Sim Tin Fei, Hattingh H Laetitia, Sherriff Jillian, Tee Lisa B G
School of Pharmacy, Faculty of Health Sciences, Curtin University, Perth, WA 6845, Australia.
School of Public Health, Faculty of Health Sciences, Curtin University, Perth, WA 6845, Australia.
Res Social Adm Pharm. 2017 Sep-Oct;13(5):980-988. doi: 10.1016/j.sapharm.2017.03.005. Epub 2017 Mar 10.
The scope of community pharmacy practice has expanded over the years. Pharmacists are now involved in the provision of a range of professional services. Pharmacists have regular contact with breastfeeding women, and are perceived as easily accessible, trusted health advisors. There is limited information on factors needed to be considered when implementing breastfeeding-related services in pharmacies to meet the needs of this population group.
This study aimed to explore community pharmacists' perspectives on the implementation of breastfeeding-related services, the factors to consider and the required implementation strategies in community pharmacies.
The study involved semi-structured interviews with 30 community pharmacists practising in Western Australian. Interviews were audio-recorded and transcribed verbatim to facilitate analysis. NVivo Version 10.0 was used to aid organisation of qualitative data and thematic analysis. Responses to closed-ended questions were summarised using the descriptive approach.
Participants' perceptions about their role in providing breastfeeding-related services in community pharmacies were generally favourable. Participants reported receiving regular enquiries from the public about the use of various medicines during breastfeeding, in particular non-prescription medicines. Most of their knowledge regarding the use of medicines in breastfeeding and breastfeeding in general was a culmination of day-to-day work experience, self-directed continuing professional development, personal or close-contact breastfeeding experience, and university training. Multifaceted efforts including public and professional education, research and development, and government initiatives were identified as essential to facilitate quality use of medicines in breastfeeding, and to increase pharmacists' support of breastfeeding women.
Based on the needs and demand, appropriate training and continuing development is warranted so that pharmacists are well-equipped with knowledge regarding the use of medicines in breastfeeding, and breastfeeding in general. There appear to be opportunities for pharmacists to expand their professional services and contribute towards improved care and support of breastfeeding women at primary care level.
多年来，社区药房的业务范围不断扩大。如今，药剂师参与提供一系列专业服务。药剂师经常与哺乳期妇女接触，且被视为易于接触、值得信赖的健康顾问。关于在药房实施与母乳喂养相关服务以满足这一人群需求时需要考虑的因素，相关信息有限。
本研究旨在探讨社区药剂师对在社区药房实施与母乳喂养相关服务的看法、需考虑的因素以及所需的实施策略。
该研究对30名在西澳大利亚执业的社区药剂师进行了半结构化访谈。访谈进行了录音，并逐字转录以方便分析。使用NVivo 10.0软件辅助定性数据的组织和主题分析。对封闭式问题的回答采用描述性方法进行总结。
参与者对其在社区药房提供与母乳喂养相关服务中的角色普遍持积极看法。参与者报告称，公众经常就哺乳期使用各种药物，尤其是非处方药向他们咨询。他们关于哺乳期用药和一般母乳喂养的知识，大多是日常工作经验、自主持续专业发展、个人或密切接触的母乳喂养经历以及大学培训的积累。包括公众和专业教育、研发以及政府举措在内的多方面努力，被认为对于促进哺乳期合理用药以及增加药剂师对哺乳期妇女的支持至关重要。
基于需求，有必要进行适当的培训和持续发展，以使药剂师具备关于哺乳期用药和一般母乳喂养的充分知识。药剂师似乎有机会扩大其专业服务，并在初级保健层面为改善对哺乳期妇女的护理和支持做出贡献。
