ISSN: 2226-6348
Open access
The role of communication in healthcare is crucial, particularly when dealing with patients. Effective communication ensures that healthcare personnel can approach and deliver information to patients with the aim of improving their medical conditions. This study aimed to explore the practices and challenges encountered in patient-pharmacist communication and factors affecting it among pharmacists and Provisional Registered Pharmacists (PRPs) in a public hospital in Malaysia. A cross-sectional study was conducted, and a self-administered questionnaire was distributed to the pharmacists and PRPs working in various pharmacy departments in a district hospital in Peninsula Malaysia. The questionnaire consists of demographic information, challenges faced during patient-pharmacist communication, types of resources used to overcome communication barriers, communication difficulties and their communication practices. Descriptive statistics were used to analyse the data. The study found that most of the participants were young adults (21-30 years old), Malay, and held a bachelor’s degree in pharmacy. Most of them worked in the outpatient department and had between 2 to 5 years of work experience. The self-rated communication skills of most of the participants were good, and the majority expressed interest in attending communication-related workshops, seminars, or training. However, the study also identified some limitations, including language barriers and communication difficulties faced by the pharmacists and PRPs when dealing with patients with communication disabilities. Effective communication between pharmacists and patients is essential for providing pharmaceutical care and improving medication adherence. Therefore, efforts should be made to enhance communication skills among pharmacists and PRPs, including organizing more communication-related workshops, seminars, or training. Furthermore, addressing language barriers and communication difficulties in dealing with patients with communication disabilities is crucial. Overall, this study highlights the need to improve patient-pharmacist communication and identifies some of the challenges and opportunities to achieve this goal.
Aubeeluck, E., Al-Arkee, S., Finlay, K., & Jalal, Z. (2021). The impact of pharmacy care and motivational interviewing on improving medication adherence in patients with cardiovascular diseases: a systematic review of randomised controlled trials. International Journal of Clinical Practice, 75(11), e14457.
Blakely, M. L., McKnight, K. D., Darling, R. A., & Moody, E. J. (2020). Using an OSCE to assess the potential for assistive technology to enhance communication between student pharmacists and simulated patients who are deaf/hard of hearing. Journal of the American Pharmacists Association, 60(6), 1044–1049.
Cohen, J. M., Blustein, J., Weinstein, B. E., Dischinger, H., Sherman, S., Grudzen, C., & Chodosh, J. (2017). Studies of physician-patient communication with older patients: how often is hearing loss considered? A Systematic Literature Review. Journal of the American Geriatrics Society, 65(8), 1642–1649.
Delli, R. M., Kaur, J., Lai, S. M. P., & Dumanig, F. P. (2022). Self-repair practices in pharmacist-patient interaction and their role in preventing misunderstanding and maintaining medication safety. Respectus Philologicus, 41(46), 53-66. https://doi.org/10.15388/RESPECTUS. 2022.41.46.107
De Young, M. (1996). Review of the research on pharmacists' patient communication views and practices. American Journal of Pharmaceutical Education, 60, 60-76.
Dowse, R. (2021). Pharmacists, are words enough? The case for pictograms as a valuable communication tool. Research in Social & Administrative Pharmacy, 17(8), 1518–1522. https://doi.org/10.1016/j.sapharm.2020.10.013
Evans, R. G. (2003). Patient centred medicine: reason, emotion, and human spirit? Some philosophical reflections on being with patients. Medical Humanities, 29(1), 8–14. https://doi.org/10.1136/mh.29.1.8
Ferguson, M. C., & Liu, M. (2015). Communication needs of patients with altered hearing ability: informing pharmacists' patient care services through focus groups. Journal of the American Pharmacists Association, 55 2, 153-60.
Ferguson, M. C., & Shan, L. (2016). Survey evaluation of pharmacy practice involving deaf patients. Journal of Pharmacy Practice, 29, 461 - 466.
Fesharaki, F. (2019). Nonverbal communication of pharmacists during counseling leading to patient satisfaction: evidence from Iranian retail market. Atlantic Journal of Communication. 27(1), 62-73. 10.1080/15456870.2019.1540241.
