School of Pharmacy, University of Waterloo, 10 Victoria St S A, Kitchener, Ontario, N2G 1C5, Canada.
Canadian Pharmacists Association, 1785 Alta Vista Dr, Ottawa, Ontario, K1G 3Y6, Canada.
Res Social Adm Pharm. 2021 May;17(5):993-996. doi: 10.1016/j.sapharm.2020.06.027. Epub 2020 Jul 3.
The opioid crisis is a worldwide public health concern. In North America, evidence suggests that the increase in opioid prescriptions correlates with the observed increase in opioid-related mortality and morbidity. Pharmacists are in a strategic position to promote effective opioid stewardship as they have a central role on healthcare teams. However, in many contexts, pharmacists do not have a harmonized scope of practice and no standardized opioid stewardship approach has been implemented.
A scoping review will be conducted to identify and summarize evidence on the role of pharmacists in opioid stewardship and identify areas for future study.
The scoping review will be conducted according to the methodological framework proposed by Arksey and O'Malley, which was further modified by the Joanna Briggs Institute. Six databases will be searched which include PubMed, Embase, International Pharmaceutical Abstracts, Scopus, Cochrane Library, and APA PsycInfo.
The findings of this review will identify opioid stewardship activities that can contribute towards reducing the impact of the opioid crisis. Additionally, it will provide foundational strategies to promote policy level change and foster a harmonized scope of practice. This review has the potential to inform future research, impact pharmacy practice, and drive policy change.
阿片类药物危机是一个全球性的公共卫生关注点。在北美，有证据表明阿片类药物处方的增加与观察到的阿片类药物相关死亡率和发病率的增加有关。药剂师在促进有效的阿片类药物管理方面处于战略地位，因为他们在医疗保健团队中发挥着核心作用。然而，在许多情况下，药剂师的执业范围没有统一，也没有实施标准化的阿片类药物管理方法。
将进行范围综述，以确定并总结药剂师在阿片类药物管理中的作用的证据，并确定未来研究的领域。
该范围综述将根据 Arksey 和 O'Malley 提出的方法学框架进行，该框架由 Joanna Briggs 研究所进一步修改。将对六个数据库进行检索，包括 PubMed、Embase、国际药学文摘、Scopus、Cochrane 图书馆和 APA PsycInfo。
该综述的结果将确定可以有助于减轻阿片类药物危机影响的阿片类药物管理活动。此外，它将提供促进政策层面变革和促进统一执业范围的基础策略。该综述有可能为未来的研究提供信息，影响药学实践，并推动政策变革。
