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视力受损成年人对社区药房所提供护理的看法:一项定性访谈研究。

Opinions of visually impaired adults on the care provided at community pharmacies: a qualitative interview study.

作者信息

Roche Ryan Ellen, Bennett-Lenane Harriet

机构信息

School of Pharmacy, University College Cork, Cavanagh Pharmacy Building, College Road, Cork, Ireland.

出版信息

Int J Clin Pharm. 2025 Mar 13. doi: 10.1007/s11096-025-01888-1.

Abstract

BACKGROUND

Adults who are Visually Impaired (VI) often experience challenges in taking medications and interacting with healthcare settings.

AIM

The aims of this study were to (1) explore the opinions of VI adults regarding care provided at community pharmacies in Ireland and (2) identify patient recommendations for improved care.

METHOD

Semi-structured interviews were conducted using a topic guide via telephone or videoconference with VI adults who visit community pharmacies in Ireland. Interviewees were recruited on a voluntary basis using a mix of purposive, convenience and snowball sampling. Interviews were recorded, transcribed and carried out until theoretical data saturation. The Braun and Clarke approach was used for thematic data analysis using NVivo software.

RESULTS

Four major themes emerged from eighteen interviews. These were staff awareness, medicines information accessibility, physical inaccessibility and positive supports. Interviewees identified how open communication and close professional relationships between staff and VI adults could be influential in overcoming a perceived lack of independence and privacy currently experienced. Need for staff awareness training, improved provision of medicines information, improved physical accessibility of pharmacy layouts and use of mobile application as assistive technologies were also recommended.

CONCLUSION

This study provides the first qualitative exploration of care provided to VI adults by community pharmacies in Ireland. Based on personal experiences, interviewees recommended mostly minor adjustments to pharmacy practice to increase accessibility and help provide improved care for this cohort when visiting a pharmacy. This work represents a springboard for future research involving bespoke interventions and tailored guidance for pharmacy teams.

摘要

背景

视力受损的成年人在服药以及与医疗环境互动方面常常面临挑战。

目的

本研究的目的是(1)探讨爱尔兰视力受损成年人对社区药房所提供护理的看法,以及(2)确定患者对改善护理的建议。

方法

通过电话或视频会议,使用主题指南对访问爱尔兰社区药房的视力受损成年人进行半结构化访谈。采用目的抽样、便利抽样和滚雪球抽样相结合的方式,自愿招募受访者。访谈进行录音、转录,直至理论数据饱和。使用NVivo软件,采用布劳恩和克拉克方法进行主题数据分析。

结果

18次访谈产生了四个主要主题。分别是员工意识、药品信息可及性、身体可达性障碍和积极支持。受访者指出,员工与视力受损成年人之间开放的沟通和密切的专业关系,如何能够在克服目前所感受到的缺乏独立性和隐私方面发挥作用。还建议开展员工意识培训、改善药品信息提供、改进药房布局的身体可达性以及使用移动应用程序作为辅助技术。

结论

本研究首次对爱尔兰社区药房为视力受损成年人提供的护理进行了定性探索。基于个人经历,受访者大多建议对药房实践进行微小调整,以提高可达性,并在视力受损成年人光顾药房时帮助提供更好的护理。这项工作为未来涉及为药房团队量身定制干预措施和指导的研究提供了一个跳板。

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