) and majority of the Deaf community exhibit poor literacy levels. Deafness is a significant communication barrier which limits a Deaf person's prospect to attain the best possible health care (Barnett, et al 2011). Various means of communication including spoken language, written instructions and the use of pictograms are used by healthcare workers to communicate health-related information. For many members of the Deaf community who communicate primarily in sign language, these methods are a sub-standard and prevent the attainment of optimum therapeutic outcomes. With regard to pharmaco-therapeutic services, Deaf people cannot hear the spoken language used by pharmacists during patient counselling, and their compromised functional literacy hinders the ability to read instructions on medicine labels. With both the spoken and written means of communication compromised, the Deaf patient's ability to comprehend instruction by pharmacists on how to use their medicines is inadequate and as a result, a Deaf patient may leave the pharmacy with medicine, but a poor understanding of how to use the medicine safely and effectively. Previous researchers have worked on building a technology base, including industrial design and computer science expertise to conceptualize the groundwork of a mobile phone application called SignSupport to facilitate communication between medical doctors and Deaf individuals. The particulars of the pharmacy scenario however, require a pharmacy-specific device to be of use in the dispensing of medicines to a Deaf patient in a pharmacy. The over-arching goal of this thesis is to design and evaluate a mobile phone application to facilitate the communication of medicine instructions between a Deaf patient and a pharmacist. Qualitative, participatory action research and community-based co-design strategies were directed toward Deaf participants, senior pharmacy students and pharmacists to create a prototype of the afore-mentioned mobile phone application. Preliminary results indicated that the application was suitable to pharmacists and Deaf community. Furthermore, both sets of users approved the overall design and were receptive to and keen on the practical uses of the application. Inadequacies pointed out by the Deaf community and pharmacists were addressed as an iterative modification to the prototype and culminated in version 2 which was deployed in an actual hospital pharmacy in 2015. Hospital usability studies generated largely positive results from both Deaf users and pharmacists, indicating that SignSupport is able to facilitate communication between pharmacists and Deaf patients. Next steps include advancing the application to a market–ready version that is downloadable and available as an application on the play stores of commercially available smart phones.
National Research Foundation
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39

Hagemeier, Nicholas E., Fred T. Tudiver, S. Brewster, E. J. Hagy, Angela Hagaman, and Robert P. Pack. "Prescriber and Dispenser Prescription Drug Abuse Communication andPrescribing/Dispensing Behaviors: A Qualitative Analysis." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1360.

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Context: Interpersonal communication is inherent in a majority of strategies seeking to engage prescriber and dispenser health care professionals (HCPs) in the reduction and prevention of prescription drug abuse (PDA). However, research is lacking on HCP PDA communicative behavioral engagement and factors that influence it. Objective: To describe PDA-related communicative behaviors and perceptions of primary care prescribers and community pharmacists. Design: Qualitative, semi-structured interprofessional and profession-specific focus groups were conducted, transcribed, coded, and thematically analyzed by two researchers. Established communication domains (communication apprehension, self-perceived communication competence, and willingness to communicate) guided focus group interviews. Setting: Appalachian Research Network (AppNET) PBRN clinics and communities. Participants: AppNET primary care prescribers (N=19) and community pharmacists (N=16). Main and Secondary Outcome Measures: Inductively derived themes resulting from focus groups. Results: Twelve themes were noted across two communication domains: HCP-patient communication (N=6) and HCP-HCP communication (N=6). HCP-patient communication engagement was influenced by multiple patient factors, with objective data (e.g., urine drug screens, distance travelled to practice) weighed heavily. Multiple practice barriers to communication were noted, including time pressures and a lack of screening resources. Difficult or uncomfortable conversations were often avoided by HCPs and substituted with simplified prescribing/dispensing conversations or policies. Dispenser to prescriber and prescriber to dispenser communication was described as rare and often perceived to be ineffective. Counter-intuitively, prescriber to dispenser communication was reported to have decreased after implementation of state prescription drug monitoring programs. Dispensers reported not being perceived as colleagues or teammates to prescribers in prescription drug abuse prevention and treatment. Prescribing behaviors were often questioned by dispensers, and some prescribers questioned dispensing behaviors. Conclusions: HCP prescription drug abuse communication is situational and influenced by patient, practice, and HCP characteristics. Identified themes will inform development of PDA-specific communication assessments that can be used to target and evaluate PDA communication interventions.
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40

Hagemeier, Nicholas E., and Fred Tudiver. "Comfort, Complexities, and Confrontation: Health Care Provider Communication and Prescription Drug Abuse and Misuse." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1427.

