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Human Resources for Health

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Open Access 01-12-2018 | Research

A survey of pharmacists’ perception of foundation level competencies in African countries

Authors: Arit Udoh, Andreia Bruno, Ian Bates

Published in: Human Resources for Health | Issue 1/2018

Abstract

Background

Evidence from published literature in pharmacy practice research demonstrate that the use of competency frameworks alongside standards of practice facilitate improvement in professional performance and aid expertise development. The aim of this study was to evaluate pharmacists’ perception of relevance to practice of the competencies and behaviours contained in the FIP Global Competency Framework (GbCF v1). The overall objective of the study was to assess the validity of the GbCF v1 framework in selected countries in Africa.

Methods

A cross-sectional survey of pharmacists practicing in 14 countries in Africa was conducted between November 2012 and December 2014. A combination of purposive and snowball sampling method was used. Data was analysed using SPSS v22.

Results

A total of 469 pharmacists completed the survey questionnaire. The majority (91%) of the respondents were from four countries: Ghana, Kenya, Nigeria and South Africa. The study results showed broad agreement on relevance to practice for 90% of the behaviours contained in the GbCF v1 framework. Observed disagreement was associated with area of pharmacy practice and the corresponding patient facing involvement (p ≤ 0.05). In general, the competencies within the ‘pharmaceutical care’ and ‘pharmaceutical public health’ clusters received higher weighting on relevance compared to the research-related competencies which had the lowest. Specific inter-country variability on weighting of relevance was observed in five behaviours in the framework although, this was due to disparity in ‘degree of relevance’ that was related to sample composition in the respective countries.

Conclusion

The competencies contained in the GbCF v1 are relevant to pharmacy practice in the study population; however, there are some emergent differences between the African countries surveyed. Overall, the findings provide preliminary evidence that was previously lacking on the relevance of the GbCF v1 competencies to pharmacy practice in the countries surveyed.

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Bond CA, Raehl CL. Clinical pharmacy services, pharmacy staffing, and hospital mortality rates. Pharmacother J Hum Pharmacol Drug Ther. 2007;27(4):481–93.CrossRef

Fairbanks RJ, Hildebrand JM, Kolstee KE, Schneider SM, Shah MN. Medical and nursing staff highly value clinical pharmacists in the emergency department. Emerg Med J. 2007;24(10):716–8.CrossRefPubMedPubMedCentral

Giberson S, Yoder S, Lee MP. Improving patient and health system outcome through advanced pharmacy practice. [Internet]. Office of the Chief Pharmacist, U.S. Public Health Service; 2011 Dec [cited 2012 Oct 24] p. 1–95. (Report to the Surgeon General). Available from: http://www.usphs.gov/corpslinks/pharmacy/sc_comms_sg_report.aspx.

Jacknin G, Nakamura T, Smally AJ, Ratzan RM. Using pharmacists to optimize patient outcomes and costs in the ED. Am J Emerg Med. 2014;32(6):673–7.CrossRefPubMed

Lada P, Delgado G. Documentation of pharmacists’ interventions in an emergency department and associated cost avoidance. Am J Health Syst Pharm. 2007;64(1):63–8.CrossRefPubMed

Austin Z. CPD and revalidation: our future is happening now. Res Soc Adm Pharm. 2013;9(2):138–41.CrossRef

International Pharmaceutical Federation. The 2012 FIP global pharmacy workforce report. The Hague: International Pharmaceutical Federation; 2012.

International Pharmaceutical Federation (FIP). Advanced practice and specialisation in pharmacy: global report 2015 [Internet]. The Hague, Netherlands: International Pharmaceutical Federation; 2015. Available from: http://www.fip.org/files/fip/PharmacyEducation/Adv_and_Spec_Survey/FIPEd_Advanced_2015_web_v2.pdf. Accessed Mar 2018.

Global Health Workforce Alliance. A universal truth: no health without a workforce. Brazil: Global Health Workforce Alliance and World Health Organization; 2013. p. 90. Available from: http://www.who.int/workforcealliance/knowledge/resources/GHWA-a_universal_truth_report.pdf?ua=1.

10.

International Pharmaceutical Federation (FIP). Global pharmacy workforce intelligence: trends report. The Hague: International Pharmaceutical Federation; 2015. Available from: http://www.fip.org/files/fip/PharmacyEducation/Trends/FIPEd_Trends_report_2015_web.pdf.

11.

About FIP—FIP—International Pharmaceutical Federation [Internet]. [cited 2017 Jan 25]. Available from: https://www.fip.org/?page=menu_about.

12.

