The conflicts between professional and non professional work of community pharmacists in Indonesia
Objectives: The study aimed to determine the type of professional and non professional work of community pharmacists in Surabaya Indonesia and find the difference between time spent for performing both works in actual (current) situation and ideal (expected) situation.
Methods: A cross sectional study was conducted by combining purposive sampling for selecting the community pharmacists. Afterwards, the data was analyzed using SPSS v16 to provide the descriptive results and completed with Wilcoxon signed rank test to find the difference between time spent in actual and ideal situation. The sample size was 100 respondents of 300 pharmacists who have been practicing in Surabaya.
Results: From 100 participants just 30 participants gave response to the questionnaire, 67% was female who 20-30 years old at most (53%) with working experience as pharmacist less than 3 years (60%) and working 30 hours per week (60%) in pharmacy. Significant difference between time spent in actual and ideal situation was found.
Discussion: The time spent for performing professional and non professional work in ideal situation was significantly higher than in actual situation except for preparing medicines activity. This finding illustrated that the respondents did not have adequate time to provide ideal services in their daily practice. Therefore, they expected to improve their time and level of work in more professional manner. Surprisingly, they were also willing to provide more time and higher level of work in some non professional work.
Conclusions: The Indonesian community pharmacists spent little time on both professional work and non-professional work in their daily activities. This indicated that the pharmacists did not focus on delivering quality professional work.
Keywords: Community Pharmacy Services. Pharmacists. Workload. Professional Practice. Indonesia.
2. Rouse MJ. Continuing professional development in pharmacy. Am J Health Syst Pharm. 2004;61(19):2069-2076.
3. Cooksey JA, Knapp KK, Walton SM, Cultice JM. Challenges to the Pharmacist Profession from Escalating Pharmaceutical Demand. Health Aff (Millwood). 2002;21(5):182-188.
4. Freidson E. Professionalism, the third logic: on the Practice of Knowledge. Chicago: University of Chicago Press; 2001. ISBN: 978-0226262031.
5. Traulsen JM. Bissel P. Theories of professions and the pharmacist. Int J Pharm Pract. 2004:12:107–114.
6. Wiedenmayer K, Summers RS, Mackie CA, Gous AS, Everard M, Tromp D. Developing Pharmacy Practice, A focus on Patient Care. The Hague: WHO-FIP; 2006.
7. Cordina M, Safta V, Ciobanu A, Sautenkova N. An assessment of community pharmacists’ attitudes towards professional practice in the Republic of Moldova. Pharm Pract (Internet). 2008:6(1):1-8.
8. Denzin NK, Mettlin CJ. Incomplete Professionalization: The Case of Pharmacy. Social Forces. 1968:46:375-381.
9. Krishnaprasad SS. Measuring Perception of Health Care as a Commodity or as a Public Right among Community Pharmacist in Saskatchewan. Saskatoon: University of Saskatchewan. 2008.
10. Perepelkin JP. Relating Ownership Type to the Organizational Behaviour, Role Orientation and Autonomy of Community Pharmacy Managers in Canada. Saskatoon: University of Saskatchewan. 2008.
11. Anderson RD. The Peril of Deprofessionalization. Am J Health-Syst Pharm. 2004:61(22):2373-2379.
12. Anderson S. The State of the World's Pharmacy: A Portrait of the Pharmacy Profession. J Interprof Care. 2002:16(4):391-404.
13. van Mil JW, Frokjaer B, Tromp TF. Changing a Profession, Influencing Community Pharmacy. Pharm World Sci. 2004;26(3):129-132.
14. Zelmer WA. Unresolved Issue in Pharmacy. Am J Health-Syst Pharm. 2005:62:259-265.
15. van Mil JW, Schulz M. A Review of Pharmaceutical Care in Community Pharmacy in Europe. Harvard Health Policy Review. 2006;7:155-168.
16. Morgall JM, Almarsdóttir AB. No Struggle, No Strength: How Pharmacist Lost Their Monopoly. Soc Sci Med. 1999;48(9):1247-1258.
