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社区药店支持非正式和家庭照顾者的障碍和促进因素的定性探索。

A qualitative exploration of the barriers and enablers to supporting informal and familial carers within community pharmacies.

机构信息

School of Pharmacy, Faculty of Medical Sciences, Newcastle University, NE1 7RU, United Kingdom.

出版信息

Int J Pharm Pract. 2024 May 7;32(3):201-207. doi: 10.1093/ijpp/riae005.

Abstract

OBJECTIVES

There are approximately 5.3 million informal carers in the United Kingdom, many of whom support family in their health despite being unpaid and often unsupported. Many visit pharmacies to collect medicines and look for advice. This work explores informal carer support within community pharmacies (CP).

METHODS

Semi-structured video interviews exploring perspectives on the role of CP in supporting carers were conducted in autumn 2022. The study received institutional ethical approval. Interviews were audio-recorded, transcribed verbatim, and analysed using a reflexive thematic approach.

KEY FINDINGS

In total 25 interviews were conducted with 13 carers and 12 pharmacy staff. Three themes were identified:-What support do carers need through CP?-medicines management, navigating services, and carers health and wellbeing.-Barriers to CP better supporting carers-relationships with CP, carer needs, identification as a 'carer'.-Enablers to CP better supporting carers-support is a team effort, and CP as a community 'hub'.

CONCLUSIONS

There is a trusted relationships between carers and pharmacy staff which can contribute to establishing pharmacies as a safe space of support, this includes medicines-specific support and navigating services, but also carer health and wellbeing support. Pharmacy staff may need to reconsider approaches to identifying and supporting carers and not just treating them as an extension of supporting a patient. In making this support accessible, relationships with pharmacy staff are important, as well as embracing CP as a 'community hub', although pharmacy staff may need training and information to facilitate them in this role.

摘要

目的

英国约有 530 万非正式护理人员,他们中的许多人在没有报酬且通常得不到支持的情况下,为家人的健康提供支持。许多人会去药店取药并寻求建议。这项工作探讨了社区药店(CP)中对非正式护理人员的支持。

方法

2022 年秋季,采用半结构式视频访谈的方式,探讨了 CP 在支持护理人员方面的作用。该研究获得了机构伦理批准。对访谈进行了录音、逐字转录,并采用反思性主题分析方法进行了分析。

主要发现

共对 13 名护理人员和 12 名药店工作人员进行了 25 次访谈。确定了三个主题:-护理人员通过 CP 需要哪些支持?-药物管理、服务导航以及护理人员的健康和福祉。-CP 更好地支持护理人员的障碍-与 CP 的关系、护理人员的需求、被认定为“护理人员”。-CP 更好地支持护理人员的促成因素-支持是团队的努力,CP 是社区“中心”。

结论

护理人员和药店工作人员之间存在着值得信赖的关系,这有助于将药店建立为一个安全的支持空间,包括药物方面的支持和服务导航,还包括护理人员的健康和福祉支持。药店工作人员可能需要重新考虑识别和支持护理人员的方法,而不仅仅是将他们视为支持患者的延伸。为了使这种支持能够获得,与药店工作人员的关系很重要,同时还需要将 CP 视为“社区中心”,尽管药店工作人员可能需要接受培训和信息,以促进他们在这一角色中的发展。

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