Pharmacy practice in times of civil crisis: The experience of SARS and the blackout in Ontario, Canada.
Pharmacy practice in times of civil crisis: The experience of SARS and the blackout in Ontario, Canada.
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DOI：
10.1016/j.sapharm.2006.09.001
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发表时间：
2007-09-01
期刊：
影响因子：
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通讯作者：
Gregory, Paul A M
中科院分区：
文献类型：
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作者：
Austin, Zubin;Martin, J Craig;Gregory, Paul A M
背景：影响民用基础设施（包括电力供应、清洁水和获得机构保健服务）的危机可能对社区提供药房服务产生影响。目的：目的是描述和分析两次重大危机（严重急性呼吸系统综合征[SARS]爆发和电力系统故障[“停电”]）对加拿大多伦多药房业务和药剂师的影响。方法：进行探索性定性研究。招募药剂师，提供知情同意书，并进行访谈。对转录本的数据进行编码和分类，以确定与药剂师在国内危机时期采取的适应策略相关的主题。结果：本研究提出了五个关键主题：(1)在危机时期，药房成为一线卫生保健设施；(2)领导力缺失/缺乏应急准备指南和政策的实用性；(3)经验和专业判断的作用和依赖；(4)文件的重要性；(5)“团队精神”在危机时期成功适应的重要性。结论：紧急情况和国内危机将继续发生。这项研究的结果包括有效的文件系统和团队合作实践的重要性，以及对专业判断和经验的自信依赖，作为成功适应国内危机的决定因素。
BACKGROUND: Crises affecting civilian infrastructure (including electricity supply, clean water, and access to institutional health services) may have an effect on the delivery of pharmacy services in the community.OBJECTIVES: The objectives were to describe and analyze the impact of 2 major crises (the severe acute respiratory syndrome [SARS] outbreak, and the electrical system failure ["blackout"]) on pharmacy practice and pharmacists in Toronto, Canada.METHODS: An exploratory, qualitative study was undertaken. Pharmacists were recruited, provided informed consent, and were interviewed. Data from transcripts were coded and categorized to identify themes related to adaptive strategies undertaken by pharmacists during times of civil crisis.RESULTS: Five key themes emerged from this research: (1) during times of crisis, pharmacies become frontline health care facilities, (2) a vacuity of leadership/lack of utility of emergency preparedness guidelines and policies, (3) role of and reliance on experience and professional judgment, (4) importance of documentation, and (5) the importance of "teamness" in enabling successful adaptation during times of crisis.CONCLUSIONS: Emergencies and civil crises will continue to occur. Findings of this study include the importance of effective documentation systems and teamwork practices, as well as confident reliance on professional judgment and experience, as determinants of successful adaptation to civil crises.