Assessing pharmacy student experience with, knowledge of and attitudes towards harm reduction: illuminating barriers to pharmacist-led harm reduction.
Assessing pharmacy student experience with, knowledge of and attitudes towards harm reduction: illuminating barriers to pharmacist-led harm reduction.
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DOI：
10.1186/s12954-018-0262-6
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发表时间：
2018-11-16
影响因子：
4.4
通讯作者：
Palombi L
中科院分区：
文献类型：
--
作者：
Mahon LR;Hawthorne AN;Lee J;Blue H;Palombi L
随着阿片类药物流行病的负担在明尼苏达州和全国范围内继续增加，明尼苏达大学药学院寻求设计一个创新的，全面的减少危害课程，以更好地培训学生药剂师，以满足更大社区的各种需求。本研究考察了新入职人员对减少伤害的基本知识和态度，以便更好地为课程规划提供信息，并最终培养出能够影响阿片类药物危机破坏性影响的药剂师。即将到来的一年级药学专业的学生进行了一项调查，重点是他们对阿片类药物过量和纳洛酮药物的了解，并提供了他们对减少危害的看法的书面反映。数据编码使用共识定性研究（CQR）到适当的域。开始专业教育的药学专业学生缺乏对过量情况的适当反应的知识，18.56%不熟悉阿片类拮抗剂药物纳洛酮。近10%（9.58%）的学生表示不愿意做任何事情，除了在过量事件中打电话叫救护车，而8.98%的学生要么不确定，要么觉得他们不会被迫做些什么来帮助。定性编码揭示了学生成为有能力的伤害减少者的许多障碍，包括缺乏物质使用，成瘾和减少伤害的知识，以及偏见和耻辱的存在。为了打破更大的社区和医疗服务提供者的子群体内的错误信息和耻辱的循环，学生知识的差距必须在他们的药学教育过程中以有意义的，具体的方式加以解决。评估基线知识和信念为设计一个灵活的，以行动为导向的课程提供了信息，以培养训练有素的药剂师，随时准备参与寻找阿片类药物危机的解决方案。
As the burden from the opioid epidemic continues to increase in the state of Minnesota and across the nation, the University of Minnesota College of Pharmacy seeks to design an innovative, comprehensive harm reduction curriculum in order to better train student pharmacists to serve the varied needs of the greater community. This study examines incoming individuals’ baseline knowledge of and attitudes toward harm reduction in order to better inform curriculum planning and to ultimately produce pharmacists capable of impacting the devastating effects of the opioid crisis. Incoming first-year pharmacy students took a survey focused on their knowledge of opioid overdose and the drug naloxone and also provided written reflections on their perceptions of harm reduction. Data was coded using consensual qualitative research (CQR) into appropriate domains. Pharmacy students beginning their professional education revealed a lack of knowledge of proper response to an overdose situation, with 18.56% unfamiliar with the opioid antagonist drug naloxone. Close to 10% (9.58%) of students expressed unwillingness to do anything other than call an ambulance during an overdose event, while 8.98% were either unsure or felt that they would not feel compelled to do something to help. Qualitative coding revealed many barriers to students’ becoming capable harm reductionists, including lack of knowledge of substance use, addiction, and harm reduction, in addition to the presence of bias and stigma. In order to interrupt the cycle of misinformation and stigma within the larger community and the subgroup of medical providers, gaps in student knowledge must be addressed in meaningful, specific ways over the course of their pharmacy education. Evaluating baseline knowledge and beliefs informs the design of a flexible, action-oriented curriculum to produce well-trained pharmacists ready to engage in finding solutions to the opioid crisis.
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