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探讨人道主义药剂师在应对紧急情况时的经验和准备情况。

Exploring the experiences and preparedness of humanitarian pharmacists in responding to an emergency-response situation.

机构信息

Qatar University, College of Pharmacy, Doha 2713, Qatar.

Newcastle University, King George VI Building, Newcastle upon Tyne, NE1 7RU United Kingdom.

出版信息

Res Social Adm Pharm. 2020 Jan;16(1):90-95. doi: 10.1016/j.sapharm.2019.03.146. Epub 2019 Mar 31.

Abstract

BACKGROUND

Pharmacists are more frequently being deployed along with other members of the multi-disciplinary team in order to provide humanitarian aid. This team will need to work collaboratively to overcome challenges such as constraints in access to medication, medical supplies and medical records. Recent literature reports on the role of the pharmacist across all facets of care continuing to evolve into clinical areas to support patient care. To date there is a deficiency in description and understanding of the preparedness and contribution of pharmacists within a humanitarian capacity.

OBJECTIVE

This study aims to investigate the preparedness of pharmacists working in the humanitarian field and to explore pharmacists' experiences including the challenges they face in an emergency response situation.

METHODS

An interview topic guide was developed and informed by a review of the literature and one-to-one in-depth semi-structured telephonic interviews were conducted with pharmacists involved in the humanitarian field based in England. Interviews were audio recorded and were transcribed verbatim. A member of the research team conducted the data analysis (FS) consistent with the Braun and Clarke approach, the authors (ZN and HN) provided advice and input throughout the analysis process.

RESULTS

Twelve pharmacists participated in this study, nine of whom had deployment experience; interviews took place between October 2017 and April 2018. Data analysis identified four descriptive themes (training and preparation; skills required; challenges/barriers; professional development) and numerous sub-themes.

CONCLUSIONS

This study resonates with research investigating experiences of other healthcare professionals, which report the need for more tailored and appropriate training to improve preparedness for deployment. Pharmacists also suggest specific skills and knowledge facilitate adaptability and innovate working which areas of humanitarian need require. The pharmacists did not report any psychological burden or trauma from their experiences in emergency response, which requires further study to ensure this aspect of preparation, debriefing and support is not neglected.

摘要

背景

为了提供人道主义援助,药剂师越来越多地与多学科团队的其他成员一起部署。该团队需要协作克服各种挑战,如药物、医疗用品和医疗记录获取方面的限制。最近的文献报告表明,药剂师在整个护理领域的作用不断发展到临床领域,以支持患者护理。迄今为止,对于人道主义能力范围内的药剂师的准备情况及其贡献的描述和理解存在不足。

目的

本研究旨在调查从事人道主义工作的药剂师的准备情况,并探讨药剂师的经验,包括他们在紧急应对情况下面临的挑战。

方法

根据文献综述制定了访谈主题指南,并进行了一对一的深入电话半结构化访谈,受访者是在英国从事人道主义工作的药剂师。访谈进行了录音,并逐字记录。研究团队的一名成员(FS)根据 Braun 和 Clarke 的方法进行了数据分析,作者(ZN 和 HN)在整个分析过程中提供了建议和意见。

结果

共有 12 名药剂师参加了这项研究,其中 9 人有部署经验;访谈于 2017 年 10 月至 2018 年 4 月进行。数据分析确定了四个描述性主题(培训和准备;所需技能;挑战/障碍;专业发展)和许多子主题。

结论

这项研究与调查其他卫生保健专业人员经验的研究相呼应,这些研究报告需要更有针对性和适当的培训,以提高部署准备。药剂师还建议特定的技能和知识有助于适应和创新人道主义需求领域所需的工作。药剂师没有报告他们在紧急应对中的任何心理负担或创伤,这需要进一步研究,以确保在准备、汇报和支持方面不忽视这一方面。

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