ArticlePharmacy (Basel, Switzerland)2017
Thinking in Pharmacy Practice: A Study of Community Pharmacists' Clinical Reasoning in Medication Supply Using the Think-Aloud Method.
Article in Pharmacy (Basel, Switzerland), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cultivating future pharmacists: a systematic review of educator-led reflective practice methods and their impact on student competencies.Korean journal of medical education · 2026Pooled it
- Nationwide assessment of community pharmacists' practices and atorvastatin-drug interactions in Egypt.Scientific reports · 2026Article
- Community pharmacists' practices and clinical reasoning towards hospital discharge prescription: a study using simulations and retrospective think-aloud methodology.International journal of clinical pharmacy · 2026Article
- How can community pharmacists improve antibiotic use among outpatients? A qualitative study of pharmacists' clinical reasoning.JAC-antimicrobial resistance · 2025Article
- Community pharmacists' decision-making patterns in clinical prescription checking: A simulation-based study.Exploratory research in clinical and social pharmacy · 2025Article
- Screening and referral programs for diabetes and cardiovascular disease: Can community pharmacists bridge the care gap?Exploratory research in clinical and social pharmacy · 2025Article
- A scoping review of therapeutic reasoning process research.Advances in health sciences education : theory and practice · 2023Article
- Cognitive and Metacognitive Processes Demonstrated by Pharmacy Students When Making Therapeutic Decisions.American journal of pharmaceutical education · 2023Article
- Evaluation of Community Pharmacists' Competences in Identifying and Resolve Drug-Related Problems in a Pediatric Prescription Using the Simulated Patient Method.Pharmacy (Basel, Switzerland) · 2022Article
- Investigating pharmacy students' therapeutic decision-making with respect to antimicrobial stewardship cases.BMC medical education · 2022Article
- Development and evaluation of clinical reasoning using 'think aloud' approach in pharmacy undergraduates - A mixed-methods study.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021Article
- Key tips for teaching in the clinical setting.BMC medical education · 2020Review
- Examining response process validity of script concordance testing: a think-aloud approach.International journal of medical education · 2020Article
- The impact of drug order complexity on prospective medication order review and verification time.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Effects of live and video simulation on clinical reasoning performance and reflection.Advances in simulation (London, England) · 2020Article
- Current Trends and Opportunities for Competency Assessment in Pharmacy Education-A Literature Review.Pharmacy (Basel, Switzerland) · 2019Review
- Qualitative Methods in Pharmacy Research.Pharmacy (Basel, Switzerland) · 2018Article
- It's time to prioritize the various roles of the pharmacist.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPCArticle
- Assessment of diarrhea treatment and counseling in community pharmacies in Baghdad, Iraq: A simulated patient study.Pharmacy practiceArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Medication review and supply by pharmacists involves both cognitive and technical skills related to the safety and appropriateness of prescribed medicines. The cognitive ability of pharmacists to recall, synthesise and memorise information is a critical aspect of safe and optimal medicines use, yet few studies have investigated the clinical reasoning and decision-making processes pharmacists use when supplying prescribed medicines. The objective of this study was to examine the patterns and processes of pharmacists' clinical reasoning and to identify the information sources used, when making decisions about the safety and appropriateness of prescribed medicines. Ten community pharmacists participated in a simulation in which they were required to review a prescription and make decisions about the safety and appropriateness of supplying the prescribed medicines to the patient, whilst at the same time thinking aloud about the tasks required. Following the simulation each pharmacist was asked a series of questions to prompt retrospective thinking aloud using video-stimulated recall. The simulated consultation and retrospective interview were recorded and transcribed for thematic analysis. All of the pharmacists made a safe and appropriate supply of two prescribed medicines to the simulated patient. Qualitative analysis identified seven core thinking processes used during the supply process: considering prescription in context, retrieving information, identifying medication-related issues, processing information, collaborative planning, decision making and reflection; and align closely with other health professionals. The insights from this study have implications for enhancing awareness of decision making processes in pharmacy practice and informing teaching and assessment approaches in medication supply.
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