Evidence map›Paper›PMID 31420393›Full record

ArticleBMJ open2019

Qualitative study exploring the key determinants of information gathering to inform the management of over-the-counter (OTC) consultations in community pharmacies.

Heather Cassie, Eilidh M Duncan, Elizabeth A Gibb, Ailsa Power, Linda Young, Rumana Newlands, Mags C Watson

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Determinants of community pharmacists' information gathering and counseling practices during the management of minor ailments.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021
    Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Heather CassieDental Health Services Research Unit, University of Dundee, Dundee, UK h.c.cassie@dundee.ac.uk.ORCID 0000-0002-9677-2886
Eilidh M DuncanHealth Services Research Unit, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.
Elizabeth A GibbPsychmetrix Ltd, Dundee, UK.
Ailsa PowerNHS Education for Scotland West Region, Glasgow, UK.
Linda YoungClinical Effectiveness, NHS Education for Scotlland, Dundee, UK.
Rumana NewlandsHealth Services Research Unit, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.
Mags C WatsonDepartment of Pharmacy and Pharmacology, University of Bath, Bath, UK.
NHS Education for Scotland · GBUniversity of Aberdeen · GBUniversity of Bath · GBUniversity of Dundee · GB

Funding

Chief Scientist Office HSRU1Chief Scientist Office HSRU2
6 · The paper itself

Abstract

objectivesGathering relevant patient information during over-the-counter (OTC) consultations increases the likelihood of safe, effective and person-centred outcomes. The aim of this study was to explore the key determinants to information gathering during consultations for non-prescription medicine requests in community pharmacies in Scotland.

designSemi-structured interviews using the Theoretical Domains Framework (TDF), with community pharmacy teams across Scotland. Interviews explored participants' knowledge of current guidance, skills required to elicit information and barriers and facilitators associated with this behaviour. Theory-based content analysis was undertaken using the TDF as an initial coding framework to identify key determinants and map them to salient domains. Salience was determined by prominence or variation in views. Comparative analysis was undertaken by professional role.

resultsThirty interviews were conducted with pharmacists (n=19) and medicine counter assistants (MCAs) (n=11). Eight salient domains were identified: environmental context and resources (privacy), beliefs about consequences (patient safety), skills (communication, decision-making), social influences (patient awareness of pharmacist role), knowledge (awareness and use of standard operating procedures), social professional role and identity (perception of own role), behavioural regulation (training) and intention (to gather information). Similar domains were salient for pharmacists and MCAs; however, different beliefs were associated with different roles. Overarching themes were identified: best practice, health literacy, decision-making and professionalism.

conclusionsMultiple influences and complexities affect the effective management of OTC consultations. While similar factors impact on both pharmacists and MCAs at a patient, professional and environmental level, subtle differences exist in how these influence their management of OTC consultations. This study highlights the importance of tailoring interventions to reflect different roles, functions and responsibilities of community pharmacy personnel.

Indexed as

CommunicationNonprescription DrugsProfessional-Patient RelationsReferral and ConsultationCommunity Pharmacy ServicesHealth Knowledge, Attitudes, PracticeHealth LiteracyHumansInterviews as TopicPharmacistsProfessional RoleQualitative ResearchScotlandNonprescription Drugscommunity pharmacy serviceshealth care researchqualitative researchquality improvementtheoretical domains framework

Identifiers

PMID31420393
PMCPMC6701566
OpenAlexW2959377162

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.