McCourt Elizabeth, Singleton Judith, Tippett Vivienne, Nissen Lisa
Redland Hospital, Queensland Health, Cleveland, Qld, Australia.
School of Clinical Sciences, Queensland University of Technology, Brisbane, Qld, Australia.
Int J Pharm Pract. 2021 Feb 10;29(1):12-20. doi: 10.1111/ijpp.12669.
In the aftermath of a disaster, the services provided by pharmacists are essential to ensure the continued health and well-being of the local population. To continue pharmacy services, it is critical that pharmacists are prepared for disasters. A systematic literature review was conducted to explore pharmacists' and pharmacy students' preparedness for disasters and the factors that affect preparedness.
This review was conducted in April 2020 through electronic databases CINAHL, MEDLINE, Embase, PubMed, Scopus and PsycINFO, and two disaster journals. Search terms such as 'pharmacist*', 'disaster*' and 'prepared*' were used. The search yielded an initial 1781 titles. Articles were included if they measured pharmacists or pharmacy students' disaster preparedness. After screening and quality appraisal by two researchers, four articles were included in final analysis and review. Data were extracted using a data collection tool formulated by the researchers. Meta-analysis was not possible; instead, results were compared across key areas including preparedness ratings and factors that influenced preparedness.
Three articles focused on pharmacy students' preparedness for disasters, and one on registered pharmacists' preparedness. Preparedness across both groups was poor to moderate with <18% of registered pharmacists found to be prepared to respond to a disaster. Factors that potentially influenced preparedness included disaster competency, disaster interventions and demographic factors.
For pharmacists, the lack of research around their preparedness speaks volumes about their current involvement and expectations within disaster management. Without a prepared pharmacy workforce and pharmacy involvement in disaster management, critical skill and service gaps in disasters may negatively impact patients.
在灾难发生后,药剂师提供的服务对于确保当地居民的持续健康和福祉至关重要。为了持续提供药学服务,药剂师做好应对灾难的准备至关重要。本研究进行了一项系统的文献综述,以探讨药剂师和药学专业学生对灾难的准备情况以及影响准备情况的因素。
本综述于2020年4月通过电子数据库CINAHL、MEDLINE、Embase、PubMed、Scopus和PsycINFO以及两本灾难期刊进行。使用了“药剂师*”、“灾难*”和“准备*”等检索词。检索最初得到1781个标题。如果文章测量了药剂师或药学专业学生的灾难准备情况,则将其纳入。经过两名研究人员的筛选和质量评估,最终分析和综述纳入了四篇文章。使用研究人员制定的数据收集工具提取数据。无法进行荟萃分析;相反,在包括准备等级和影响准备的因素等关键领域对结果进行了比较。
三篇文章关注药学专业学生对灾难的准备情况,一篇关注注册药剂师的准备情况。两组的准备情况都较差到中等,发现<18%的注册药剂师准备好应对灾难。可能影响准备情况的因素包括灾难能力、灾难干预和人口统计学因素。
对于药剂师而言,围绕其准备情况缺乏研究充分说明了他们目前在灾难管理中的参与度和期望。如果没有准备充分的药学人员以及药学专业参与灾难管理,灾难中的关键技能和服务差距可能会对患者产生负面影响。