药房领导者对药房如何支持为社区提供纳洛酮的可持续方法的信念。
Pharmacy leaders' beliefs about how pharmacies can support a sustainable approach to providing naloxone to the community.
机构信息
Department of Psychology, Simmons University, Boston, MA, USA.
College of Pharmacy, University of Rhode Island, RI, USA.
出版信息
Res Social Adm Pharm. 2020 Oct;16(10):1493-1497. doi: 10.1016/j.sapharm.2020.01.006. Epub 2020 Jan 18.
BACKGROUND
Naloxone is an antidote to opioid overdose, and community pharmacies nationwide now provide broad access to this medication.
OBJECTIVE
The aim of this qualitative study was to understand how leaders in pharmacy organizations perceive pharmacies and pharmacy staff can optimize dispensing of naloxone.
METHODS
In-depth interviews were conducted with 12 pharmacy leaders in Massachusetts and Rhode Island. Participants were recruited from three types of community pharmacies: (1) chain; (2) independent; and (3) hospital outpatient. Theory-driven immersion crystallization, using Brownlee et al.'s model of healthcare quality improvement, was used to inform coding of the interview data, with predetermined categories of staff; organization; and process.
RESULTS
Five main themes were identified: (1) Importance of staff training to increase comfort; (2) Strength through coordination of efforts; (3) Pharmacy as a community leader in the opioid crisis; (4) Persisting stigma; and (5) Ongoing workflow challenges.
CONCLUSIONS
The results uniquely reflect the experiences and insights of pharmacy leaders implementing public health initiatives during the opioid crisis and can be used for gaining insight into how pharmacists can efficiently provide naloxone to their communities.
背景
纳洛酮是阿片类药物过量的解毒剂，现在全国的社区药房都可以广泛获得这种药物。
目的
这项定性研究的目的是了解药房组织的领导者如何看待药房和药房工作人员可以优化纳洛酮的配药。
方法
在马萨诸塞州和罗得岛州进行了 12 名药房领导的深入访谈。参与者是从三种类型的社区药房中招募的：（1）连锁；（2）独立；（3）医院门诊。采用布朗利等人的医疗保健质量改进模型进行理论驱动的沉浸式结晶，为访谈数据的编码提供信息，其中有预先确定的员工、组织和流程类别。
结果
确定了五个主要主题：（1）员工培训的重要性，以提高舒适度；（2）通过协调努力增强实力；（3）药房在阿片类药物危机中的社区领导者作用；（4）持续存在的耻辱感；（5）持续的工作流程挑战。
结论
研究结果独特地反映了在阿片类药物危机期间实施公共卫生计划的药房领导者的经验和见解，可以帮助了解药剂师如何有效地向其社区提供纳洛酮。
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