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Perceived roles and barriers in caring for the people who are homeless: a survey of UK community pharmacists

Background Community pharmacists can be an accessible source for advice and support for the people who are homeless, given their utilisation of a variety of currently available services such as dispensing of medicines, drugs and alcohol services. Objective To determine community pharmacists’ trainin...

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Autores principales: Paudyal, Vibhu, Gibson Smith, Kathrine, MacLure, Katie, Forbes-McKay, Katrina, Radley, Andrew, Stewart, Derek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394502/
https://www.ncbi.nlm.nih.gov/pubmed/30659491
http://dx.doi.org/10.1007/s11096-019-00789-4
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author Paudyal, Vibhu
Gibson Smith, Kathrine
MacLure, Katie
Forbes-McKay, Katrina
Radley, Andrew
Stewart, Derek
author_facet Paudyal, Vibhu
Gibson Smith, Kathrine
MacLure, Katie
Forbes-McKay, Katrina
Radley, Andrew
Stewart, Derek
author_sort Paudyal, Vibhu
collection PubMed
description Background Community pharmacists can be an accessible source for advice and support for the people who are homeless, given their utilisation of a variety of currently available services such as dispensing of medicines, drugs and alcohol services. Objective To determine community pharmacists’ training, experiences and behavioural determinants in counselling and management of homeless population. Setting UK community pharmacies. Method A questionnaire based on literature and theoretical domains framework was mailed to randomly sampled community pharmacies in England and Scotland (n = 2000). Data were analysed using descriptive and inferential statistics. Main outcome measures Pharmacists’ perspectives, pharmacists’ training, pharmacists’ experiences and behavioural determinants. Results A total of 321 responses (RR 16.1%) were received. Respondents indicated lack of knowledge, skills, intentions as well as contextual factors such as lack of guidelines impacted on their counselling and management of homeless patients. Less than a third (n = 101, 32.2%) indicated that they knew where to refer a homeless patient for social support. Broaching the subject of homelessness was outside their comfort zone (n = 139, 44.3%). Only four (1.2%) respondents could correctly answer all knowledge assessment questions. Conclusions Community pharmacist identified lack of education, training opportunities and guidelines in counselling and management of homeless patients. Targeting community pharmacists’ knowledge, skills and intention to provide care to the homeless patients may enable addressing health inequality through community pharmacy.
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spelling pubmed-63945022019-03-15 Perceived roles and barriers in caring for the people who are homeless: a survey of UK community pharmacists Paudyal, Vibhu Gibson Smith, Kathrine MacLure, Katie Forbes-McKay, Katrina Radley, Andrew Stewart, Derek Int J Clin Pharm Research Article Background Community pharmacists can be an accessible source for advice and support for the people who are homeless, given their utilisation of a variety of currently available services such as dispensing of medicines, drugs and alcohol services. Objective To determine community pharmacists’ training, experiences and behavioural determinants in counselling and management of homeless population. Setting UK community pharmacies. Method A questionnaire based on literature and theoretical domains framework was mailed to randomly sampled community pharmacies in England and Scotland (n = 2000). Data were analysed using descriptive and inferential statistics. Main outcome measures Pharmacists’ perspectives, pharmacists’ training, pharmacists’ experiences and behavioural determinants. Results A total of 321 responses (RR 16.1%) were received. Respondents indicated lack of knowledge, skills, intentions as well as contextual factors such as lack of guidelines impacted on their counselling and management of homeless patients. Less than a third (n = 101, 32.2%) indicated that they knew where to refer a homeless patient for social support. Broaching the subject of homelessness was outside their comfort zone (n = 139, 44.3%). Only four (1.2%) respondents could correctly answer all knowledge assessment questions. Conclusions Community pharmacist identified lack of education, training opportunities and guidelines in counselling and management of homeless patients. Targeting community pharmacists’ knowledge, skills and intention to provide care to the homeless patients may enable addressing health inequality through community pharmacy. Springer International Publishing 2019-01-18 2019 /pmc/articles/PMC6394502/ /pubmed/30659491 http://dx.doi.org/10.1007/s11096-019-00789-4 Text en © The Author(s) 2019 OpenAccessThis 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.
spellingShingle Research Article
Paudyal, Vibhu
Gibson Smith, Kathrine
MacLure, Katie
Forbes-McKay, Katrina
Radley, Andrew
Stewart, Derek
Perceived roles and barriers in caring for the people who are homeless: a survey of UK community pharmacists
title Perceived roles and barriers in caring for the people who are homeless: a survey of UK community pharmacists
title_full Perceived roles and barriers in caring for the people who are homeless: a survey of UK community pharmacists
title_fullStr Perceived roles and barriers in caring for the people who are homeless: a survey of UK community pharmacists
title_full_unstemmed Perceived roles and barriers in caring for the people who are homeless: a survey of UK community pharmacists
title_short Perceived roles and barriers in caring for the people who are homeless: a survey of UK community pharmacists
title_sort perceived roles and barriers in caring for the people who are homeless: a survey of uk community pharmacists
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394502/
https://www.ncbi.nlm.nih.gov/pubmed/30659491
http://dx.doi.org/10.1007/s11096-019-00789-4
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