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41

Těšínská, Edita. "Vliv marketingové komunikace ve farmaceutickém průmyslu na rozhodování spotřebitele." Master's thesis, Vysoká škola ekonomická v Praze, 2014. http://www.nusl.cz/ntk/nusl-205199.

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This master thesis introduces the pharmaceutical industrys marketing communication from the consumers point of view. It is aimed at consumers perception of the marketing communication in this area and at the way it influences their choice in purchases of over-the-counter drugs. Its goal is to find out which source of information leading to the final decision over the purchase of an over-the-counter drug the consumer considers to be the most reliable one, what role the marketing communication plays in the process and what other factors effect consumers while they are choosing and purchasing an over-the-counter drug. The thesis consists of a theoretical and a practical part. The theoretical part introduces the pharmaceutical industry, the marketing mix and consumer behaviour. The practical part is based on a questionnaire survey through which the main goal of the thesis is to be reached.
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42

Gade, Carmin Jane. "An exploration of the pharmacist-patient communicative relationship." Columbus, Ohio : Ohio State University, 2003. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1061259087.

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Thesis (Ph. D.)--Ohio State University, 2003.
Title from first page of PDF file. Document formatted into pages; contains xii, 123 p.; also includes graphics (some col.). Includes abstract and vita. Advisor: Donald J. Cigala, Dept. of Communication. Includes bibliographical references (p. 117-123).
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Hagemeier, Nicholas E., and Fred Tudiver. "ETSU DIDARP Project 1: Health Care Provider Communication and Prescription Drug Abuse and Misuse." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1428.

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44

Hagemeier, Nicholas E., Fred Tudiver, Scott Brewster, Elizabeth J. Hagy, Angela Hagaman, and Robert P. Pack. "Prescription Drug Abuse Communication: A Qualitative Analysis of Prescriber and Pharmacist Perceptions and Behaviors." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1320.

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Background: Interpersonal communication is inherent in a majority of strategies seeking to engage prescriber and pharmacist health care professionals (HCPs) in the reduction and prevention of prescription drug abuse (PDA). However, research on HCP PDA communication behavioral engagement and factors that influence it is limited. Objectives This study quantitatively examined communication behaviors and trait-level communication metrics, and qualitatively described prescription drug abuse-related communication perceptions and behaviors among primary care prescribers and community pharmacists. Methods: Five focus groups (N = 35) were conducted within the Appalachian Research Network (AppNET), a rural primary care practice-based research network (PBRN) in South Central Appalachia between February and October, 2014. Focus groups were structured around the administration of three previously validated trait-level communication survey instruments, and one instrument developed by the investigators to gauge HCP prescription drug abuse communication engagement and perceived communication importance. Using a grounded theory approach, focus group themes were inductively derived and coded independently by study investigators. Member-checking interviews were conducted to validate derived themes. Results: Respondents' trait-level communication self-perceptions indicated low communication apprehension, high self-perceived communication competence, and average willingness to communicate as compared to instrument specific criteria and norms. Significant variation in HCP communication behavior engagement was noted specific to PDA. Two overarching themes were noted for HCP-patient communication: 1) influencers of HCP communication and prescribing/dispensing behaviors, and 2) communication behaviors. Multiple sub-themes were identified within each theme. Similarities were noted in perceptions and behaviors across both prescribers and pharmacists. Conclusions: Despite the perceived importance of engaging in PDA communication, HCPs reported that prescription drug abuse communication is uncomfortable, variable, multifactorial, and often avoided. The themes that emerged from this analysis support the utility of communication science and health behavior theories to better understand and improve PDA communication behaviors of both prescribers and pharmacists, and thereby improve engagement in PDA prevention and treatment.
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Vodrážka, Kryštof. "Analýza efektivnosti obchodních zástupců." Master's thesis, Vysoká škola ekonomická v Praze, 2017. http://www.nusl.cz/ntk/nusl-359711.

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Presented master thesis deals with the issues of analysis of the Sales representative's effectiveness in conjunction with the effectiveness of regions severance, methods of evaluation and remuneration. The thesis will also outline company's usage of CRM software from the perspective of Sales representative and Sales Analyst. Theoretical part contains findings from CRM, profession of Sales representatives and methods of evaluation and remuneration. These finding will be exemplified on international pharmaceutical company. The aims of this thesis are suggestions and recommendations which are targeted to increase effectiveness of the Sales representatives and CRM software.
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Hagemeier, Nicholas E. "Communicative Behavior." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1488.