Bates I, Bruno A. Competence in the global pharmacy workforce: a discussion paper. Int Pharm J. 2008;23(2):30–3.

13.

Bruno A, Bates I, Brock T, Anderson C. Towards a global competency framework. Am J Pharm Educ. 2010;74(3):1–2.CrossRef

14.

Antoniou S, Webb DG, McRobbie D, Davies JG, Wright J, Quinn J, et al. A controlled study of the general level framework: results from the South of England competency study. Pharm Educ. 2005;5:201–7.CrossRef

15.

Coombes I, Avent M, Cardiff L, Bettenay K, Coombes J, Whitfield K, et al. Improvement in pharmacist’s performance facilitated by an adapted competency-based general level framework. J Pharm Pract Res. 2010;40(2):111–8.CrossRef

16.

Rutter V, Wong C, Coombes I, Cardiff L, Duggan C, Yee M-L, et al. Use of a general level framework to facilitate performance improvement in hospital pharmacists in Singapore. Am J Pharm Educ. 2012;76(6):107.CrossRefPubMedPubMedCentral

17.

Svetlana S, Ivana T, Tatjana C, Duskana K, Bates I. Evaluation of competences at the community pharmacy settings. Indian J Pharm Educ Res. 2014;48(4):22–30.CrossRef

18.

Meštrović A, Staničić Ž, Hadžiabdić MO, Mucalo I, Bates I, Duggan C, et al. Individualized education and competency development of Croatian community pharmacists using the general level framework. Am J Pharm Educ. 2012;76(2):23.CrossRefPubMedPubMedCentral

19.

Meštrović A, Staničić Z, Hadžiabdić MO, Mucalo I, Bates I, Duggan C, et al. Evaluation of Croatian community pharmacists’ patient care competencies using the general level framework. Am J Pharm Educ. 2011;75(2). Article 36.

20.

Mills E, Bates I, Farmer D, Davies G, Webb DG. The general level framework: use in primary care and community pharmacy to support professional development. Int J Pharm Pract. 2008;16(5):325–31.CrossRef

21.

FIP Education Initiatives. A global competency framework for services provided by pharmacy workforce: International Pharmaceutical Federation; 2012. p. 21. https://www.fip.org/files/fip/PharmacyEducation/GbCF/GbCF_v1_online_A4.pdf.

22.

International Pharmaceutical Federation (FIP). 2013 FIPEd global education report. The Hague: International Pharmaceutical Federation; 2013. 52 p.

23.

International Pharmaceutical Federation. Transforming our workforce [Internet]. International Pharmaceutical Federation; 2016 [cited 2017 Jan 25]. Available from: https://www.fip.org/files/fip/PharmacyEducation/2016_report/FIPEd_Transform_2016_online_version.pdf.

24.

The Pharmaceutical Society of Ireland. Core competency framework for pharmacists. Dublin: Pharmaceutical Society of Ireland; 2013. Available from: http://www.thepsi.ie/Libraries/Publications/PSI_Core_Competency_Framework_for_Pharmacists.sflb.ashx.

25.

Brown AN, Gilbert BJ, Bruno AF, BPharm GMC. The pharmacy competency framework for Pacific Island countries. J Pharm Pract Res. 2012;42(4):268–72.CrossRef

26.

Bruno AF. The feasibility, development and validation of a global competency framework for pharmacy education, PhD thesis. School of Pharmacy, University of London. London: School of Pharmacy, University of London; 2011.

27.

Bewick V, Cheek L, Ball J. Statistics review 8: qualitative data—tests of association. Crit Care. 2004;8(1):46–53.CrossRefPubMed

28.

Cohen J. Statistical power analysis for the behavioural sciences. Hillsdale: Lawrence Erlbaum Associates; 1988.

29.

Weisburd D, Britt C. Measures of association for nominal and ordinal variables. In: Statistics in criminal justice. Third. New York: Springer US; 2007. p. 335–380. Available from: https://doi.org/10.1007/978-0-387-34113-2_13.

30.

Armour C, Brillant M, Krass I. Pharmacists’ views on involvement in pharmacy practice research: strategies for facilitating participation. Pharm Pract. 2007;5(2):59–66.

31.

Awaisu A, Bakdach D, Elajez RH, Zaidan M. Hospital pharmacists’ self-evaluation of their competence and confidence in conducting pharmacy practice research. Saudi Pharm J. 2014;(0). Available from: http://www.sciencedirect.com/science/article/pii/S1319016414001121. Accessed Mar 2018.

32.

