Noureldin Marwa, Henkaline Anna, Botros Kerols, Chen Aleda M H
Pharmaceutical Sciences at Manchester University College of Pharmacy, Natural and Health Sciences, 10627 Diebold Rd, Fort Wayne, IN, 46845, USA; Aging Studies and Healthcare Administration and Associate Professor, University of Indianapolis,1400 E Hanna Ave, Indianapolis, IN, 46227, USA.
Cedarville University School of Pharmacy9614 Conklin Rd. Blue Ash, OH, 45242, USA.
Res Social Adm Pharm. 2025 Nov;21(11):914-923. doi: 10.1016/j.sapharm.2025.06.101. Epub 2025 Jun 18.
The study objectives were to explore 1) community pharmacists' perceptions of their role as medication information providers to family caregivers of older adults and the nature of their interactions with caregivers, 2) barriers and facilitators to community pharmacists' interactions with caregivers, and 3) community pharmacists' information provision strategy when interacting with caregivers METHODS: A qualitative study using one-on-one semi-structured interviews was conducted with practicing community pharmacists identified through pharmacy practice-based research networks in two U.S. states: Indiana and Minnesota. The Theory of Motivated Information Management (TMIM) was utilized to explore the third objective-pharmacists' information provision strategy. Interviews were conducted between May and June 2022. Data were analyzed via an iterative content analysis. Codes were developed and categorized into broader themes RESULTS: Twenty-three interviews were completed and included in the analysis. Sixteen participants were from Minnesota and seven were from Indiana. There was a range of years of experience and community practice settings. Three major themes emerged for objective 1, including) caregiver-pharmacist interactions, pharmacists' awareness of caregiver roles, and pharmacists' role perceptions in relation to caregivers. Four themes emerged for barriers and facilitators to pharmacists' interactions with caregivers related to the pharmacy/healthcare system, pharmacist relationships, and patient/caregiver issues as well as confidence in addressing barriers. For objective 3, themes emerged related to each of the TMIM constructs. Pharmacists viewed communicating with caregivers about older adults' medications as important and could improve medication use. While pharmacists were highly confident in addressing caregivers' questions, they did have concerns about caregivers' abilities to use the information or pass it along appropriately CONCLUSION: Community pharmacists seem aware of family caregivers' involvement in older adults' care, including medication management. Pharmacists view their role as educators, however, they struggle to proactively engage with caregivers and assess medication information needs.
1)社区药剂师对其作为老年人家庭护理人员用药信息提供者的角色认知以及他们与护理人员互动的性质;2)社区药剂师与护理人员互动的障碍和促进因素;3)社区药剂师与护理人员互动时的信息提供策略。方法:采用一对一的半结构化访谈进行定性研究,访谈对象是通过美国印第安纳州和明尼苏达州基于药学实践的研究网络确定的执业社区药剂师。运用动机性信息管理理论(TMIM)来探讨第三个目标——药剂师的信息提供策略。访谈于2022年5月至6月进行。通过迭代内容分析法对数据进行分析。制定编码并将其归类为更广泛的主题。结果:完成了23次访谈并纳入分析。16名参与者来自明尼苏达州,7名来自印第安纳州。参与者有不同的工作年限和社区实践环境。目标1出现了三个主要主题,包括护理人员与药剂师的互动、药剂师对护理人员角色的认知以及药剂师对护理人员的角色认知。药剂师与护理人员互动中的障碍和促进因素出现了四个主题,涉及药房/医疗保健系统、药剂师关系以及患者/护理人员问题,以及应对障碍的信心。对于目标3,出现了与TMIM的每个结构相关的主题。药剂师认为与护理人员就老年人的用药情况进行沟通很重要,并且可以改善用药情况。虽然药剂师对回答护理人员的问题非常有信心,但他们确实担心护理人员使用信息或正确传递信息的能力。结论:社区药剂师似乎意识到家庭护理人员参与老年人护理,包括用药管理。药剂师将自己视为教育者,然而,他们难以主动与护理人员互动并评估用药信息需求。