Rural and Regional Pharmacy Education and Leadership

A special issue of Pharmacy (ISSN 2226-4787).

Deadline for manuscript submissions: closed (31 January 2014) | Viewed by 34413

Special Issue Editor


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Guest Editor
School of Medical Sciences and Dentistry, Charles Sturt University, Orange Campus, Orange, NSW 2800, Australia
Interests: disciplinary pharmacy practice; pharmacy education; telehealth; technology in health; digital health; professional identity development; assessment and workplace learning
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Special Issue Information

Dear Colleagues,

In many nations, the health experience of members of the population are significantly different by location, with those in rural and remote areas experiencing poorer health outcomes (Anderson et al., 2006; Hartley, 2004; Phillips & McLeroy, 2004; Pong, DesMeules, & Lagacé, 2009; Probst, Moore, Glover, & Samuels, 2004; Smith, Humphreys, & Wilson, 2008). Further, there is often a paucity of health professionals, with many in rural and remote areas being early career practitioners, and frequently, the only practitioner of their professional in that town or region (Dolea, Stormont, & Braichet, 2010; Goodyear-Smith & Janes, 2008). Traditionally, universities which offer education for health professions such as pharmacy have been situated in larger urban towns and intending students had to relocate to those towns for their education. Increasingly, pharmacy schools are starting outside major metropolitan areas and offer an option for students to complete their education in non-metropolitan sites.

Another side to the education of pharmacists in newer schools which are geographically remote from the major metropolis, is the inclusion in many cases of distributed leadership in the course to address the perceived need for graduates to be able to represent their profession and serve and advocate for their patients in the multidisciplinary healthcare team, in relative geographic isolation. This special issue offers the opportunity to explore rural pharmacy education, its practices and innovation, and further the extent of education for professional leadership in the program.

References:

Anderson, I., Crengle, S., Leialoha Kamaka, M., Chen, T.-H., Palafox, N., & Jackson-Pulver, L. (2006). Indigenous health in Australia, New Zealand, and the Pacific. The Lancet, 367(9524), 1775-1785.
Dolea, C., Stormont, L., & Braichet, J.-M. (2010). Evaluated strategies to increase attraction and retention of health workers in remote and rural areas. Bulletin of the World Health Organization 88(5), 379-385.
Goodyear-Smith, F., & Janes, R. (2008). New Zealand rural primary health care workforce in 2005: more than just a doctor shortage. Australian Journal of Rural Health, 16(1), 40-46.
Hartley, D. (2004). Rural health disparities, population health, and rural culture. American Journal of Public Health, 94(10), 1675–1678.
Phillips, C. D., & McLeroy, K. R. (2004). Health in rural America: remembering the importance of place. American Journal of Public Health, 94(10), 1661.
Pong, R. W., DesMeules, M., & Lagacé, C. (2009). Rural-urban disparities in health: How does Canada fare and how does Canada compare with Australia? Australian Journal of Rural Health, 17(1), 58-64.
Probst, J. C., Moore, C. G., Glover, S. H., & Samuels, M. E. (2004). Person and place: the compounding effects of race/ethnicity and rurality on health. American Journal of Public Health, 94(10), 1695-1703.
Smith, K. B., Humphreys, J. S., & Wilson, M. G. A. (2008). Addressing the health disadvantage of rural populations: how does epidemiological evidence inform rural health policies and research? Journal of Rural Health, 16(2), 56-66.

Dr. Maree Donna Simpson
Guest Editor

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Keywords

  • rural pharmacy
  • pharmacy education
  • pharmacy leadership

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Published Papers (5 papers)

