ECZACI-HASTA İLETİŞİMİ KONUSUNDA İSTANBUL İLİ ANKET ÇALIŞMASI

Abstract

      Amaç: Hayatımızda yadsınamaz bir yeri olan iletişim, sağlık bakımında da bir kalite göstergesi olarak kabul edilmektedir. Farklı özellikte çok sayıda hasta grubuyla etkileşim içindeki eczacılar, etkili iletişim araç ve yöntemlerini kullanma ihtiyacındadır. İletişimin uygulanabilir yöntem ve teknikleri farklı bölgelerde başlıca kültür, demografik yapı vb. etkenler sebebiyle farklılıklar göstermektedir. Yapılan çalışma ile eczacı-hasta iletişimine yönelik aksaklıkların tespiti; buna bağlı olarak eczacılık eğitiminin yapılandırılmasına temel oluşturulması amaçlanmıştır.

        Gereç ve Yöntem: Literatür incelemeleri sonucu hazırlanan sorular ile eczacılar ve eczane çıkışı hastalarla yüz yüze görüşmeler yapılarak, eczacı–hasta iletişimindeki temel sorunlar, eczacı ve hastaların beklenti, görüş vb. yaklaşımlar incelenmiştir.

        Sonuç ve Tartışma: Çalışma sonucunda, serbest eczacının ilgili ve çözüm odaklı oluşu, hastaları anlamaya çaba göstermesi gibi konularda eczacıların hastaların beklentisini karşıladığı; ancak etkin iletişimin en önemli unsurlarından, doğru soru sorma, geri bildirim gibi ana konularda ise hastaların beklentisinin altında kalındığı belirlenmiştir. Bu sebeple, iletişim becerilerini geliştirmek üzere eczacılık eğitiminde revizyon yapılması; mezun eczacılar için eğitim programları düzenlenmesi gerekliliği görülmektedir.    

Keywords

• Eczacı,İletişim,Eğitim

A SURVEY STUDY IN ISTANBUL ON COMMUNICATION BETWEEN PHARMACIST AND PATIENT

Abstract

        Objective: Communication which has an undeniable place in our lives is accepted as a quality indicator in health care. Pharmacists interact with many patient groups in different features need to use effective communication tools and methods. Applicable methods and techniques to communicate change in different regions by the factors, mainly culture, demographic structure etc. In this study, determining the shortcomings for the pharmacist-patient-communication; accordingly forming a basis for structuring the pharmacy education was aimed.

        Material and Method: With the questions prepared as a result of literature reviews face to face interviews with pharmacists and pharmacy outpatients were conducted to evaluate the subjects such as main problems in communication, expectations and opinions of pharmacists and patients.

        Result and Discussion: As a result, being of a community pharmacist as relevant and solution-oriented and tried to understand the patient meet expectations; however, the most important elements of effective communication, like asking the right questions and feedback, are left under the expectation of the patients. In this concept, revision of pharmacy education and organizing trainings for graduated pharmacists to improve communication skills are required.

Keywords

• Pharmacist,Communication,Education

References

1. Aksu, B. (2015). Kuşak Farklılıklarında Yönetim. Türk Eczacıları Birliği Eczacılık Akademisi, 20, 445-452.
2. Hargie, O.D.W., Morrow, N.C., Woodman, C. (2000). Pharmacists’ evaluation of key communication skills in practice. Patient Education and Counseling, 39, 61-70.
3. Skoglund, P., Isacson, D., Kjellgren, K. I. (2003). Analgesic medication—communication at pharmacies. Patient Education and Counseling, 51, 155-161.
4. Pendergast, J.F., Kimberlin, C.L., Berardo, D.H., Mckenzie, L.C. (1995). Role orientation and community pharmacists' participation in a project to improve patient care. Social Science & Medicine, 40, 557-565.
5. Geffen, E.C.G., Philbert, D., Boheemen, C., Dijk, L., Bos, M.B., Bouvy, M.L. (2011). Patients’ satisfaction with information and experiences with counseling on cardiovascular medication received at the pharmacy. Patient Education and Counseling, 83, 303-309.
6. Watermeyer, J., Penn, C. (2009). Tell me so i know you understand: Pharmacists’ verification of patients’ comprehension of antiretroviral dosage instructions in a cross-cultural context. Patient Education and Counseling, 75, 205-213.
7. Grice, G.R., Gattas, N.M., Sailors, J., Murphy, J.A., Tiemeier, A., Hurd, P., Prosser, T., Berry, T., Duncan, W. (2013). Health literacy: Use of the Four Habits Model to improve student pharmacists’ communication. Patient Education and Counseling, 90, 23-28.
8. Greenhill, N., Anderson, C., Avery, A., Pilnick, A. (2011). Analysis of pharmacist–patient communication using the Calgary-Cambridge guide. Patient Education and Counseling, 83, 423-431.