Fagan SC, Touchette D, Smith JA, Sowinski KM, Dolovich L, Olson KL, et al. The state of science and research in clinical pharmacy. Pharmacother J Hum Pharmacol Drug Ther. 2006;26(7):1027–40.CrossRef

33.

Rosenbloom K, Taylor K, Harding G. Community pharmacists’ attitudes towards research. Int J Pharm Pract. 2000;8(2):103–10.CrossRef

34.

Hébert J, Laliberté M-C, Berbiche D, Martin E, Lalonde L. The willingness of community pharmacists to participate in a practice-based research network. Can Pharm J CPJ. 2013;146(1):47–54.CrossRef

35.

Kanjanarach T, Numchaitosapol S, Jaisa-ard R. Thai pharmacists’ attitudes and experiences of research. Res Soc Adm Pharm. 2012;8(6):e58–9.CrossRef

36.

Liddell H. Attitudes of community pharmacists regarding involvement in research. Pharm J. 1996;256:905–7.

37.

Saini B, Brillant M, Filipovska J, Gelgor L, Mitchell B, Rose G, et al. Factors influencing Australian community pharmacists’ willingness to participate in research projects: an exploratory study. Int J Pharm Pract. 2006;14(3):179–88.CrossRef

38.

Carrington C, Weir J, Smith P. The development of a competency framework for pharmacists providing cancer services. J Oncol Pharm Pract. 2011;17(3):168–78.CrossRefPubMed

39.

Jones SC, Fleming G, Hay D, Ibrahim M, Pettit M, Wright E, et al. Development and piloting of a competency framework for pharmacy educational and practice supervisors. Pharm Educ. 2012;12(1):14–9.

40.

Maitreemit P, Pongcharoensuk P, Kapol N, Armstrong EP. Pharmacist perceptions of new competency standards. Pharm Pract. 2008;6(3):113–20.

41.

Kennie-Kaulbach N, Farrell B, Ward N, Johnston S, Gubbels A, Eguale T, et al. Pharmacist provision of primary health care: a modified Delphi validation of pharmacists’ competencies. BMC Fam Pract. 2012;13(1):1–9.CrossRef

42.

Atkinson J, Paepe KD, Pozo AS, Rekkas D, Volmer D, Hirvonen J, et al. The PHAR-QA project: quality assurance in European pharmacy education and training. Results of the European network Delphi round 1: PHAR-QA Newsletter. PHARMINE; 2015. p. 1–31.

43.

Adje DU, Oli AN. Community pharmacy in Warri, Nigeria: a survey of practice details. Sch Acad J Pharm SAJP. 2013;2(5):391–7.

44.

Machula MC. Effect of trade liberalisation on community pharmacy in Zambia: a case study of the Copperbelt region [Internet] [MBA Thesis]. [Zambia]: The Copperbelt Uinversity School of Business Postgraduate Studies; 2007. Available from: http://dspace.cbu.ac.zm:8080/jspui/bitstream/123456789/127/1/MACHULA%2c%20C.%20MOSES0001%20-%20Effect%20of%20trade%20liberalisation%20on%20community%20pharmacy.%20A%20case%20study%20of%20The%20Copperbelt%20University.PDF. Accessed Mar 2018.

45.

Terzibanjan A-R, Laaksonen R, Weiss M, Airaksinen M, Wuliji T. Medication error reporting systems—lessons learnt. Executive summary of the findings [Internet]. International Pharmaceutical Federation; 2008 [cited 2017 Oct 12]. Available from: http://www.fip.org/files/fip/Patient%20Safety/Medication%20Error%20Reporting%20-%20Lessons%20Learnt2008.pdf.

46.

Chukwuneke F. Medical incidents in developing countries: a few case studies from Nigeria. Niger J Clin Pract. 2015;18(7):20–4.CrossRef

47.

Walker EE. Strategies to reduce medication errors (II): Pharmaceutical Society of Ghana; 2016. Available from: https://psgh.site-ym.com/page/V5N3_medicationerror/Strategies-to-reduce-medication-errors-II.htm. Accessed Mar 2018.

48.

Kassi M. Pharmacy in Africa [Internet]. The Ohio State University School of Pharmacy; 2016 [cited 2017 Oct 12]. Available from: http://pharmacy.osu.edu/sites/default/files/forms/outreach/intro2pharm/global-practices/Pharmacy-in-Africa_Kassi.pdf.

49.

Wilson RM, Michel P, Olsen S, Gibberd RW, Vincent C, El-Assady R, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospitals. Br Med J. 2012;13:344.

50.

Llewellyn RL, Gordon PC, Reed AR. Drug administration errors: time for national action. SAMJ South Afr Med J. 2011;101:319–20.CrossRef

51.

