Courtney Jennifer, Aragon Kelsea Gallegos, Douglas Monica, Malhotra Ashim
California Northstate University College of Pharmacy, Elk Gove, CA, USA.
University of New Mexico College of Pharmacy, Albuquerque, NM, USA.
Am J Pharm Educ. 2023 Oct;87(10):100127. doi: 10.1016/j.ajpe.2023.100127. Epub 2023 May 13.
Cultural, clinical, social, and legally competent patient care for lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA+) patients is currently scarcely incorporated in pharmacy curricula. Furthermore, clinical, legal, and socio-cultural training that prepares pharmacists on the job to provide LGBTQIA+ competent patient care is scant. Here, our objectives were to (1) systematically review the literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to identify trends in community pharmacists' professional identity development related to the provision of competent LGBTQIA+ patient care, and (2) create a reference guide for community pharmacists for self-directed learning. The literature search focused on 4 professional identity domains common to most pharmacists: academic and clinical competence, cultural sensitivity, knowledge of state and federal laws, and continuing professional development.
A total of 207 articles were identified, with 93 retrieved, of which 26 articles were included in the final analysis based on title and abstract and other inclusion criteria.
Overall, our search identified that the LGBTQIA+ health professions literature focused on the following themes: guidance for appropriate drug selection and therapy, creation of cultural sensitivity training curricula, community pharmacists' perceptions of their ability to provide LGBTQIA+ care, health system interventions, and Allyship education for advancing LGBTQIA+ care, the need for enhanced training of pharmacists for understanding the federal and state laws and requirements while providing care, and the need for a resource compendium to help community pharmacists access self-directed learning information, for which we have created a self-help resource guide for pharmacists in these 4 professional pharmacist identity domains.
目前,药学课程几乎没有纳入对女同性恋、男同性恋、双性恋、跨性别者、酷儿、双性人及无性恋(LGBTQIA+)患者的具有文化、临床、社会和法律胜任力的患者护理。此外,为药剂师提供在职培训,使其能够提供胜任LGBTQIA+患者护理的临床、法律和社会文化培训也很少。在此,我们的目标是:(1)使用系统评价和Meta分析的首选报告项目指南系统地回顾文献,以确定社区药剂师在提供胜任LGBTQIA+患者护理方面的职业身份发展趋势;(2)为社区药剂师创建一份自我导向学习的参考指南。文献检索聚焦于大多数药剂师共有的4个职业身份领域:学术和临床能力、文化敏感性、州和联邦法律知识以及持续专业发展。
共识别出207篇文章,检索到93篇,其中26篇文章根据标题、摘要和其他纳入标准纳入最终分析。
总体而言,我们的检索发现LGBTQIA+健康职业文献聚焦于以下主题:适当药物选择和治疗的指导、文化敏感性培训课程的创建、社区药剂师对其提供LGBTQIA+护理能力的看法、卫生系统干预措施以及促进LGBTQIA+护理的盟友关系教育、在提供护理时加强药剂师对联邦和州法律及要求理解的培训需求,以及需要一份资源汇编来帮助社区药剂师获取自我导向学习信息,为此我们在这4个药剂师职业身份领域为药剂师创建了一份自助资源指南。