Pharmacy Students' Perceptions and Stigma Surrounding Naloxone Use in Patients with Opioid Use Disorder: A Mixed Methods Evaluation.
Pharmacy Students' Perceptions and Stigma Surrounding Naloxone Use in Patients with Opioid Use Disorder: A Mixed Methods Evaluation.
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DOI：
10.3390/pharmacy8040205
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发表时间：
2020-11-03
期刊：
影响因子：
--
通讯作者：
Hohmeier KC
中科院分区：
文献类型：
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作者：
Cernasev A;Veve MP;Talbott T;Hall EA;Hohmeier KC
药剂师代表了一个关键的医疗保健专业人员群体，可以提高认识和消除纳洛酮的使用。本研究的目的是调查药学专业学生对纳洛酮使用、配药和污名化的看法。对药学专业的学生进行了一项电子调查，其中包括人口统计学、工作史、纳洛酮使用和纳洛酮污名等问题。进行单独的定性访谈，以确定主题周围纳洛酮的使用。262名参与者完成了调查。大多数参与者“非常愿意”（74%）为患者填写纳洛酮处方，并且在纳洛酮咨询方面“有些舒适”（38%）;大多数人“有些舒适”（38%）管理纳洛酮。纳洛酮在社区工作场所中“很少”（87%）被推荐，大多数（64%）报告患者从未要求提供有关纳洛酮可用性的信息。76%的受访者报告说，纳洛酮相关的相互作用对他们在社区药房环境中与患者沟通的方式有影响。主题分析发现，药学专业的学生认为纳洛酮作为一种挽救生命的药物的重要性和纳洛酮培训的必要性，但患者感知的耻辱和有限的获得纳洛酮仍然普遍存在。药学专业的学生通常精通并倾向于分发，咨询和管理纳洛酮。纳洛酮很少分发，涉及纳洛酮的患者对话在社区环境中也不常见。未来的努力重点是对困难的患者对话和纳洛酮的正常化的方法，需要去污名化和促进使用。
Pharmacists represent a key group of healthcare professionals that can increase awareness and destigmatize naloxone use. The objective of this study was to investigate pharmacy student perceptions of the use, dispensing, and stigma surrounding naloxone. An electronic survey was administered to pharmacy students that included questions about demographics, work history, naloxone use, and naloxone stigma. Separate qualitative interviews were performed to identify themes surrounding naloxone use. Two-hundred sixty-two participants completed the survey. The majority of participants were “highly willing” (74%) to fill a naloxone prescription for a patient and “somewhat comfortable” (38%) in counseling on naloxone; most were “somewhat comfortable” (38%) administering naloxone. Naloxone is “very rarely” (87%) recommended in community workplace settings, and the majority (64%) reported that patients never request information about naloxone availability. Seventy-six percent of respondents reported that naloxone-associated interactions have an influence on the way they communicate with patients in community pharmacy settings. Thematic analyses found that pharmacy students identify the importance of naloxone as a life-saving medication and the need for naloxone training, but patient-perceived stigma and limited access to naloxone remain prevalent. Pharmacy students are generally well-versed and inclined toward distributing, counseling on, and administering naloxone. Naloxone is rarely dispensed and patient conversations involving naloxone are infrequent in community settings. Future efforts focused on approaches toward difficult patient conversations and normalization of naloxone are needed to destigmatize and facilitate use.