专家洞察医疗保健专业人员对药物依从性的教育。

IF 3.1 3区 医学 Q2 PHARMACOLOGY & PHARMACY
Fatima Rezae, Stephen Carter, Rebekah Moles, Ayano Kelly
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引用次数: 0

摘要

目的:药物依从性是一个全球性的健康问题,影响着许多医疗条件的患者。培训医疗保健专业人员(HCPs)管理药物不依从性这一具有挑战性的问题需要循证方法。因此,我们的目的是描述依从性专家对医护人员进行药物依从性教育的观点和经验,以指导医护人员的药物依从性教育的内容和交付。方法:采用网上、面对面和电话三种半结构化访谈方式。采访被录像或录音,并由专业人员转录。将数据逐行编码到初步编码框架中,并采用归纳主题分析进行分析。结果:在2022年5月至2023年3月期间采访了15名依从性专家。确定了五个主要主题和子主题:提高医护人员的意识,从患者的角度看待生活,沟通以建立同理心和融洽关系,采用结构化方法解决患者个体行为,以及提供丰富和有针对性的培训。结论:依从性专家强调,通过定期解决临床环境中普遍存在的依从性问题,HCPs可以发挥作用。医护人员可以通过理解患者的观点、依从性的复杂性和有效沟通来引发行为改变。结构化方法包括使用工具、框架和通信方法。需要持续的临床相关培训,并建立在现有专业知识的基础上,以克服医务人员自身的行为改变障碍。本研究的结果指导了对医护人员的药物依从性教育和培训的内容和交付。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Expert insight into the education of healthcare professionals on medication adherence.

Aims: Medication non-adherence is a global health problem affecting patients with numerous medical conditions. Training healthcare professionals (HCPs) on managing the challenging issue of medication non-adherence requires an evidence-based approach. Therefore, we aimed to describe the perspectives and experiences of adherence experts on educating HCPs about medication adherence in order to guide the content and delivery of medication adherence education to HCPs.

Methods: Semi-structured interviews were conducted online, face-to-face and by phone. Interviews were video or audio recorded and professionally transcribed. Data was coded line by line into the preliminary coding framework and analysed using inductive thematic analysis.

Results: Fifteen adherence experts were interviewed between May 2022 and March 2023. Five major themes with subthemes were identified: enhancing awareness among HCPs, seeing life through the patient's lens, communicating to build empathy and rapport, having a structured approach to address individual patient behaviours, and delivering enriching and targeted training.

Conclusions: Adherence experts emphasized the impact HCPs can play by regularly addressing the pervasive issue of adherence in their clinical setting. HCPs can elicit behaviour change by understanding the patient's perspective, the complexity of adherence and communicating effectively. Structured approaches include using tools, frameworks and communication methods. Continuous training that is clinically relevant and builds on existing professional expertise is required to overcome HCPs' own barriers to behaviour change. The findings of this study guide the content and delivery of medication adherence education and training to HCPs.

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来源期刊
CiteScore
6.30
自引率
8.80%
发文量
419
审稿时长
1 months
期刊介绍: Published on behalf of the British Pharmacological Society, the British Journal of Clinical Pharmacology features papers and reports on all aspects of drug action in humans: review articles, mini review articles, original papers, commentaries, editorials and letters. The Journal enjoys a wide readership, bridging the gap between the medical profession, clinical research and the pharmaceutical industry. It also publishes research on new methods, new drugs and new approaches to treatment. The Journal is recognised as one of the leading publications in its field. It is online only, publishes open access research through its OnlineOpen programme and is published monthly.
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