Archive \ Volume.16 2025 Issue 2

Simulated Patient Study in Community Pharmacy Regarding Patient Counseling and Dispensing of Insulin Pen

, , , , , , , , , ,
  1. Institute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, Lahore, Pakistan.
  2. Laboratory Specialist, College of Medicine, Qassim University, Qassim University Medical City, Saudi Arabia.
  3. Medical Laboratory Technician, International Academy for Health Sciences, Qassim Armed Forces Hospital, Saudi Arabia.

Abstract

Insulin therapy is vital for diabetic patients, but errors in its administration can be life-threatening. Pharmacists play a key role in educating and counseling patients on proper insulin pen use. This study investigates the awareness of community pharmacists regarding insulin pen usage using a simulated patient approach. A cross-sectional study employed the simulated patient method, using a scenario with a prescription for a regular insulin pen. The focus was on evaluating pharmacists’ counseling and education roles, comparing their information with expert recommendations for optimal insulin injection techniques. The study revealed moderate performance among community pharmacists in insulin pen counseling and dispensing. Some pharmacists merely dispensed insulin and referred patients to physicians for guidance. While a high percentage demonstrated proper procedures like insulin collection, handwashing, cap removal, and insulin examination, comprehensive patient counseling was often lacking. The simulated patient study highlights the need for standardized training and ongoing education for community pharmacists in insulin pen counseling and dispensing. Many pharmacists lack the expertise to provide diabetic patients with adequate guidance, underscoring the importance of practical demonstrations and addressing geographical variations in practices.


Downloads: 20
Views: 60

How to cite:
Vancouver
Zainib F, Ayub F, Nasir A, Chaudhary U, Khalid W, Safi MF, et al. Simulated Patient Study in Community Pharmacy Regarding Patient Counseling and Dispensing of Insulin Pen. Arch Pharm Pract. 2025;16(2):6-11. https://doi.org/10.51847/52YwrQx7Rm
APA
Zainib, F., Ayub, F., Nasir, A., Chaudhary, U., Khalid, W., Safi, M. F., Alsughayer, H. H., Alothaim, Y. A., Al-Harbi, A. T., Bukhsh, A., et al. (2025). Simulated Patient Study in Community Pharmacy Regarding Patient Counseling and Dispensing of Insulin Pen. Archives of Pharmacy Practice, 16(2), 6-11. https://doi.org/10.51847/52YwrQx7Rm

