Cooper Richard J, Tsoneva Jo
School of Health and Related Research, University of Sheffield, Sheffield, UK.
NHS Sheffield Clinical Commissioning Group, Sheffield, UK.
Int J Pharm Pract. 2017 Oct;25(5):351-357. doi: 10.1111/ijpp.12323. Epub 2016 Nov 29.
Healthy Living Pharmacies (HLP) were introduced in the United Kingdom (UK) in a further attempt to deliver public health benefits in community pharmacy settings. Central to the initiative are staff trained as Healthy Living Champions (HLC) and this study sought to explore HLC perceptions of positive and negative aspect of their work and the wider scheme.
A qualitative study was undertaken with a purposive sample of HLCs working in pathfinder HCPs in the Sheffield area in 2014. Participants were recruited by email to either a focus group (n = 7) held at a training event or later semi-structured one-to-one interviews in pharmacies (n = 6). Four stages of interpretative phenomenological analysis were used to code and identify themes.
Four main themes emerged relating to the positive workforce development impact HLPs had upon HLCs themselves and on perceived customer and patient engagement and benefits. Tensions were identified with existing commercial business demands and negative views overall of the pharmacy setting with a perceived lack of not only integration with other services but also awareness among the public and health care staff. HLCs felt empowered and more confident in initiating conversation about health issues with patients, but identified barriers relating to workload, a lack of time to perform their role, isolation, tensions with non-HLC staff and logistical barriers such as poor Internet access.
Delivering public health activities through the HLC role in UK pharmacies is associated with several perceived benefits for different stakeholders, but may be threatened by well recognised barriers in UK pharmacies related to the commercial setting.
健康生活药房（HLP）在英国推出，旨在进一步在社区药房环境中实现公共卫生效益。该倡议的核心是培训成为健康生活倡导者（HLC）的工作人员，本研究旨在探讨HLC对其工作及更广泛计划的积极和消极方面的看法。
2014年，对在谢菲尔德地区试点健康生活药房工作的HLC进行了有目的抽样的定性研究。通过电子邮件招募参与者，参加在培训活动中举行的焦点小组（n = 7）或后来在药房进行的半结构化一对一访谈（n = 6）。采用解释现象学分析的四个阶段进行编码和确定主题。
出现了四个主要主题，涉及健康生活药房对HLC自身以及对感知到的客户和患者参与度及效益所产生的积极劳动力发展影响。发现与现有商业业务需求存在紧张关系，并且对药房环境总体持负面看法，认为不仅与其他服务缺乏整合，而且公众和医护人员也缺乏认识。HLC在与患者展开有关健康问题的对话时感到有能力且更自信，但也确定了一些障碍，包括工作量、缺乏履行职责的时间、孤立感、与非HLC工作人员的紧张关系以及诸如网络接入不佳等后勤障碍。
通过在英国药房中担任HLC角色开展公共卫生活动，对不同利益相关者有若干可感知的益处，但可能受到英国药房中与商业环境相关的公认障碍的威胁。
