Pharmacy student decision making in over-the-counter medicine supply: a critical incident study.

Background: Various factors influence decision making in over-the-counter (OTC) medicine consultations, yet limited studies have focused, in-depth, on the thought process of pharmacy staff. This includes pharmacy students as pharmacists-in-training. Aim: To explore the factors that influence pharm...

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Main Authors: McMillan, Sara S., Thagarajah, Thachaayini, Anderson, Claire, Kelly, Fiona
Format: Article
Language:English
Published: Elsevier 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/46814/
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author McMillan, Sara S.
Thagarajah, Thachaayini
Anderson, Claire
Kelly, Fiona
author_facet McMillan, Sara S.
Thagarajah, Thachaayini
Anderson, Claire
Kelly, Fiona
author_sort McMillan, Sara S.
building Nottingham Research Data Repository
collection Online Access
description Background: Various factors influence decision making in over-the-counter (OTC) medicine consultations, yet limited studies have focused, in-depth, on the thought process of pharmacy staff. This includes pharmacy students as pharmacists-in-training. Aim: To explore the factors that influence pharmacy students’ decisions in relation to OTC consultations and choice of OTC medicine/s. Methods: Semi-structured interviews using the critical incident technique were undertaken with ten pharmacy students in Australia, who also worked as part-time pharmacy staff. Results: Nine key themes were identified to influence pharmacy student decision making in OTC consultations, including customer response, confidence and scope of practice. Product requests were reported as more challenging due to customer expectations and experiences in other pharmacies, states or countries. Although negative customer response influenced some students to supply medicines in contradiction of evidence, an overarching concern for safety meant that a medicine was only supplied if unlikely to cause harm. Students reported developing confidence in OTC decision making more from real-life practice than university training; greater confidence was identified for inquiries more frequently experienced in the pharmacy. Students perceived that customers had assumptions around support staff, and were happier to talk to students than assistants. Conclusion: This study further identified that OTC decision making is a complex process for pharmacy students. Additional opportunities for experiential learning within this area are suggested, such as work-based placements or in-class activities such as role-plays with simulated patients.
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spelling nottingham-468142018-09-26T04:30:17Z https://eprints.nottingham.ac.uk/46814/ Pharmacy student decision making in over-the-counter medicine supply: a critical incident study. McMillan, Sara S. Thagarajah, Thachaayini Anderson, Claire Kelly, Fiona Background: Various factors influence decision making in over-the-counter (OTC) medicine consultations, yet limited studies have focused, in-depth, on the thought process of pharmacy staff. This includes pharmacy students as pharmacists-in-training. Aim: To explore the factors that influence pharmacy students’ decisions in relation to OTC consultations and choice of OTC medicine/s. Methods: Semi-structured interviews using the critical incident technique were undertaken with ten pharmacy students in Australia, who also worked as part-time pharmacy staff. Results: Nine key themes were identified to influence pharmacy student decision making in OTC consultations, including customer response, confidence and scope of practice. Product requests were reported as more challenging due to customer expectations and experiences in other pharmacies, states or countries. Although negative customer response influenced some students to supply medicines in contradiction of evidence, an overarching concern for safety meant that a medicine was only supplied if unlikely to cause harm. Students reported developing confidence in OTC decision making more from real-life practice than university training; greater confidence was identified for inquiries more frequently experienced in the pharmacy. Students perceived that customers had assumptions around support staff, and were happier to talk to students than assistants. Conclusion: This study further identified that OTC decision making is a complex process for pharmacy students. Additional opportunities for experiential learning within this area are suggested, such as work-based placements or in-class activities such as role-plays with simulated patients. Elsevier 2017-09-26 Article PeerReviewed application/pdf en cc_by_nc_nd https://eprints.nottingham.ac.uk/46814/1/Pharmacy%20student%20decision%20making%20in%20over-the-counter%20medicine%20supply-%20a%20critical%20incident%20study.%20.pdf McMillan, Sara S., Thagarajah, Thachaayini, Anderson, Claire and Kelly, Fiona (2017) Pharmacy student decision making in over-the-counter medicine supply: a critical incident study. Research in Social and Administrative Pharmacy . ISSN 1934-8150 decision making; over-the-counter medicine; pharmacy students; pharmacy support staff; non-prescription https://www.sciencedirect.com/science/article/pii/S155174111730548X?via%3Dihub doi:10.1016/j.sapharm.2017.09.004 doi:10.1016/j.sapharm.2017.09.004
spellingShingle decision making; over-the-counter medicine; pharmacy students; pharmacy support staff; non-prescription
McMillan, Sara S.
Thagarajah, Thachaayini
Anderson, Claire
Kelly, Fiona
Pharmacy student decision making in over-the-counter medicine supply: a critical incident study.
title Pharmacy student decision making in over-the-counter medicine supply: a critical incident study.
title_full Pharmacy student decision making in over-the-counter medicine supply: a critical incident study.
title_fullStr Pharmacy student decision making in over-the-counter medicine supply: a critical incident study.
title_full_unstemmed Pharmacy student decision making in over-the-counter medicine supply: a critical incident study.
title_short Pharmacy student decision making in over-the-counter medicine supply: a critical incident study.
title_sort pharmacy student decision making in over-the-counter medicine supply: a critical incident study.
topic decision making; over-the-counter medicine; pharmacy students; pharmacy support staff; non-prescription
url https://eprints.nottingham.ac.uk/46814/
https://eprints.nottingham.ac.uk/46814/
https://eprints.nottingham.ac.uk/46814/