The change in pharmacists' attitude, confidence and job satisfaction following participation in a novel hypertension support service.

Masaki Shoji, Mitsuko Onda, Hiroshi Okada, Naoki Sakane, Takeo Nakayama

Journal: The International journal of pharmacy practice 2020;27(6):520-527

PMID: 31179618

Abstract

OBJECTIVES

To demonstrate how the confidence, attitude and job satisfaction of pharmacists who provide interventions and lifestyle support services to patients with hypertension are altered.

METHODS

This study was a before-and-after study that used data from 50 pharmacists who participated in the Community Pharmacists Assist for Blood Pressure (COMPASS-BP) study, which was an interventional study that was conducted in Japan to evaluate the effects of lifestyle support services provided to hypertension patients. The pharmacists received 4 h of training before the study was initiated to learn how to quickly provide patients with guidance about diet and exercise and tobacco and alcohol consumption. During the interventional period, each pharmacist provided concise lifestyle guidance to 1-3 hypertension patients. The pharmacists met with the patients a total of 5 times. The parameters that were assessed were the pharmacists' attitudes towards and confidence in their lifestyle support services, as well as their level of job satisfaction. We verified the scores of each parameter assessed before and after the study, as well as changes in the relationships among the different parameters.

KEY FINDINGS

Significant increases from baseline to the end of the study were observed for Confidence (P < 0.01), Job satisfaction, including 'Knowledge' (P < 0.01), 'Patient counselling management' (P = 0.04) and 'Sense of personal growth' (P < 0.01). Additionally, path analysis results revealed that after the study, the causal relationship between 'Knowledge' and 'Attitude' disappeared, and a new causal relationship appeared between 'Patient counselling and management' and 'Attitude'.

CONCLUSIONS

Providing lifestyle guidance improved pharmacists' confidence and attitude. Also, 'Attitude' tended to improve as the 'Patient counselling and management' score increased.

© 2019 Royal Pharmaceutical Society.

Address: Laboratory of Social and Administrative Pharmacy, Osaka University of Pharmaceutical Sciences, Osaka, Japan.; Department of Health Informatics, Kyoto University School of Public Health, Kyoto, Japan.; Division of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Centre, Kyoto, Japan.; EPICORE Centre, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Division of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Centre, Kyoto, Japan.; Department of Health Informatics, Kyoto University School of Public Health, Kyoto, Japan.
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