Gazmararian, J. A., Williams, M. V., Peel, J., & Baker, D. W. (2003). Health literacy and knowledge of chronic disease. Patient Education and Counseling, 51(3), 267–275. https://doi.org/10.1016/s0738-3991(02)00239-2
Greenhill, N., Anderson, C., Avery, A. J., & Pilnick, A. (2011). Analysis of pharmacist-patient communication using the Calgary-Cambridge guide. Patient Education and Counseling, 83(3), 423-431.
Henderson, S., Horne, M., Hills, R., & Kendall, E. (2018). Cultural competence in healthcare in the community: A concept analysis. Health & Social Care in the Community, 26(4), 590–603. https://doi.org/10.1111/hsc.12556
Hironaka, L. K., & Paasche-Orlow, M. K. (2007). The implications of health literacy on patient–provider communication. Archives of Disease in Childhood, 93(5), 428 - 432.
Holmes, E. (2014). How to address the communication needs of older patients with hearing loss. Nursing Older People, 26I(6), 27-30.
Hashim M. J. (2017). Patient-centered communication: basic skills. American Family Physician, 95(1), 29–34.
Jalal, Z., Cox, A., Goel, N., Vaitha, N., King, K., & Ward, J. (2018). Communications skills in the pharmacy profession: a cross sectional survey of UK registered pharmacists and pharmacy educators. Pharmacy, 6(4), 132. https://doi.org/10.3390/pharmacy6040132
Karia, A., Norman, R., Robinson, S., Lehnbom, E., Laba, T. L., Durakovic, I., Balane, C., Joshi, R., & Webster, R. (2022). Pharmacist's time spent: space for pharmacy-based interventions and consultation TimE (SPICE)-an observational time and motion study. BMJ open, 12(3), e055597. https://doi.org/10.1136/bmjopen-2021-055597
Kengar, M. D., Patil, A. A., Ankush, H. S., Pawar, S. P., & Bhagat, V. V. (2022). Importance of communication and relation between pharmacist and patient. Asian Journal of Pharmaceutical Research. 12(2): 176-178. doi: 10.52711/2231-5691.2022.00028
Koster, E. S., Philbert, D., & Bouvy, M. L. (2021). Impact of the COVID-19 epidemic on the provision of pharmaceutical care in community pharmacies. Research in Social and Administrative Pharmacy, 17(1). https://doi.org/10.1016/j.sapharm.2020.07.001
Kourkouta, L., & Papathanasiou, I. V. (2014). Communication in nursing practice. Materia socio-medica, 26(1), 65–67. https://doi.org/10.5455/msm.2014.26.65-67
Kundhal, K. K., & Khundal, P. S. (2003). Cultural diversity: An evolving challenge to physician-patient communication. JAMA, 289(1), 94. doi:10.1001/jama.289.1.94
Makowsky, M. J., Schindel, T. J., Rosenthal, M., Campbell, K., Tsuyuki, R. T., & Madill, H. M. (2009). Collaboration between pharmacists, physicians and nurse practitioners: A qualitative investigation of working relationships in the inpatient medical setting. Journal of Interprofessional Care, 23(2): 169-184. https://doi.org/10.1080/13561820802602552
Markides M. (2011). The importance of good communication between patient and health professionals. Journal of Pediatric Hematology/Oncology, 33 Suppl 2, S123–S125. https://doi.org/10.1097/MPH.0b013e318230e1e5
Mbanda, N., Dada, S., Bastable, K., Ingalill, G., & Ralf, W. S. (2020). A scoping review of the use of visual aids in health education materials for persons with low-literacy levels. Patient Education and Counseling. 104(5), 998–1017. https://doi.org/10.1016/j.pec.2020.11.034
McCrorie, A., Donnelly, C. B., & McGlade, K. (2016). Infographics: healthcare communication for the digital age. The Ulster Medical Journal, 85, 71 - 75.
