Assertiveness, a vital communication skill, is believed to enhance the quality of medical safety because of its characteristics of honest self-expression combined with respect for others. Researchers from the University of Tsukuba found that prescription changes are related to assertiveness in community pharmacists and happen due to communication between pharmacists and physicians.

Tsukuba, Japan―Effective communication among healthcare professionals is essential for ensuring safe medical care. Assertiveness, the ability to express oneself candidly while respecting others, is seen as a crucial factor for improving medical safety.

Community pharmacists provide drugs to patients based on prescriptions issued by physicians. These pharmacists scrutinize the suitability of prescriptions considering patient interviews, records, and laboratory data. If any safety concerns arise, they will contact the prescribed physician. Upon receiving such communication, the physician may revise the prescription if needed. Therefore, it is hypothesized that a pharmacist's assertiveness determines the frequency of contacts with physicians, and resulting prescription changes improve the safety of drug therapy. However, this relationship still requires further investigation.

In this study, a rating scale was used to measure the assertiveness of pharmacists and its relationship with the frequency of prescription changes resulting from interactions with physicians in the past month. The assertiveness rating scale is divided into three components: (1) nonassertive self-expression that prioritizes others over self, (2) aggressive self-expression that imposes personal opinions on others, and (3) assertive self-expression that avoids both extremes and promotes mutual understanding. The survey findings indicate that pharmacists with higher scores in assertive self-expression were more likely to initiate communication that led to physicians altering their prescriptions.

Being a learnable communication skill, assertiveness could be improved through targeted education. Future research should explore whether providing assertiveness training for pharmacists can foster better interactions with physicians and increase the safety of drug treatments.

Original Paper

Title of original paper:

Relationship between assertiveness in community pharmacists and pharmacist-initiated prescription changes

Journal:

Research in Social and Administrative Pharmacy

DOI:

10.1016/j.sapharm.2023.06.006

Correspondence

Assistant Professor OZONE Sachiko
Institute of Medicine, University of Tsukuba

Related Link

Institute of Medicine