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Book Summary: This outstanding resource guide for students and young adults provides an introduction to the history of prescription drug abuse that explains how this problem has arisen and examines the social, political, economic, and health issues associated with prescription drug abuse in modern society. • Explains the dangers associated with the use of prescription drugs for nonmedical purposes • Provides a detailed introduction for readers seeking to learn about the topic of prescription drug abuse and serves as an research tool for school projects • Includes thought-provoking perspective essays from individuals involved in the discussion of how to address prescription drug abuse • Supplies primary source documents in the form of excerpts from laws, administrative rulings, and court cases regarding prescription drug abuse as well as a glossary of key terms used in discussing the topic of prescription drug abuse
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Törngren, Annika. "Kommunikationsproblem på Apotek." Thesis, Linnéuniversitetet, Institutionen för kemi och biomedicin (KOB), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-31374.

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The origin of the word ‘communication’ is the Latin word communicare, meaning to make common. The reason for our communication is to share thoughts, feelings and information, we want to affect and confirm. We are used to interpersonal communication, but even if we have had a lot of practice at it during our lives, we still find our selves facing misunderstandings and conflicts. The more people we meet during a day, the greater the chance is for interruptions in the communication. In pharmacy practice, good communication is vital for the client’s health and quality of life. In recent years, there has been a change of focus in pharmacy practice, from the medication to the clients. To be able to provide care for the client and to reduce drug related problems, a good relationship has to be built between staff and client. The tool for building this relationship is good communication. The aim of this study was to observe the communication between clients and pharmacy employees. How many of the encounters involve communication problems? What is causing the communication problems? What can the pharmacist do to improve the encounter? How do pharmacists handle communication problems, and how does this affect the outcome of the encounter? The data was collected using structured observations at pharmacies using a coding scheme, defined with rules and procedures. The encounters studied were those involving a client, an employee with the title ‘Leg. Apotekare’ or ‘Leg. Receptarie’ and a conversation about prescriptions. Different kinds of communication problems or potential communication problems were identified, but more specific categorisations were needed. Two systems to identify different types of communication problems were developed. One identified different levels of communication problems, not taking in to account what or who caused them. The other system identified the communication problems caused by circumstances or the client, but not by the pharmacist. This was used to compare pharmacist behaviour in connection to the communication problems. The results show that communication problems were found in almost a third of the 343 valid observations, according to the levels of communication problem previously described. The most common potential communication problems were lack of eye contact, not expressing positivity, the client helping someone else to get their medicine and that the client’s medicine was not in store at the pharmacy. In spite of all the communication problems, 95,9 % of the clients were perceived as satisfied at the end of the encounter. What the pharmacist can do to prevent the potential communication problem from causing an actual communication problem is to reinforce positive behaviour. For example to maintain eye contact, be a good listener, act with concern for the client and be specific and clear while communicating. When comparing the pharmacists’ behaviour in problematical encounters that ended well and those who did not, the usage of positive behaviour was generally more common in the encounters that ended well. Therefore, the conclusion is, that a reduction in the number of problematical encounters could be reached by intentional use of positive reinforcement by the pharmacists.
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48

Lifková, Hana. "MARKETING ZAMĚŘENÝ NA PACIENTY S FENYLKETONURIÍ (PKU)." Master's thesis, Vysoká škola ekonomická v Praze, 2013. http://www.nusl.cz/ntk/nusl-198276.

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The master's thesis deals with inherited metabolic disorder phenylketonuria from a marketing point of view. The theoretical basis of this thesis points out to differences between the marketing mix in the pharmaceutical industry and other industries. Analysis of marketing mix of Nutricia company in relation to patients with phenylketonuria is based on these facts. Secondary and primary data are used in this master's thesis. There were several research methods used to get the information, such comparison and telephone interviews. The work provides insights and recommendations in relation to the potential competitive advantages of the Nutricia company, which can help to maintain its position as market leader in the future. Attention is mostly paid to project such Home Deliveery and on-line communication.
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49

Frazão, Silvane de Oliveira. "A contribuição das coleções de periódicos científicos do Portal de Periódicos da CAPES para a produção científica na área de Farmácia." Universidade Federal do Estado do Rio de Janeiro (UNIRIO), 2017. https://repositorio.ufjf.br/jspui/handle/ufjf/6565.

