Readiness of pharmaceutical professionals to implement the standard of pharmaceutical care for patients with diabetes in community pharmacy practice, Готовність фармацевтичних фахівців до впровадження cтандарту фармацевтичної допомоги пацієнтам із цукровим діабетом у практиці аптечного закладу

<jats:p>Pharmacist-led interventions can improve clinical and behavioral outcomes in patients with diabetes. However, the effectiveness of such approaches depends largely on the willingness of pharmacists to participate in the implementation of standardized approaches, their level of professional training, access to clinical guidelines, and organizational support. The aim of this study was to identify the factors influencing the readiness of pharmacy professionals to actively participate in implementing the Standard of Pharmaceutical Care for people with diabetes in community pharmacy practice, with the aim of facilitating its effective implementation. A cross-sectional anonymous questionnaire survey was conducted among 429 pharmacy professionals working in community pharmacies. Statistical analysis included descriptive statistics, chi-square test, Spearman rank correlation, and binary logistic regression. Internal consistency of multi-item scales was assessed using Cronbach’s alpha. Of the 429 respondents, 251 (58.5 %) expressed readiness to actively participate in implementation of the pharmaceutical care standard. The mean integrated self-assessed knowledge score was 3.41±0.92, with a median of 3.56 and an interquartile range of 3.00–4.00. The mean integrated self-assessed practical skills score was 3.22±0.94, with a median of 3.17 and an interquartile range of 2.67–4.00. The perceived importance of leadership support for implementation was high, with a mean score of 4.41±0.75. Internal consistency of the scales was high: Cronbach’s alpha was 0.961 for the knowledge scale and 0.915 for the practical skills scale. Readiness to implement the standard demonstrated significant direct correlations with self-assessed knowledge (ρ=0.137; p=0.004), practical skills (ρ=0.200; p&lt;0.001), access to clinical guidelines (ρ=0.128; p=0.008), and previous continuing professional development (ρ=0.171; p&lt;0.001). The association with perceived organizational support was weak and did not reach statistical significance (ρ=0.082; p=0.090). In the multivariable logistic regression model, higher practical skills remained an independent statistically significant predictor of readiness (OR=1.53; 95 % CI 1.03–2.28; p=0.033), and better access to clinical guidelines also remained significant (OR=1.21; 95 % CI 1.02–1.44; p=0.033). In contrast, self-assessed knowledge, previous continuing professional development, and perceived organizational support did not retain independent statistical significance in the full model. Pharmacy professionals’ readiness to actively participate in implementing a pharmaceutical care standard for patients with diabetes mellitus is determined primarily by practical professional competence and access to clinical guidelines.</jats:p>