Download Citation
References
  1. Bowers R, Perkins S, Trotta K, Mills B, Ghassemi E. Comparison of student pharmacists' knowledge retention utilizing electronic health records versus simultaneously completing simulated experiences. Am J Pharm Educ. 2022;86(8):ajpe8857.
  2. Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval Clin Pract. 2022;28(6):1037-49.
  3. Boye KS, Jordan JB, Malik RE, Currie BM, Matza LS. Patient perceptions of and preferences between characteristics of injectable diabetes treatments. Diabetes Ther. 2021;12(9):2387-403.
  4. Brown KE, Hertig JB. Determining current insulin pen use practices and errors in the inpatient setting. Jt Comm J Qual Patient Saf. 2016;42(12):568-AP7.
  5. Chai HJ, Yong YK, Ng HS, Ng KQ, Nandakumar KD, Leow HL, et al. Improving the percentage of diabetes mellitus patients on insulin with a good understanding and practice of insulin injection techniques in the outpatient pharmacy of Teluk Intan hospital. Q Bulletin. 2022;1(31):66-75.
  6. Cole JB, Florez JC. Genetics of diabetes mellitus and diabetes complications. Nat Rev Nephrol. 2020;16(7):377-90.
  7. George D, Mallery P. IBM SPSS statistics 26 step by step: a simple guide and reference. Routledge; 2019.
  8. Haines ST, Miklich MA, Rochester-Eyeguokan C. Best practices for safe use of insulin pen devices in hospitals: recommendations from an expert panel Delphi consensus process. Am J Health Syst Pharm. 2016;73(19 Suppl 5):S4-16.
  9. Tosun B, Cinar FI, Topcu Z, Masatoglu B, Ozen N, Bagcivan G, et al. Do patients with diabetes use the insulin pen properly? Afr Health Sci. 2019;19(1):1628-37.
  10. Truong TH, Nguyen TT, Armor BL, Farley JR. Errors in the administration technique of insulin pen devices: a result of insufficient education. Diabetes Ther. 2017;8(2):221-6.
  11. San Wong C, Tay SL, Muhaidi MS, Manap SA. Effectiveness and time-efficacy between multimedia and conventional counselling of insulin pen technique in diabetes mellitus patients. Electronic-Perak Med J. 2019;1(2).
  12. Thurman JE. Insulin pen injection devices for management of patients with type 2 diabetes: considerations based on an endocrinologist's practical experience in the United States. Endocr Pract. 2007;13(6):672-8. 
  13. Oyer D, Niemeyer M, Moses A. Empowering people with diabetes: improving perceptions and outcomes with technical advances in insulin pens. Postgrad Med. 2012;124(5):110-20.
  14. Emeka PM, AlMunjem MF, Rasool ST, Kamil N. Evaluation of counseling practices and patient's satisfaction offered by pharmacists for diabetics attending outpatient pharmacies in Al Ahsa. J Patient Exp. 2020;7(3):338-45.
  15. Fathelrahman AI. Medical devices-related counseling practices among community pharmacists: a nationwide cross-sectional study from Saudi Arabia. Integr Pharm Res Pract. 2021;10:113-25.
  16. Foucault-Fruchard L, Bizzoto L, Allemang-Trivalle A, Renoult-Pierre P, Antier D. Compared benefits of educational programs dedicated to diabetic patients with or without community pharmacist involvement. Prim Health Care Res Dev. 2020;21(e49):1-10.
  17. Pearson TL. Practical aspects of insulin pen devices. J Diabetes Sci Technol. 2010;4(3):522-31.
  18. Abubakar M, Atif M. Impact of pharmacist-led interventions on diabetes management at a community pharmacy in Pakistan: a randomized controlled trial. Inquiry. 2021;58(1):469580211036283.
  19. Nadeau DA, Campos C, Niemeyer M, Bailey T. Healthcare professional and patient assessment of a new prefilled insulin pen versus two widely available prefilled insulin pens for ease of use, teaching and learning. Curr Med Res Opin. 2012;28(1):3-13.
  20. Bowers R, Tunney R, Kelly K, Mills B, Trotta K, Wheeless CN, et al. Impact of standardized simulated patients on first-year pharmacy students' knowledge retention of insulin injection technique and counseling skills. Am J Pharm Educ. 2017;81(6):113.
  21. Alkhoshaiban A, Almeman A. Knowledge of pharmacists about Diabetes Mellitus. Arch Pharm Pract. 2019;10(3):130-6.
  22. Heron L, Reaney M, Hermanns N, Abetz L, Gregg L. Perceptions of usability and design for prefilled insulin delivery devices for patients with type 2 diabetes. Diabetes Spectr. 2013;26(1):16-28.
  23. Adje UD, Ekonye KD, Oparah CA. Assessment of diabetes self-care knowledge and satisfaction with care among type 2 diabetes patients-a case study. Arch Pharm Pract. 2022;13(3):23-8.
  24. Al Shidhani A, Al Salmani A, Al Saidi Y, Al Shehhi M, Al Khanjari H, Al Aamri M, et al. Polypharmacy and medication compliance among patients with type 2 diabetes in Oman: a cross-sectional study. Arch Pharm Pract. 2022;13(3):48-53.
  25. Ramzan B, Harun SN, Butt FZ, Butt RZ, Hashmi F, Gardezi S, et al. Impact of diabetes educator on diabetes management: findings from diabetes educator assisted management study of diabetes. Arch Pharm Pract. 2022;13(2):43-50.
  26. Lewis RK, Lasack NL, Lambert BL, Connor SE. Patient counseling--a focus on maintenance therapy. Am J Health Syst Pharm. 1997;54(18):2084-98. 
  27. AlKinani AA, Alkhrizi IM, Alkathiri SH, Alzubaidi HL, Alghanmi AA, Alghanmi AM, et al. Diabetes mellitus type 2: management and follow up in primary health care center, review article. Arch Pharm Pract. 2021;12(4):49-53.
  28. Ahmed IB, Binnwejim MS, Alnahas TM, Raes AA, Basamad MA, Alqurashi AE, et al. Level of diabetic patients’ knowledge of diabetes mellitus, its complications and management. Arch Pharm Pract. 2019;10(4):80-6.
  29. Bashir T, Morrissey H, Ball P. Systematic review of psychological and educational interventions used to improve adherence in diabetes and depression patients. Arch Pharm Pract. 2021;12(3):1-11.
  30. Wright BM, Bellone JM, McCoy EK. A review of insulin pen devices and use in the elderly diabetic population. Clin Med Insights Endocrinol Diabetes. 2010;3(2):53-63.
  31. Al-Worafi YM, Alseragi WM, Seng LK, Kassab YW, Yeoh SF, Ming LC, et al. Dispensing errors in community pharmacies: a prospective study in Sana'a, Yemen. Arch Pharm Pract. 2018;9(4):1-3.
  32. El‑Sharif SI, Abd Alrahman N, Khaled N, Sayah N, Gamal E, Mohamed A. Assessment of patient’s satisfaction with pharmaceutical care services in community pharmacies in the United Arab Emirates. Arch Pharm Pract. 2017;8(1):22-30.
  33. Cuddihy RM, Borgman SK. Considerations for diabetes: treatment with insulin pen devices. Am J Ther. 2013;20(6):694-702.
  34. Iram M, Rani SR, Pais N. Impact of patient counseling and education of diabetic patients in improving their quality of life. Arch Pharm Pract. 2010;1(2):18-23.

 

 

 


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.