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PROQUALI (UFJF)
Analisa a contribuição do Portal de Periódicos da CAPES para a produção científica dos docentes permanentes dos Programas de Pós-Graduação em Farmácia no triênio 2010-2012. A área de saúde é um campo que vem se expandindo em termos de pesquisa e a opção de estudar a subárea de Farmácia se deu por existirem poucos estudos na área, sobretudo pesquisas sobre o Portal de Periódicos da CAPES, principalmente com foco em avaliação de coleções. A metodologia empregada foi a pesquisa documental, com análise descritiva e abordagem quantitativa, utilizando técnicas bibliométricas. A população estudada foi os docentes permanentes vinculados aos Programas de Pós-Graduação (PPGs) em Farmácia reconhecidos pela CAPES. Dos 63 PPGs na área de Farmácia identificados durante o período especificado, selecionaram-se os sete Programas com conceitos seis e sete na classificação da CAPES, por considerar que a produção científica no âmbito desses programas apresentaria tendências mais expressivas de uso dos recursos bibliográficos estrangeiros disponibilizados pelo Portal. Entre os anos de 2010 e 2012, verificou-se que esses sete Programas possuíam um quadro de docentes permanentes composto por 127 pesquisadores, os quais publicaram um total de 1387 artigos em 553 periódicos estrangeiros. Quanto à coleção oferecida pelo Portal, observou-se uma redução de vinte e um títulos entre 2015 e 2017, correspondentes a 0,17%. Com relação à contribuição do Portal para a produção científica da área, constatou-se que 84,45% dos títulos nos quais os docentes da área publicam suas pesquisas são cobertos pelo Portal. Concluiu-se que o Portal apresenta uma contribuição significativa para os pesquisadores da área de Farmácia.
It analyzes the contribution of the CAPES Journals Portal for the scientific production of the permanent faculty of the Postgraduate Programs in Pharmacy in the 2010-2012 triennium. The area of health is a field that has been expanding in terms of research and the option of studying the Pharmacy subarea was because there are few researches in the area, mainly researches about the CAPES Journals Portal, principally focusing on evaluation of collections. The methodology used was the documentary research, with descriptive analysis and quantitative approach, utilizing bibliometric techniques. The population studied were the permanent faculty linked to the Postgraduate Programs (PPGs) in Pharmacy recognized by CAPES. Of the 63 PPGs in the Pharmacy area identified during the specified period, seven Programs with concepts 6 and 7 in the CAPES classification were selected, considering that the scientific production in the ambit of those programs would present more expressive tendencies of use of the foreign bibliographic resources available in the Portal. Between 2010 and 2012, it was found that those seven Programs had a permanent faculty table composed of 127 researchers, who published a total of 1387 articles in 553 foreign journals. As for the collection offered by the Portal, it was observed a reduction of twenty one titles between 2015 and 2017, corresponding to 0.17%. Regarding to the contribution of the Portal to the scientific production of the area, it was found that 84.45% of the titles in which the faculty of the area publish their researches are covered by the Portal. It was concluded that the Portal presents a significant contribution for the researchers of the Pharmacy area.
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50

Abdul, Rahim Ranya. "Kommunikationsproblem på svenska apotek : Förekomst och orsak." Thesis, Linnéuniversitetet, Institutionen för kemi och biomedicin (KOB), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-82638.

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The word communication originates from the Latin word communicare that means to do something in common. When human beings communicate with each other, we share thoughts, emotions, values and actions. The foundation in communication is found within the interpersonal communication, which is the act of communication between two persons. All types of communications include of verbal and nonverbal acts of communication. The verbal communication consists of words either in speech or writing, the nonverbal act implies gestures, frequency of the tone and facial expressions. Within the pharmaceutical profession, good communication between the pharmacist and the customer is important and can affect the customer’s health and quality of life in both direct as well as indirect ways. In recent years, the pharmacist's role in the pharmacy has drastically changed. Nowadays the care of the customer has gained more significance than before. To improve customer health and quality of life it is important that the pharmacist acts to promote a good relationship with the customer and the foundation for this relationship should be built on good terms of communication. The purpose of this study was to study how common it is with communication errors between pharmacist and customer, and to demonstrate probable underlying causes. Secondary questions were, how is the drug advice the pharmacist provides affected by communication errors? Collection of data for the study was done with structured observation charts, where the customer and pharmacist were strictly observed. A total of 316 meetings were observed and the data collected referred to prescriptions. In more than one-third of the observed meetings, there were communication errors between the pharmacist and the customer. Communication errors that arose concerned lack of eye contact, language barriers, choice of questions, background noise from colleagues and customers and discussions from generic exchanges. To reduce future communication errors, the pharmacist's actions should be strengthened, such as eye contact, clear follow-up questions and improved feedback.
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