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

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Title: Perceived roles and barriers in caring for the people who are homeless: a survey of UK community pharmacists
Authors: Vibhu Paudyal, Kathrine Gibson Smith, Katie MacLure, Katrina Forbes-McKay, Andrew Radley, Derek Stewart
Contributors: University of Aberdeen.Medical Education, University of Aberdeen.Centre for Healthcare Education and Research Innovation (CHERI)
Source: Int J Clin Pharm
Publisher Information: Springer Science and Business Media LLC, 2019.
Publication Year: 2019
Subject Terms: Counseling, Male, Pharmaceutical Science, name=Toxicology, Pharmacy, R Medicine (General), Toxicology, Pharmacists, 0302 clinical medicine, name=Pharmacy, Surveys and Questionnaires, Pharmacology (medical), Community Pharmacy Services/standards, name=Pharmaceutical Science, United Kingdom/epidemiology, 1. No poverty, Signposting, Middle Aged, Community pharmacist, 3. Good health, name=Pharmacology (medical), Ill-Housed Persons, Female, HEALTH, Homeless, Research Article, Adult, Attitude of Health Personnel, Community Pharmacy Services, name=Pharmacology, 03 medical and health sciences, Professional Role/psychology, Professional Role, Humans, Aged, Pharmacology, MORTALITY, Health Status Disparities, Pharmacists/psychology, R1, Counseling/methods, United Kingdom, INDIVIDUALS, Cross-Sectional Studies, Homeless Persons/education, Counselling, Perception, Community pharmacy
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.
Document Type: Article
Other literature type
File Description: application/pdf
Language: English
ISSN: 2210-7711
2210-7703
DOI: 10.1007/s11096-019-00789-4
Access URL: https://link.springer.com/content/pdf/10.1007/s11096-019-00789-4.pdf
https://pubmed.ncbi.nlm.nih.gov/30659491
https://link.springer.com/article/10.1007/s11096-019-00789-4
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394502
https://abdn.pure.elsevier.com/en/publications/perceived-roles-and-barriers-in-caring-for-the-people-who-are-hom
https://link.springer.com/content/pdf/10.1007/s11096-019-00789-4.pdf
https://research.birmingham.ac.uk/portal/en/publications/perceived-roles-and-barriers-in-caring-for-the-people-who-are-homeless(5d26db12-5711-453d-8c0b-860a3fea7ba1).html
http://www.ncbi.nlm.nih.gov/pubmed/30659491
http://hdl.handle.net/10059/3303
Rights: CC BY
Accession Number: edsair.doi.dedup.....7ffb312323e811ddec72fb90575460b9
Database: OpenAIRE
Description
Abstract: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.
ISSN:22107711
22107703
DOI:10.1007/s11096-019-00789-4