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首页> 外文期刊>The International journal of pharmacy practice >Community pharmacists require additional support to develop capacity in delivering alcohol-related health information to older adults
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Community pharmacists require additional support to develop capacity in delivering alcohol-related health information to older adults

机译：社区药剂师需要额外支持，以发展为老年人提供与酒精相关的健康信息

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Objectives This qualitative study explored the barriers and enablers influencing Western Australian (WA) community pharmacists' knowledge, confidence, willingness and practice in engaging older clients (>60 years) in alcohol-related health discussions.Methods Two focus groups were conducted with a total of 14 community pharmacists who had previously completed a formative quantitative survey (n = 63), and indicated willingness to participate in a follow-up focus group. Focus group questions, informed by the survey results, explored participants' perceptions about barriers and enablers to delivering health information and advice about alcohol to older clients (60+ years). Shaw and colleagues' theoretical framework was used to understand barriers and enablers in relation to role legitimacy, role adequacy and role support.Key findings Participants acknowledged that providing health information about alcohol to older clients is a legitimate part of a community pharmacist's role, and most were confident performing this role in situations perceived as core to their professional practice, such as while dispensing medicines. However, many participants identified limited knowledge, skills and confidence in assisting older clients who may have alcohol issues, beyond advising them on medication and alcohol use. Structural barriers such as time and financial barriers were also identified.Conclusion Routine professional practice including dispensing medicine and home medicine reviews may provide valuable opportunities to engage older clients in alcohol-relateB discussions. However, limited knowledge concerning appropriate strategies to assist older clients reduce their alcohol consumption, coupled with limited skills and confidence among community pharmacists in raising sensitive alcohol-related issues with clients, suggest the need for specific alcohol-related training and support.
机译：目标这项定性研究探讨了影响西澳大利亚人（WA）社区药剂师的知识，信心，愿意和实践的障碍和推动者在与较老客户（> 60岁）中讨论酒精相关的健康讨论。方法是两组焦点小组在以前完成了形成性定量调查的14个社区药剂师（N = 63），并表示愿意参加随访焦点小组。调查结果的焦点小组问题探讨了参与者对障碍的看法，并使能力信息和有关旧客户的饮酒（60多年）的饮酒和建议。 Shaw和同事的理论框架被用来了解与角色合法性，角色充分性和角色支持的障碍和推动者.Key Condings参与者承认，向旧客户提供有关酒精的健康信息是社区药剂师角色的合法部分，最重要的是在被视为核心的情况下，对他们的专业实践进行了相信这一角色，例如分配药物。然而，许多参与者在协助可能有酒精问题的老年客户的情况下确定了有限的知识，技能和信心，超越了他们对药物和酒精使用的建议。还确定了结构障碍，如时间和财务障碍。结论常规专业实践，包括分配医学和家庭医学评估，可以提供有价值的机会，以吸引更老客户在酒精相关的讨论中。然而，有关协助较老客户的适当战略的有限知识降低了他们的饮酒，加上了社区药剂师在提高与客户抚养敏感的酒精相关问题时的有限技能和信心，表明需要特定的酒精相关的培训和支持。

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