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Research

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189 KiB  
Article
Development of a Survey to Assess the Acceptability of an Innovative Contraception Practice among Rural Pharmacists
by Michael Wong, Judith A. Soon, Peter J. Zed and Wendy V. Norman
Pharmacy 2014, 2(1), 124-136; https://doi.org/10.3390/pharmacy2010124 - 12 Mar 2014
Cited by 10 | Viewed by 6992
Abstract
Improved access to effective contraceptive methods is needed in Canada, particularly in rural areas, where unintended pregnancy rates are high and specific sexual health services may be further away. A rural pharmacist may be the most accessible health care professional. Pharmacy practice increasingly [...] Read more.
Improved access to effective contraceptive methods is needed in Canada, particularly in rural areas, where unintended pregnancy rates are high and specific sexual health services may be further away. A rural pharmacist may be the most accessible health care professional. Pharmacy practice increasingly incorporates cognitive services. In Canada many provinces allow pharmacists to independently prescribe for some indications, but not for hormonal contraception. To assess the acceptability for the implementation of this innovative practice in Canada, we developed and piloted a survey instrument. We chose questions to address the components for adoption and change described in Rogers’ “diffusion of innovations” theory. The proposed instrument was iteratively reviewed by 12 experts, then focus group tested among eight pharmacists or students to improve the instrument for face validity, readability, consistency and relevancy to community pharmacists in the Canadian context. We then pilot tested the survey among urban and rural pharmacies. 4% of urban and 35% of rural pharmacies returned pilot surveys. Internal consistency on repeated re-phrased questions was high (Cronbach’s Alpha = 0.901). We present our process for the development of a survey instrument to assess the acceptability and feasibility among Canadian community pharmacists for the innovative practice of the independent prescribing of hormonal contraception. Full article
(This article belongs to the Special Issue Rural and Regional Pharmacy Education and Leadership)
167 KiB  
Article
Group Project—Learning Research and Generic Skills for Life beyond University
by Sabine Wilkens and Joe Tucci
Pharmacy 2014, 2(1), 65-73; https://doi.org/10.3390/pharmacy2010065 - 13 Feb 2014
Cited by 1 | Viewed by 6075
Abstract
Although research is usually not a goal of Pharmacy students, learning about the research processes is important, as graduates’ development and confidence in professional counseling will depend on critically interpreting the literature about new therapies. In addition to research skills, many universities are [...] Read more.
Although research is usually not a goal of Pharmacy students, learning about the research processes is important, as graduates’ development and confidence in professional counseling will depend on critically interpreting the literature about new therapies. In addition to research skills, many universities are now placing more emphasis on assessable graduate attributes. In an increasingly competitive job market, writing, critical thinking, speaking, leadership and teamwork skills are all essential, as they prepare students for the workforce, especially in regional and remote locations. However their teaching and assessment can be a challenge to embed in content rich subjects. “Group Project” is an elective subject in the final semester of the Bachelor of Pharmacy degree at La Trobe University in Bendigo, Australia. Key features include: self-selection of the project and participating group members, supervision of small student groups, interview-style presentations, weekly reflections on progress and group processes, as well as peer evaluation of group members. Three case studies are discussed to illustrate students’ introduction to research within the support of the group and with guidance from their supervisor. In our experience, supervisor engagement played a large role in students rating the subject highly and their subsequent enthusiasm for research. Full article
(This article belongs to the Special Issue Rural and Regional Pharmacy Education and Leadership)