McDonough, R. P., & Bennett, M. S. (2006). Improving communication skills of pharmacy students through effective precepting. American Journal of Pharmaceutical Education, 70(3), 58. https://doi.org/10.5688/aj700358
Ngoh, L. N. (2009). Health literacy: a barrier to pharmacist-patient communication and medication adherence. Journal of the American Pharmacists Association: JAPhA, 49(5), e132-e149. https://doi.org/10.1331/JAPhA.2009.07075
Odegard, P. S., & Capoccia, K. L. (2007). Medication taking and diabetes. The Diabetes Educator, 33, 1014 - 1029.
Park, J., & Zuniga, J. A. (2016). Effectiveness of using picture-based health education for people with low health literacy: An integrative review. Cogent Medicine, 3:1 doi: 10.1080/2331205X.2016.1264679
Quesenberry, A. C. (2017). Plain language for patient education. Journal of Consumer Health on the Internet, 21, 209 - 215.
Rasi, S. (2020). Impact of language barriers on access to healthcare services by immigrant patients: a systematic review. Asia Pacific Journal of Health Management, 15(1):i271. doi: 10.24083/apjhm.v15i1.271
Roche, E., Madigan, K., Lyne, J. P., Feeney, L., & O'Donoghue, B. (2014). The therapeutic relationship after psychiatric admission. The Journal of nervous and mental disease, 202(3), 186–192. https://doi.org/10.1097/NMD.0000000000000102
Samaranayake, N. R., Bandara, W., & Manchanayake, C. M. (2018). A narrative review on do’s and don’ts in prescription label writing – lessons for pharmacists. Integrated Pharmacy Research & Practice, 7, 53 - 66.
Sevinç, A., Buyukberber, S. G., & Camc?, C. (2005). Medical jargon: obstacle to effective communication between physicians and patients. Medical Principles and Practice, 14, 292 - 292.
Stevenson, F. A. (2014). Achieving visibility? Use of non-verbal communication in interactions between patients and pharmacists who do not share a common language. Sociology of Health & Illness, 36, 756 - 771.
Visscher, B. B., Vervloet, M., Te Paske, R., van Dijk, L., Heerdink, E. R., & Rademakers, J. (2021). Implementation of an animated medication information tool in community pharmacies, with a special focus on patients with limited health literacy. The International Journal of Pharmacy Practice, 29(6), 566–572. https://doi.org/10.1093/ijpp/riab038
Vottero, L. D. (1995). The Code of Ethics for pharmacists. American Journal of Health-System Pharmacy: AJHP: Official Journal of the American Society of Health-System Pharmacists, 52(19), 2096. https://doi.org/10.1093/ajhp/52.19.2096
Wado, T. E., Gunasekaran, T., & Dhanaraju, M. D. (2015). Pharmacist–patient communication barriers in dispensing practice: a descriptive study in Adama Hospital Medical College, Adama City, Oromia regional state, Ethiopia. Journal of Pharmaceutical Health Services Research, 6, 219-224. https://doi.org/10.1111/jphs.12113
Williams, M. V., Davis, T. C., Parker, R., & Weiss, B. D. (2002). The role of health literacy in patient-physician communication. Family Medicine, 34 5, 383-389.
Wong, L. S., Ram, S., & Scahill, S. (2022). Community pharmacists’ beliefs about suboptimal practice during the times of COVID-19. Pharmacy, 10(6), 140. http://dx.doi.org/10.3390/pharmacy10060140
Yimer, Y. S., Mohammed, S. A., & Hailu, A. D. (2020). Patient–pharmacist interaction in Ethiopia: systematic review of barriers to communication. Patient Preference and Adherence, 14, 1295 - 1305. https://doi.org/10.2147/PPA.S258914
In-Text Citation: (Othman et al., 2023)
To Cite this Article: Othman, M. I., Najib, M. N. M., & Sulaiman, S. (2023). Drug Dispensing and Counselling: Challenges and Practices in Patient-Pharmacist Communication. International Journal of Academic Research in Progressive Education and Development, 12(2), 364–380.
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