著者

岩澤 真紀子 上田 彩 錦織 淳美 上塚 朋子 中川 直人 島田 美樹 千堂 年昭

出版者

日本社会薬学会

雑誌

社会薬学 (ISSN:09110585)

巻号頁・発行日

vol.37, no.2, pp.109-116, 2018-12-10 (Released:2019-01-19)

参考文献数

17

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The demand for pharmacy services has increased recently, and the skills required for pharmacists have also advanced. Therefore, it is important to implement a working system in which experienced pharmacists can continue working full-time when they require child care or nursing care. In September 2016, we conducted a survey of hospital pharmacists on their work-life balance at a symposium of the 26th annual meeting of the Japanese Society of Pharmaceutical Health Care and Sciences. The purpose of this survey was to examine the current trends and issues of hospital pharmacists’ experience of work-life balance in Japan. A total of 84 responses were included for analysis. Overall, 68.4% of pharmacists reported that they were not satisfied with their work-life balance, and 65.8% reported that they were not satisfied with their working environment. In addition, 90.4% of hospital pharmacists reported they worked overtime, and 76.3% reported that their workload level at their place of practice was high; therefore, they could not complete their duties within regular work hours. Seventy four percent of hospital pharmacists answered that they will not able to continue working if they encounter life events such as childbirth and caring for children or parents. These results show that a majority of hospital pharmacists was not satisfied with their work-life balance, and they were concerned about continuing their pharmacy career when they encountered certain life events. As such, it is critical that each work place implement policies on work-life balance to further help support their pharmacists.

著者

錦織 淳美

出版者

公益社団法人 日本薬剤学会

雑誌

薬剤学 (ISSN:03727629)

巻号頁・発行日

vol.77, no.4, pp.188-191, 2017-07-01 (Released:2017-07-01)

参考文献数

4

著者

谷口 律子 錦織 淳美 川崎 博己 黒崎 勇二 荒木 博陽 五味 田裕

出版者

日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.30, no.4, pp.246-254, 2004-04-10

参考文献数

9

被引用文献数

12 13

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It is important for students to acquire the skills of pharmaceutical care with respect to patients. However, clinical pharmacy education in Japan is still not fully developed and teachers at faculties of pharmacy generally teach students by means of lectures, which is too passive for students. Since such a lecture-based system will not help them to acquire pharmaceutical care skills, there should also be training that simulates the provision of pharmaceutical care in the clinical situation. To address this issue, the authors tested problem-based learning (PEL) on students, with the objective of developing problem solving skills and student independence. In the PEL, students gained an understanding of the principles of pharmacotherapy and drew up hypothetical schemes for pharmaceutical care, worked out the problems and discussed them together in small groups. They also practiced role-playing, which was intended to help them learn communication skills. Afterwards, the authors conducted a questionnaire survey to evaluate the student's impressions of the PEL and they evaluated it highly, particularly with regard to learning communication and problem-solving skills. These results suggest that it would be useful to introduce PEL in clinical pharmacy education in Japan.

著者

宮崎 俊明 錦織 淳美 松永 尚 千堂 年昭

出版者

岡山医学会

雑誌

岡山医学会雑誌 (ISSN:00301558)

巻号頁・発行日

vol.122, no.2, pp.163-167, 2010-08-02 (Released:2010-09-01)

参考文献数

7

著者

錦織 淳美

出版者

公益社団法人 日本薬学会

雑誌

YAKUGAKU ZASSHI (ISSN:00316903)

巻号頁・発行日

vol.134, no.3, pp.363-366, 2014 (Released:2014-03-01)

参考文献数

4

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In 2012, a new medical fee system was introduced for the clinical activities of hospital pharmacists responsible for in-patient pharmacotherapy monitoring in medical institutions in Japan. The new medical system demands greater efforts to provide the most suitable and safest medicine for each patient. By applying the concept of academic detailing to clinical pharmacists' roles in hospitals, I present drug use evaluation in three disease states (peptic ulcer, insomnia, and osteoporosis). To analyze these from multiple aspects, we not only need knowledge of drug monographs (clinical and adverse drug effects), but also the ability to evaluate a patient's adherence and cost-effectiveness. If we combine the idea of academic detailing with a clinical pharmacist's role, it is necessary to strengthen drug information skills, such as guideline or literature search skills and journal evaluation. Simultaneously, it is important to introduce new pharmaceutical education curriculums regarding evidence-based medicine (EBM), pharmacoeconomics, and professional communication in order to explore pharmacists' roles in the future.

著者

錦織 淳美

出版者

岡山大学

雑誌

奨励研究

巻号頁・発行日

2014-04-01

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○研究目的 :病院-薬局薬剤師の真の連携を実現するために、病院薬剤師による入院患者の服薬アドヒアランス評価および患者指導データを薬局薬剤師と共有し、患者の外来診療での服薬アドヒアランス総合評価を各種病態・検査値の変化と共に経時的に観察する。さらに、如何なる患者の特性が服薬アドヒアランスの維持に影響を与えるかを薬局薬剤師からの情報をもとに明らかにする。○研究方法 :対象は岡山大学病院循環器内科病棟に入院歴のある冠動脈疾患、心不全の慢性疾患患者とし、以下の調査を行った。1, 入院患者のこれまでの服薬(服薬アドヒアランスを含む)に関する自己評価、2, 病院薬剤師による服薬評価、3, 薬局薬剤師による服薬評価、4, 外来での病識・薬識の経時的変化調査、である。薬剤師は、患者の入院・外来通院中における病識・薬識・内服コンプライアンスを各5段階で評価を行った。また薬局薬剤師は、処方薬の残数チェックにより、服薬アドヒアランスの厳守度を経時的に評価した。また、心血管リスク因子として脂質検査値(LDL、HDL、TG)、血糖検査値(HbA1C(NSGP)、IRI)や腎機能検査値(Cr、UA、K)を経時的に調査した。さらに、患者の疾病再発率と患者の特性との相関を検討した。○研究成果 :計10例の患者情報を収集・解析した。病院および薬局薬剤師間で病識・薬識・内服コンプライアンス評価が一致する場合がほとんどであったが、一部、評価が異なる場合もみられた。アドヒアランスに問題のある患者が抽出され、より効果的な指導や処方提案につなげていくことが可能であることが明らかとなった。また病院との患者情報共有により、適切に患者服薬指導を実施することができたと薬局薬剤師からの高い評価を受けた。今後、研究を継続し、外来患者の薬物治療管理・検査値変化・予後改善について調査を重ねていく。