Professionalism under pressure: which factors influence community pharmacists' practice? A scoping review

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-06-26 DOI:10.1016/j.puhe.2025.105825

Francielly Lima da Fonseca , Lara Joana Santos Caxico-Vieira , Rafaella de Oliveira Santos Silva , Fernando de Castro Araújo-Neto , Thaís Maria Araújo Tavares , Mayara de Almeida Lima Ribeiro , Divaldo Pereira de Lyra Jr.

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引用次数: 0

Abstract

Objectives

Several factors can influence the professionalism of pharmacists in community pharmacies. Due to the growing role in providing patient-centered care, pharmacists need to develop a strong sense of professionalism to ensure the quality of services. However, there is a lack of research that explores the challenges faced by pharmacists in community pharmacies. Thus, this study aimed to identify factors that influence the professionalism of community pharmacists.

Study design

Scoping review.

Methods

A scoping review was conducted via the PubMed/Medline, Scopus, Web of Science, ERIC, EMBASE, and LILACS databases. The search was carried out on July 1, 2024. The identified factors were classified into four domains following the APOTECA framework: Attitudinal, Political, Technical, and Administrative.

Results

Twelve studies were included in the review. From these studies, 11 factors that influence professionalism of community pharmacists were identified, with emphasis on academic training, infrastructure, knowledge, social skills, ethics, and human resources. The factors were unequally distributed across domains, with the Technical domain being the most frequently cited.

Conclusions

The review identified significants barriers to professionalism in community pharmacy settings, particularly related to Technical and Attitudinal challenges. Improvements in academic training, enhancement of socioemotional skills, and stronger administrative support are critical for fostering professional development and improving the quality of care provided in community pharmacies.

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压力下的专业精神：影响社区药师执业的因素？范围审查

目的探讨影响社区药房药师职业素养的因素。由于提供以患者为中心的护理的作用越来越大，药剂师需要培养强烈的专业意识，以确保服务质量。然而，缺乏对社区药房药师面临的挑战进行探讨的研究。因此，本研究旨在找出影响社区药师职业化的因素。研究设计范围审查。方法通过PubMed/Medline、Scopus、Web of Science、ERIC、EMBASE和LILACS数据库进行范围综述。搜寻工作于2024年7月1日展开。根据APOTECA框架，确定的因素分为四个领域：态度、政治、技术和行政。结果共纳入12项研究。从这些研究中，确定了影响社区药师专业精神的11个因素，重点是学术培训、基础设施、知识、社会技能、道德和人力资源。这些因素在各个领域的分布不均匀，技术领域是最常被引用的。结论：本综述确定了社区药房环境中存在的重大专业障碍，特别是与技术和态度挑战相关的障碍。改进学术培训、增强社会情感技能和加强行政支持对于促进专业发展和提高社区药房提供的护理质量至关重要。

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.