Other

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147 KiB  
Comment
The Catch-22 of Pharmacy Practice in Pakistan’s Pharmacy Education
by Atta Abbas
Pharmacy 2014, 2(3), 202-204; https://doi.org/10.3390/pharmacy2030202 - 4 Jul 2014
Cited by 5 | Viewed by 5530
Abstract
New developments in the pharmacy education structure in Pakistan led to the formation of a separate department grouping high specialized services/subjects. However, inadequate planning has exposed a vacuity, as the educational authorities failed to develop a workforce before creating the specialized department. As [...] Read more.
New developments in the pharmacy education structure in Pakistan led to the formation of a separate department grouping high specialized services/subjects. However, inadequate planning has exposed a vacuity, as the educational authorities failed to develop a workforce before creating the specialized department. As a result, this vacuum is on the verge of being impinged by pharmacy professionals specialized in entirely different domains which would be detrimental to the future prospects of the development of pharmacy practice in Pakistan. Full article
(This article belongs to the Special Issue Rural and Regional Pharmacy Education and Leadership)
174 KiB  
Discussion
Complementing a Rural Pharmacy Course with CAM: Reflections from a Decade of Experience
by Maree Simpson, Heather Cavanagh, George John, Philip Kerr, Hassan Obied, Heather Robinson and Greggory Maynard
Pharmacy 2014, 2(1), 88-97; https://doi.org/10.3390/pharmacy2010088 - 4 Mar 2014
Cited by 2 | Viewed by 5219
Abstract
Substantial complementary medicines (CAM) use is reported worldwide. Australian consumers use CAM for health maintenance, minor self-limiting disease states, and also for chronic conditions. The increasing use of CAM has required pharmacists to become increasingly more knowledgeable about CAM and the ethics of [...] Read more.
Substantial complementary medicines (CAM) use is reported worldwide. Australian consumers use CAM for health maintenance, minor self-limiting disease states, and also for chronic conditions. The increasing use of CAM has required pharmacists to become increasingly more knowledgeable about CAM and the ethics of CAM recommendation. When the first Australian non-metropolitan pharmacy program was started at Charles Sturt University, in 1997, it was decided to incorporate two innovative courses to assist rurally educated students to engage with health consumers who expect pharmacists to be able to assist them with CAM. This discussion traces and reflects on the development, implementation and current situation of the Complementary Medicines for Pharmacy course. Over time, this course has evolved from a final year elective with a focus on familiarization to a mandated course with a phytomedicine focus to an integrated topic in final year with a focus on evidence, quality of evidence and professional decision-making demonstrated in a reflective professional portfolio. Of potentially greater importance, however, has been the introduction of complementary medicines as a topic in every year of the course with the goal of facilitating effective professional engagement with health consumers. Full article
(This article belongs to the Special Issue Rural and Regional Pharmacy Education and Leadership)
266 KiB  
Concept Paper
Giving “Best Advice”: Proposing a Framework of Community Pharmacist Professional Judgement Formation
by Cicely Roche and Felicity Kelliher
Pharmacy 2014, 2(1), 74-85; https://doi.org/10.3390/pharmacy2010074 - 19 Feb 2014
Cited by 13 | Viewed by 9828
Abstract
Community pharmacy is often portrayed as a marriage of professional and business roles in a commercial domain, thereby creating a need for, and value in, pursuing the development of professional competencies for use in the community pharmacy business. In context, professional judgement is [...] Read more.
Community pharmacy is often portrayed as a marriage of professional and business roles in a commercial domain, thereby creating a need for, and value in, pursuing the development of professional competencies for use in the community pharmacy business. In context, professional judgement is the application of knowledge, skills and attitudes (competencies) which, when applied to situations where there is no one or obvious right or wrong way to proceed, gives a patient a better likelihood of a favourable outcome than if a lay-person had made the decision. The challenge for community pharmacists is that professional judgement formation is influenced by professional, commercial and personal criteria with inherent interconnected challenges. In community pharmacy practice in the Republic of Ireland (ROI), this challenge is compounded by the fact that advice is normally provided in an environment where the pharmacist provides professional advice “for free” and then may offer to sell the patient a product or service based on that advice, an activity which amounts to a commercial transaction. While there is currently no evidence to confirm whether or not these professional judgement influences are resolved successfully, their very existence poses a risk that their resolution “in the wrong way could compromise patient outcomes or professional standing following the delivery of pharmacy services. It is therefore apparent that a community pharmacist requires skills in identifying and analysing professional/commercial/personal influences in order to appreciate the criteria which may affect both parties’ (patient and pharmacist) decision making. By contemplating the interaction between the pharmacist’s professional competencies and the individual influences on that pharmacist, we can consider the enhancement of professional competencies that underpin the “best” advice being offered to the patient, regardless of whether that advice is offered in the course of dispensing prescriptions or delivering vaccination or other services, culminating in a framework of professional judgement formation. Full article
(This article belongs to the Special Issue Rural and Regional Pharmacy Education and Leadership)
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