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AuthorPapastergiou, John
AuthorKheir, Nadir
AuthorLadova, Katerina
AuthorRydant, Silas
AuthorDe Rango, Fabio
AuthorAntoniou, Sotiris
AuthorViola, Reka
AuthorMurillo, Maria Dolores
AuthorSteurbaut, Stephane
Authorda Costa, Filipa Alves
Available date2020-09-10T10:45:17Z
Publication Date2017
Publication NameInternational Journal of Clinical Pharmacy
ResourceScopus
ISSN22107703
URIhttp://dx.doi.org/10.1007/s11096-017-0551-2
URIhttp://hdl.handle.net/10576/16018
AbstractBackground Guidelines on the management of orally anticoagulated patients are continuously evolving, leading to an increased need for pharmacists to be fully integrated in care provision. Objective To identify self-reported gaps in confidence among practicing pharmacists in the area of anticoagulation. Setting Pharmacists in different work settings in different countries. Method Cross-sectional international survey from October 2015 till November 2016 among pharmacists working in different settings to assess their level of confidence when delivering anticoagulants as well as to identify possible educational needs regarding this medication class. Validation of the survey was ensured. Results Responses from 4212 pharmacists originating from 18 countries were obtained. Pharmacists' level of confidence was significantly higher (p�<�0.001) when advising patients on vitamin K antagonists (VKAs) versus non-vitamin K antagonists (NOACs). In general, hospital pharmacists displayed higher confidence levels compared to community pharmacists when advising patients on anticoagulation (p�<�0.001). Two distinct patterns of confidence levels emerged relating to basic and advanced pharmaceutical care. Confidence levels when providing advanced pharmaceutical care were significantly higher for Oceania and lower for South America (p�<�0.005). Conclusions Pharmacists felt more confident in supporting patients receiving VKAs compared to the more recently introduced NOACs. With the increasing use of NOACs and the risks pertaining to anticoagulation therapy, it is essential to invest in education for pharmacists to address their knowledge gaps enabling them to confidently support patients receiving oral anticoagulants. 1 2017, The Author(s).
SponsorFunding The project was funded by the Davie-Ratnoff-Macfarlane (DRM) foundation.
Languageen
PublisherSpringer Netherlands
SubjectAnticoagulants
Education, pharmacy
iPACT
Knowledge
Needs assessment
Pharmacists
TitlePharmacists' confidence when providing pharmaceutical care on anticoagulants, a multinational survey
TypeArticle
Pagination1282-1290
Issue Number6
Volume Number39
dc.accessType Abstract Only


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