Maher Judith H, Lowe John, Hughes Roger
1School of Health and Sports Science,University of the Sunshine Coast,Locked Bag 4,Maroochydore DC,QLD 4558,Australia.
2Faculty of Health Sciences and Medicine,Bond University,Gold Coast,Queensland,Australia.
Public Health Nutr. 2015 Jul;18(10):1864-72. doi: 10.1017/S1368980014002201. Epub 2014 Oct 8.
To explore public health nutritionists' perceptions of nutrition and its place in community pharmacy (CP) presently and into the future; and to explore perceived opportunities, feasibility and scope of public health nutrition (PHN) interventions in CP, with a focus on maternal and infant nutrition.
Qualitative data were gathered through semi-structured interviews and drew on hermeneutics as the theoretical framework for analysis and interpretation.
Queensland, Australia.
Public health nutritionists, identified through purposive, criterion sampling, were chosen due to (i) their role as potential stakeholders, (ii) their knowledge and emphasis on nutrition and (iii) their practice experience.
Opportunities for PHN action focused primarily on actions relating to early nutrient supplementation in pregnancy and breast-feeding protection and promotion. Opportunities in CP were constrained by practitioners' perception of (i) conflict between health care and commercial interests in CP, (ii) problematic practices in CP and (iii) values and motivations of practitioners and other stakeholders in the CP sector. Strategies were suggested to improve practices and enhance the setting from a PHN perspective. Participants suggested both collaborative and regulatory approaches to achieve settings-based changes, identifying the need for these to coexist for effective outcomes.
Public health nutritionists suggest that opportunities for PHN action are constrained by perceived conflicted interests and that consumers need to be adequately protected from the influence of commercial interests. PHN action in this setting needs adequate reflection on evidence as well as ethics ensuring that practices are 'for the good' of mothers and infants.
探讨公共卫生营养学家对当前及未来营养及其在社区药房（CP）中地位的看法；并探讨社区药房中公共卫生营养（PHN）干预措施的可感知机会、可行性和范围，重点关注母婴营养。
通过半结构化访谈收集定性数据，并以诠释学作为分析和解释的理论框架。
澳大利亚昆士兰州。
通过目的抽样和标准抽样确定的公共卫生营养学家，因其（i）作为潜在利益相关者的角色，（ii）对营养的知识和重视程度，以及（iii）实践经验而被选中。
公共卫生营养行动的机会主要集中在与孕期早期营养补充以及母乳喂养保护和促进相关的行动上。社区药房中的机会受到从业者对以下方面的看法的限制：（i）社区药房中医疗保健与商业利益之间的冲突，（ii）社区药房中的问题实践，以及（iii）社区药房部门从业者和其他利益相关者的价值观和动机。从公共卫生营养的角度提出了改善实践和提升环境的策略。参与者建议采用协作和监管方法来实现基于环境的变革，指出需要这些方法共存以取得有效成果。
公共卫生营养学家认为，公共卫生营养行动的机会受到感知到的利益冲突的限制，并且需要充分保护消费者免受商业利益的影响。在这种环境下的公共卫生营养行动需要对证据和伦理进行充分反思，以确保实践是为了母婴的“福祉”。