17. Norris PT. Challenges facing Social Pharmacy. Res Social Adm Pharm. 2009;5(3):195-196.
18. Statistical Bureau of Surabaya. Surabaya in Figures: 2008. Statistical Bureau of Surabaya. 2009.
19. Rutter PM, Duncan G. Can professionalism be measured?: evidence from the pharmacy literature. Pharmacy Practice (Internet). 2010:8(1):18-28.
20. Dingwall R, Wilson E. Is pharmacy really an incomplete profession? Perspect Soc Problems. 1995:7:111-128.
21. Smith F. The Quality of Pharmacy Services in Low and Middle Income Countries: A Systematic Review. Pharm World Sci. 2009;31(3):351-61.
22. Smith F. Community Pharmacy in Ghana: enhancing the contribution to primary health care. Health Policy Plan. 2004;19(4):234-41.
23. Maitreemit P, Pongcharoensuk P, Kapol N, Armstrong EP. Pharmacist Perceptions of New Competency Standards. Pharm Pract (Internet). 2008:6(3):113-120.
24. Abdul Rasool BK, Fahmy SA, Abu-Gharbieh EF, Ali HS. Professional practices and perception towards rational use of medicines according to WHO methodology in United Arab Emirates. Pharm Pract (Internet). 2010:8(1):70-76.
25. Azhar S, Hassali MA, Ibrahim MI, Ahmad M, Masood I, Shafie AA. The Role of Pharmacists in developing countries: The Current Scenario in Pakistan. Hum Resour Health. 2009;7:54.
26. Basak SC, van Mil JW, Sathyanarayana D. The Changing Roles of Pharmacists in Community Pharmacies: Perception of Reality in India. Pharm World Sci. 2009;31(6):612-618.
27. Chuc NT, Larsson M, Do NT, Diwan VK, Tomson GB, Falkenberg T. Improving Pharmacy Practice : A Multi Intervention Experiment in Hanoi, Vietnam. J Clin Epidemiol. 2002;55(11):1148-1155.
28. Stenson B, Syhakhang L, Eriksson B, Tomson G. Real World Pharmacy: Assessing the Quality of Private Pharmacy Practice on the Lao People's Democratic Republic. Soc Sci Med. 2001;52(3):393-404.
29. Adu A, Simpson J, Armour C. Pharmacists' and physicians' perception of antibiotic policies in New South Wales public hospitals. Int J Pharm Pract. 2001:9(1):31-36.
30. Bond C, Matheson C, Williams S, Williams P, Donnan P. Repeat Prescribing: A role for community Pharmacists in Controlling and Monitoring Repeat Prescriptions. Br J Gen Pract. 2000;50(453):271-275.
31. Schommer JC, Pedersen CA, Gaither CA, Doucette WR, Kreling DH, Mott DA. Pharmacists' Desired and Actual Times in Work Activities: Evidence of Gaps from the 2004 National Pharmacist Workforce Study. J Am Pharm Assoc. 2006;46(3):340-347.
32. Azhar S, Hassali MA, Ibrahim MI, Ahmad M, Masood I, Shafie AA. The role of pharmacist in developing countries: the current scenario in Pakistan. Hum Resour Health. 2009;7:54.
33. Jaradat N, Sweileh W. A Descriptive Study of Community Pharmacy Practice in Palestine: Analysis and Future Look. An-Najah University Journal for Research. 2003:17(2):191-199.
34. Attewell J, Blenkinsopp A, Black P. Community pharmacists and continuing professional development - a qualitative study of perceptions and current involvement. Pharm J. 2005:274:519-524.
35. Parmar S. Community Pharmacy Practice in the United States and Kenya: Comparison. Diabetes in Control.com. 2008:408. URL: http://www.diabetesincontrol.com/articles/54-feature/5614-. Posted 18 March 2008. (Accessed 15 December 2011).
36. Hussain A, Ibrahim MIM. Perceptions of Dispensers regarding dispensing practices in Pakistan: A Qualitative Study. Tropical Journal of Pharmaceutical Research. 2011;10(2):117-123 .