Fejzic Jasmina, Knox Kathy, Hattingh Hendrika Laetitia, Mey Amary, McConnell Denise, Wheeler Amanda J
School of Pharmacy, Griffith University, Gold Coast, Qld, Australia.
Menzies Health Institute Queensland, Griffith University, Brisbane, Qld, Australia.
Int J Pharm Pract. 2017 Dec;25(6):454-462. doi: 10.1111/ijpp.12356. Epub 2017 Mar 16.
To identify the health management information needs of Australian mental health consumers and carers and explore the role of community pharmacy in meeting those needs.
Interviews and focus groups were conducted with a purposive convenience sample of 74 mental health consumers and carers across three Australian states, representing metropolitan, rural and remote settings, including those with culturally and linguistically diverse backgrounds. Recruitment and interviews continued until data saturation was reached. Interviews and group discussions were digitally recorded and transcribed verbatim, and data were managed using NVivo software. A 'coding framework' or set of themes was created, and all transcripts were coded accordingly. Thematic analysis was informed by a general inductive approach.
Participants had unmet needs for information from community pharmacy. They expressed the requirement for receiving easy-to-understand, relevant medication information about mental health management from community pharmacy staff, communicated in a respectful way, with clear and comprehensive medication labelling, while respecting consumer privacy.
The information needs of mental health consumers and carers remain largely unmet within Australian community pharmacy. This was particularly evident regarding the provision of information about adverse effects of medicines. The overall perceived lack of information is experienced as disempowering.
Australian community pharmacy is well placed to respond to the unmet demand for information needs of mental health consumers and carers. While many community pharmacies are embracing the principles of patient-centred care, there is an opportunity to optimise the quality of care provided to mental health consumers and carers.
确定澳大利亚心理健康消费者和护理人员的健康管理信息需求,并探讨社区药房在满足这些需求方面的作用。
对来自澳大利亚三个州的74名心理健康消费者和护理人员进行了访谈和焦点小组讨论,这些人员来自大都市、农村和偏远地区,包括具有文化和语言背景多样化的人群。招募和访谈持续进行,直至达到数据饱和。访谈和小组讨论进行了数字录音并逐字转录,数据使用NVivo软件进行管理。创建了一个“编码框架”或一组主题,并据此对所有转录本进行编码。主题分析采用一般归纳法。
参与者对社区药房的信息需求未得到满足。他们表示需要从社区药房工作人员那里获得关于心理健康管理的易于理解、相关的用药信息,信息应以尊重的方式传达,药品标签清晰全面,同时尊重消费者隐私。
在澳大利亚社区药房中,心理健康消费者和护理人员的信息需求在很大程度上仍未得到满足。这在提供有关药物不良反应的信息方面尤为明显。总体而言,信息的缺乏被认为是无力的。
澳大利亚社区药房有能力满足心理健康消费者和护理人员未得到满足的信息需求。虽然许多社区药房都在践行以患者为中心的护理原则,但仍有机会优化为心理健康消费者和护理人员提供的护理质量。