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Community pharmacists’ experiences in mental illness and addictions care: a qualitative study
BACKGROUND: Community pharmacists are accessible health care professionals who encounter people with lived experience of mental illness and addictions in daily practice. Although some existing research supports that community pharmacists’ interventions result in improved patient mental health outcom...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4730654/ https://www.ncbi.nlm.nih.gov/pubmed/26821700 http://dx.doi.org/10.1186/s13011-016-0050-9 |
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author | Murphy, Andrea L. Phelan, Heather Haslam, Scott Martin-Misener, Ruth Kutcher, Stan P. Gardner, David M. |
author_facet | Murphy, Andrea L. Phelan, Heather Haslam, Scott Martin-Misener, Ruth Kutcher, Stan P. Gardner, David M. |
author_sort | Murphy, Andrea L. |
collection | PubMed |
description | BACKGROUND: Community pharmacists are accessible health care professionals who encounter people with lived experience of mental illness and addictions in daily practice. Although some existing research supports that community pharmacists’ interventions result in improved patient mental health outcomes, gaps in knowledge regarding the pharmacists’ experiences with service provision to this population remain. Improving knowledge regarding the pharmacists’ experiences with mental illness and addictions service provision can facilitate a better understanding of their perspectives and be used to inform the development and implementation of interventions delivered by community pharmacists for people with lived experience of mental illness and addictions in communities. METHODS: We conducted a qualitative study using a directed content analysis and the Theoretical Domains Framework as part of our underlying theory of behaviour change and our analytic framework for theme development. The Theoretical Domains Framework facilitates understanding of behaviours of health care professionals and implementation challenges and opportunities for interventions in health care. Thematic analysis co-occurred throughout the process of the directed content analysis. We recruited community pharmacists, with experience dispensing psychotropics, at a minimum, through multiple mechanisms (e.g., professional associations) in a convenience sampling approach. Potential participants were offered the option of focus groups or interviews. RESULTS: Data were collected from one focus group and two interviews involving six pharmacists. Theoretical Domains Framework coding was primarily weighted in two domains: social/professional role and identity and environmental context and resources. We identified five main themes in the experiences of pharmacists in mental illness and addictions care: competing interests, demands, and time; relationships, rapport, and trust; stigma; collaboration and triage; and role expectations and clarity. CONCLUSIONS: Pharmacists are not practicing to their full scope of practice in mental illness and addictions care for several reasons including limitations within the work environment and lack of structures and processes in place to be fully engaged as health care professionals. More research and policy work are needed to examine better integration of pharmacists as members of the mental health care team in communities. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13011-016-0050-9) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4730654 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-47306542016-01-29 Community pharmacists’ experiences in mental illness and addictions care: a qualitative study Murphy, Andrea L. Phelan, Heather Haslam, Scott Martin-Misener, Ruth Kutcher, Stan P. Gardner, David M. Subst Abuse Treat Prev Policy Research BACKGROUND: Community pharmacists are accessible health care professionals who encounter people with lived experience of mental illness and addictions in daily practice. Although some existing research supports that community pharmacists’ interventions result in improved patient mental health outcomes, gaps in knowledge regarding the pharmacists’ experiences with service provision to this population remain. Improving knowledge regarding the pharmacists’ experiences with mental illness and addictions service provision can facilitate a better understanding of their perspectives and be used to inform the development and implementation of interventions delivered by community pharmacists for people with lived experience of mental illness and addictions in communities. METHODS: We conducted a qualitative study using a directed content analysis and the Theoretical Domains Framework as part of our underlying theory of behaviour change and our analytic framework for theme development. The Theoretical Domains Framework facilitates understanding of behaviours of health care professionals and implementation challenges and opportunities for interventions in health care. Thematic analysis co-occurred throughout the process of the directed content analysis. We recruited community pharmacists, with experience dispensing psychotropics, at a minimum, through multiple mechanisms (e.g., professional associations) in a convenience sampling approach. Potential participants were offered the option of focus groups or interviews. RESULTS: Data were collected from one focus group and two interviews involving six pharmacists. Theoretical Domains Framework coding was primarily weighted in two domains: social/professional role and identity and environmental context and resources. We identified five main themes in the experiences of pharmacists in mental illness and addictions care: competing interests, demands, and time; relationships, rapport, and trust; stigma; collaboration and triage; and role expectations and clarity. CONCLUSIONS: Pharmacists are not practicing to their full scope of practice in mental illness and addictions care for several reasons including limitations within the work environment and lack of structures and processes in place to be fully engaged as health care professionals. More research and policy work are needed to examine better integration of pharmacists as members of the mental health care team in communities. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13011-016-0050-9) contains supplementary material, which is available to authorized users. BioMed Central 2016-01-28 /pmc/articles/PMC4730654/ /pubmed/26821700 http://dx.doi.org/10.1186/s13011-016-0050-9 Text en © Murphy et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Murphy, Andrea L. Phelan, Heather Haslam, Scott Martin-Misener, Ruth Kutcher, Stan P. Gardner, David M. Community pharmacists’ experiences in mental illness and addictions care: a qualitative study |
title | Community pharmacists’ experiences in mental illness and addictions care: a qualitative study |
title_full | Community pharmacists’ experiences in mental illness and addictions care: a qualitative study |
title_fullStr | Community pharmacists’ experiences in mental illness and addictions care: a qualitative study |
title_full_unstemmed | Community pharmacists’ experiences in mental illness and addictions care: a qualitative study |
title_short | Community pharmacists’ experiences in mental illness and addictions care: a qualitative study |
title_sort | community pharmacists’ experiences in mental illness and addictions care: a qualitative study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4730654/ https://www.ncbi.nlm.nih.gov/pubmed/26821700 http://dx.doi.org/10.1186/s13011-016-0050-9 |
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