药剂师为吸毒者提供减少伤害服务的实施：一项范围综述方案

Implementation of harm reduction services for people who use drugs provided by pharmacy staff: a scoping review protocol.

作者信息

Navarrete Javiera, Hughes Christine, Kung Janice Y, Salokangas Essi, Taylor Marliss, Hyshka Elaine

机构信息

School of Public Health, College of Health Sciences, University of Alberta, Edmonton, Alberta, Canada

Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, University of Alberta, Edmonton, Alberta, Canada.

出版信息

BMJ Open. 2025 Mar 21;15(3):e093272. doi: 10.1136/bmjopen-2024-093272.

DOI:10.1136/bmjopen-2024-093272

PMID:40118482

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11931890/

Abstract

INTRODUCTION

The disparities and risk trajectories experienced by people who use drugs (PWUD) highlight the critical need for equity-oriented strategies. Pharmacy staff (pharmacists, pharmacy technicians and assistants) make essential contributions to public health, and their role in the response to the drug overdose crisis can be understood as an extension of their public health role. Their involvement in overdose prevention strategies, such as take-home naloxone programmes and prescribed opioid medication management, has been documented. Still, their role in harm reduction services for PWUD has yet to be mapped. This gap has led to challenges when implementing harm reduction services in pharmacy-related settings. This review aims to summarise literature that focuses on the implementation of harm reduction services for PWUD provided by pharmacy staff.

METHODS AND ANALYSIS

This scoping review will adhere to the Arksey and O'Malley framework for conducting scoping reviews. The electronic databases MEDLINE, Embase, CINAHL, Web of Science Core Collection, SCOPUS and Google Scholar were searched on 4 June 2024, using terms related to pharmacy staff, PWUD and harm reduction services. This review will consider peer-reviewed literature in English, Spanish and French focused on describing or evaluating the implementation of harm reduction services for PWUD by pharmacy staff. Two independent reviewers will screen titles and abstracts and conduct the full-text screening to determine eligibility. Findings will be presented as a narrative summary and supported by tabular and graphical formats. Knowledge partner engagement will guide all steps in this study.

ETHICS AND DISSEMINATION

Formal ethical approval is not required, as primary human or animal data will not be collected. A manuscript summarising the results will be written and submitted to a peer-reviewed journal for publication. Other outlets for dissemination will include local presentations and conference presentations.

TRIAL REGISTRATION DETAILS

Open Science Framework (https://osf.io/vn6ht).

摘要

引言

吸毒者所经历的差异和风险轨迹凸显了以公平为导向的策略的迫切需求。药房工作人员（药剂师、药房技术员和助理）对公共卫生做出了重要贡献，他们在应对药物过量危机中的作用可被视为其公共卫生角色的延伸。他们参与过量预防策略，如纳洛酮带回家计划和处方阿片类药物管理，已有相关记录。然而，他们在为吸毒者提供减少伤害服务方面的作用尚未明确界定。这一差距在与药房相关的环境中实施减少伤害服务时带来了挑战。本综述旨在总结关注药房工作人员为吸毒者提供减少伤害服务的实施情况的文献。

方法与分析

本范围综述将遵循Arksey和O'Malley进行范围综述的框架。于2024年6月4日在电子数据库MEDLINE、Embase、CINAHL、科学引文索引核心合集、Scopus和谷歌学术上进行搜索，使用与药房工作人员、吸毒者和减少伤害服务相关的术语。本综述将考虑以英文、西班牙文和法文发表的同行评审文献，这些文献侧重于描述或评估药房工作人员为吸毒者提供减少伤害服务的实施情况。两名独立评审员将筛选标题和摘要，并进行全文筛选以确定是否符合纳入标准。研究结果将以叙述性总结的形式呈现，并辅以表格和图形形式。知识合作伙伴的参与将指导本研究的所有步骤。