Scheele F, Teunissen P, Luijk SV, Heineman E, Fluit L, Mulder H, et al. Introducing competency-based postgraduate medical education in the Netherlands. Med Teach. 2008;30(3):248–53.CrossRefPubMed

52.

Danish Health and Medicines Authority. The seven roles of physicians [Internet]. Danish Health and Medicines Authority; 2014 [cited 2017 Jan 13]. Available from: https://www.sst.dk/en/news/2013/~/media/39D3E216BCBF4A9096B286EE44F03691.ashx.

53.

Ringsted C, Hansen TL, Davis D, Scherpbier A. Are some of the challenging aspects of the CanMEDS roles valid outside Canada? Med Educ. 2006;40(8):807–15.CrossRefPubMed

54.

The Royal Australian and New Zealand College of Psychiatrists. Fellowship statements and competencies [Internet]. Melbourne, Australia: The Royal Australian and New Zealand College of Psychiatrists; 2012 [cited 2017 Jan 13] p. 3. Available from: https://www.ranzcp.org/Files/PreFellowship/2012-Fellowship-Program/Fellowship-Competencies.aspx.

55.

Atkinson J, Rombaut B, Pozo AS, Rekkas D, Veski P, Hirvonen J, et al. Production of a framework of competences for pharmacy practice in the European Union. Pharmacy. 2014;2(2):161–74.CrossRef

56.

International Pharmaceutical Federation. Continuing professional development and continuing education in pharmacy: a global report [Internet]. The Hague, Netherlands: International Pharmaceutical Federation; 2014 p. 44. Available from: http://www.fip.org/files/fip/PharmacyEducation/CPD_CE_report/FIP_2014_Global_Report_CPD_CE_online_version.pdf. Accessed Mar 2018.

57.

Duwiejua M, Danquah DA, Andrews-Annan E. Assessment of human resources for pharmaceutical services in Ghana [Internet]. Pharmacy Council of Ghana, Ministry of Health, Ghana; 2009 [cited 2017 Jun 17]. Available from: assessment of human resources for pharmaceutical serviecs in ghana.

58.

Gebretekle GB, Fenta TG. Assessment of pharmacists workforce in Ethiopia. Ethiop J Health Dev. 2013;27(2):1–10.

59.

Abuturkey DHY. Assessment of human resources at the pharmaceutical sector [Internet]. The Republic of the Sudan Federal Ministry of Health, Directorate General of Pharmacy; 2012. Available from: https://www.hrhresourcecenter.org/node/5018.html. Accessed Mar 2018.

60.

Edwards P, Roberts I, Sandercock P, Frost C. Follow-up by mail in clinical trials: does questionnaire length matter? Control Clin Trials. 2004;25(1):31–52.CrossRefPubMed

61.

Iglesias C, Torgerson D. Does length of questionnaire matter? A randomised trial of response rates to a mailed questionnaire. J Health Serv Res Policy. 2000;5(4):291–21.CrossRef

62.

Bowling A. Research methods in health: investigating health and health services. 3rd ed. Berkshire: Open University Press; 2009. p. 525.

63.

de Vaus D. Surveys in social research [Internet]. 5th ed. Taylor & Francis; 2002. 379 p. Available from: http://books.google.co.uk/books?id=1IRDJEtBg48C. Accessed Mar 2018.

64.

Abosse Akue-Kpakpo, editor. Study on international internet connectivity in sub-Saharan Africa. A report of the Regulatory and Market Environment Division (RME) of the Telecommunication Development Bureau and ITU-T Study Group 3 [Internet]. International Telecommunication Union, Geneva, Switzerland; 2013 [cited 2017 Oct 12]. Available from: https://www.itu.int/en/ITU-D/Regulatory-Market/Documents/IIC_Africa_Final-en.pdf.

65.

de Heer-Menlah FK. Internet access for African countries. Ubiquity. 2002;(4). Article No. 4. https://ubiquity.acm.org/article.cfm?id=763949. Accessed Mar 2018.

66.

Olsen R. Self-selection bias. In: Lavrakas PJ, editor. Encyclopedia of survey research methods. Thousand Oaks: SAGE Publications, Inc.; 2008. p. 809–11.

Title: A survey of pharmacists’ perception of foundation level competencies in African countries
Authors: Arit Udoh
Andreia Bruno
Ian Bates
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Human Resources for Health / Issue 1/2018
Electronic ISSN: 1478-4491
DOI: https://doi.org/10.1186/s12960-018-0280-1

At a glance: The STEP trials

Springer Medicine

A survey of pharmacists’ perception of foundation level competencies in African countries

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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