Murphy Andrea L, Gardner David M, Jacobs Lisa M
College of Pharmacy (Murphy, Gardner), Dalhousie University, Halifax.
Department of Psychiatry (Murphy, Gardner), Dalhousie University, Halifax.
Can Pharm J (Ott). 2019 Apr 9;152(3):186-192. doi: 10.1177/1715163519839424. eCollection 2019 May-Jun.
The Bloom Program was designed to enhance pharmacists' care of people with lived experience of mental illness and addictions in Nova Scotia. The Program's demonstration period was from September 2014 to December 2016 and included a qualitative evaluation of the patient experience.
Patients were recruited for individual interviews through Bloom Program pharmacies. Interviews were transcribed verbatim and analyzed following Braun and Clarke's 6-step approach for thematic analysis.
Ten patients were interviewed between May and June 2016. Ten themes were determined through data analysis and included medication management, accessing pharmacists in a new way, providing social support, bridging service gaps, providing interim care, reducing financial barriers, navigation and advocacy, holistic approaches, empowerment through knowledge and awareness and collaboration.
Pharmacists expectedly provided medication management activities to patients for both physical and mental health concerns in the Bloom Program. Many activities conducted with Bloom Program patients fell outside of dispensing roles and medication management. These activities, such as social support, triage, navigation and increasing access, which were highly valued by patients, are poorly measured and assessed in pharmacy practice research.
Participants in the Bloom Program reported the significant contributions of pharmacists and pharmacy teams in their overall health and wellness. Future evaluations of interventions like the Bloom Program should include measurement of constructs valued by patients and also consider impacts on inequalities and inequities. Pharmacy practice researchers can benefit from other research and evaluation being conducted for primary care interventions.
“绽放计划”旨在改善新斯科舍省药剂师对有精神疾病和成瘾经历者的护理。该计划的示范期为2014年9月至2016年12月，包括对患者体验的定性评估。
通过“绽放计划”药房招募患者进行个人访谈。访谈逐字记录，并按照布劳恩和克拉克的六步主题分析方法进行分析。
2016年5月至6月间对10名患者进行了访谈。通过数据分析确定了10个主题，包括药物管理、以新方式联系药剂师、提供社会支持、弥合服务差距、提供临时护理、减少经济障碍、导航与倡导、整体方法、通过知识和意识赋权以及合作。
在“绽放计划”中，药剂师理所当然地为患者提供了针对身心健康问题的药物管理活动。与“绽放计划”患者开展的许多活动超出了配药职责和药物管理范围。这些活动，如社会支持、分诊、导航和增加可及性，受到患者高度重视，但在药学实践研究中却很少得到衡量和评估。
“绽放计划”的参与者报告了药剂师和药房团队对他们整体健康状况的重大贡献。未来对“绽放计划”这类干预措施的评估应包括对患者重视的指标的衡量，还应考虑对不平等现象的影响。药学实践研究人员可从针对初级保健干预措施开展的其他研究和评估中受益。