9. Deveugele, M. (2015). Communication training: Skills and beyond. Patient Education and Counseling, 98, 1287-1291.
10. Blom, L., Wolters, M., Hoor-Suykerbuyk, M., Paassen, J., Oyen A. (2011). Pharmaceutical education in patient counseling: 20 h spread over 6 years? Patient Education and Counseling, 83, 465-471.
11. Boquiren, V.M., Hack, T.F., Beaver, K., Williamson, S. (2015). What do measures of patient satisfaction with the doctor tell us? Patient Education and Counseling, 98, 1465-1473.
12. Mesquita, A.R., Lyra Jr, D.P., Brito, G.C., Balisa-Rocha, B. J., Aguiar, P.M., Almeida Neto, A.C. (2010). Developing communication skills in pharmacy: A systematic review of the use of simulated patient methods. Patient Education and Counseling, 78, 143-148.
13. Keshishian, F., Colodny, N., Boone, T.R. (2008). Physician–patient and pharmacist–patient communication: Geriatrics’ perceptions and opinions. Patient Education and Counseling, 71, 265-284.
14. Hyvarinen, M., Tanskanen, P., Katajavuori, N., Isotalus, P. (2008). Feedback in patient counselling training—Pharmacy students’ opinions. Patient Education and Counseling, 70, 363-369.
15. Şirin, S.R., Vatanartıran, S. (2014). PISA 2012 Değerlendirmesi: Türkiye İçin Veriye Dayalı Eğitim Reformu Önerileri. Yayın no: TÜSİAD-T/2014-02/549. Kansanahoa, H., Isonen-Sjölund, N., Pietila, K., Airaksinen, M., Isonen, T. (2002). Patient counselling profile in a Finnish pharmacy. Patient Education and Counseling, 47, 77-82.
16. Çağırcı, S., Yeğenoğlu, S. (2007). Genel İletişim Bilgileri Perspektifinden Hasta-Eczacı İletişimi. Ankara Eczacılık Fakültesi Dergisi, 36, 31-46.
17. Antunes, L.P., Gomes, J.J., Cavaco, A.M. (2015). How pharmacist–patient communication determines pharmacy loyalty? Modeling relevant factors. Research in Social and Administrative Pharmacy, 11, 560-570.
18. Lane, C., Rollnick, S. (2007). The use of simulated patients and role-play in communication skills training: A review of the literature to August 2005. Patient Education and Counseling, 67, 13-20.
19. Ulutaş, E., Şahne, B.S., Yeğenoğlu, S. (2015). Eczacılıkta İletişimin Rolü. Marmara Pharmaceutical Journal, 19, 200-207.
20. Maatouk-Bürmann, B., Ringel, N., Spang, J., Weiss, C., Möltner, A., Riemann, U., Langewitz, W., Schultz, J., Jünger, J. (2016). Improving patient-centered communication: Results of a randomized controlled trial. Patient Education and Counseling, 99, 117-24.
21. Wouda, J.C., Wiel, H.B.M. (2013). Education in patient–physician communication: How to improve effectiveness? Patient Education and Counseling, 90, 46-53.improve effectiveness? Patient Education and Counseling, 90, 46-53.
22. Çıta, K., Keçecioğlu T. (2015). Çalışanların Performans Yönetimi Sistemini Algılamaları Üzerine Bir Araştırma. EUL Journal of Social Sciences, 6(2), 19-36.
23. Lyra, D.P., Rocha, C.E., Abriata, J.P., Gimenes, F.R.E., Gonzalez, M.M., Pelá, I.R. (2007). Influence of Pharmaceutical Care intervention and communication skills on the improvement of pharmacotherapeutic. outcomes with elderly Brazilian outpatients. Patient Educ Couns, 68, 186-92.
24. Worley, M.M., Schommer, J.C., Brown, L.M., Hadsall, R.S., Ranelli, P.L., Stratton, T.P, Uden, D. L. (2007). Pharmacists’ and patients’ roles in the pharmacist-patient relationship: are pharmacists and patients reading from the same relationship script? Res Social Adm Pharm, 3(1):47-69.
25. Olsson, E., Ingman, P., Ahmed, B., Kälvemark Sporrong S. (2014). Pharmacist–patient communication in Swedish community pharmacies. Research in Social and Administrative Pharmacy. 10, 149–155.