Pharmacy leaders' beliefs about how pharmacies can support a sustainable approach to providing naloxone to the community
Pharmacy leaders' beliefs about how pharmacies can support a sustainable approach to providing naloxone to the community
复制标题
DOI：
10.1016/j.sapharm.2020.01.006
复制
发表时间：
2020-10-01
影响因子：
3.9
通讯作者：
Green, Traci C.
中科院分区：
文献类型：
--
作者：
Donovan, Elizabeth;Bratberg, Jeffrey;Green, Traci C.
背景资料：纳洛酮是阿片类药物过量的解毒剂，全国范围内的社区药店现在提供广泛的访问这种medication.Objective：本定性研究的目的是了解领导人在药房组织的看法药房和药房工作人员可以优化分配naloxone.Methods：在深度访谈进行了12药房领导人在马萨诸塞州和罗得岛。参与者从三种类型的社区药房招募：（1）连锁;（2）独立;（3）医院门诊。理论驱动的浸没结晶，使用Brownlee等人。的模式，医疗质量的改善，是用来通知编码的访谈数据，与预定类别的工作人员，组织和process.Results：五个主要主题被确定：（1）工作人员培训的重要性，以增加舒适度;（2）通过协调努力的力量;（3）药房作为一个社区领导者在阿片类药物危机;（4）持续的耻辱;（5）通过协调努力，提高工作人员的舒适度。和（5）持续的工作流程的挑战。结论：结果独特地反映了在阿片类药物危机期间实施公共卫生举措的药房领导者的经验和见解，并可用于深入了解药剂师如何有效地为社区提供纳洛酮。
Background: Naloxone is an antidote to opioid overdose, and community pharmacies nationwide now provide broad access to this medication.Objective: The aim of this qualitative study was to understand how leaders in pharmacy organizations perceive pharmacies and pharmacy staff can optimize dispensing of naloxone.Methods: In-depth interviews were conducted with 12 pharmacy leaders in Massachusetts and Rhode Island. Participants were recruited from three types of community pharmacies: (1) chain; (2) independent; and (3) hospital outpatient. Theory-driven immersion crystallization, using Brownlee et al.'s model of healthcare quality improvement, was used to inform coding of the interview data, with predetermined categories of staff; organization; and process.Results: Five main themes were identified: (1) Importance of staff training to increase comfort; (2) Strength through coordination of efforts; (3) Pharmacy as a community leader in the opioid crisis; (4) Persisting stigma; and (5) Ongoing workflow challenges.Conclusions: The results uniquely reflect the experiences and insights of pharmacy leaders implementing public health initiatives during the opioid crisis and can be used for gaining insight into how pharmacists can efficiently provide naloxone to their communities.