专业精神,职业认同和社区药房文化:通过学生和早期职业药剂师的镜头的物质依赖的背景。

IF 5.3 1区 医学 Q1 PSYCHIATRY
Addiction Pub Date : 2025-09-25 DOI:10.1111/add.70180
Natalie Weir, Emma Dunlop, Adrian MacKenzie, Thomas Byrne, Katie Johnston, Alice O'Hagan, Zohaib Rehman, Holly Richardson, Aalia Shah, Gemma Wilson, Andrew Radley
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引用次数: 0

摘要

目的:本研究旨在探讨学生和新晋药师对社区药房文化中物质依赖的反思。本研究探讨了专业精神和职业认同的形成,以及破碎的职业认同可能影响行为和提供同情关怀的可能性。设计:质性研究:对学生进行半结构化访谈,探讨社区药房环境中与物质依赖者、社区药房文化、他们自己的专业观念和职业认同形成有关的耻辱感。访谈是由六名药学学生研究人员在两名经验丰富的研究人员的监督下进行的。环境:苏格兰各地的社区药房。参与者:招募了28名参与者,包括苏格兰药学院的本科生(n = 20);药学预科生(n = 2)和NQPs (n = 6)。招聘利用了大学网络和社交媒体平台。测量:访谈于2023年9月至11月在微软团队®中进行,每次持续17-60分钟。数据通过NVivo®进行归纳主题分析,包括数据熟悉、初始编码、主题搜索、审查、定义和报告。研究结果:药物依赖者在药房就诊时被污名化是一个突出的观察。这包括消极的陈规定型观念、由于对药物使用作出的判断而产生的不良治疗以及与获得护理障碍有关的结构性耻辱。药店提供的积极护理是显而易见的。同理心强、尊重他人、专业且与药物依赖者建立长期关系的药房工作人员对学生来说是有价值的榜样,并影响他们的职业认同形成。学生们很喜欢接触实践,并有机会做出判断,这将塑造他们渴望成为的药剂师类型。许多参与者报告说,他们的大学课程没有使他们对支持物质依赖者的现实做好充分准备。结论:苏格兰的药房实践似乎以对物质依赖者的耻辱和缺乏专业精神为特征,尽管有同情心护理的例子。观察人员在实践中使本研究的参与者形成了自己的职业认同和态度,但需要在本科课程中更好地为学生做好准备。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Professionalism, professional identity and community pharmacy culture: The context of substance dependency through the lens of student and early career pharmacists.

Aims: This study aimed to explore the reflections of student and newly qualified pharmacists (NQPs) surrounding community pharmacy culture around substance dependency. This study explored professionalism and professional identity formation, and the possibility that a fragmented professional identity may impact behaviours and the provision of compassionate care.

Design: Qualitative study: semi-structured interviews were conducted with student and exploring stigma within community pharmacy environments in relation to people with substance dependency, the community pharmacy culture and their own ideas of professionalism and their professional identity formation. Interviews were undertaken by six pharmacy student researchers, under the supervision of two experienced researchers.

Setting: Community pharmacies across Scotland.

Participants: Twenty-eight participants were recruited, including undergraduates based at Scottish Schools of Pharmacy (n = 20); Foundation Year Pharmacy students (n = 2) and NQPs (n = 6). Recruitment utilised university networks and social media platforms.

Measurements: Interviews were conducted between September and November 2023 on Microsoft Teams®, each lasting 17-60 minutes. Data underwent inductive thematic analysis via NVivo® through data familiarisation, initial coding, theme searching, reviewing and defining and reporting.

Findings: Stigmatisation of people with substance dependency attending a pharmacy was a prominent observation. This included negative stereotyping, adverse treatment because of judgements made about substance use and structural stigma relating to barriers to accessing care. Positive care provision in pharmacies was evident. Pharmacy staff who were empathetic, respectful, professional and who formed long-term relationships with people with substance dependency were valuable role models for students and influenced their professional identify formation. Students appreciated the exposure to practice and the opportunity to make judgements that would mould the type of pharmacist they aspired to become. A number of participants reported that their university course poorly prepared them for the reality of supporting people with substance dependency.

Conclusions: Pharmacy practice in Scotland appears to be characterised by stigma and lack of professionalism towards people with substance dependency, although there are examples of compassionate care. Observing staff in practice allowed participants of this study to develop their own professional identity and attitudes, yet there is a need to better prepare students in undergraduate curricula.

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来源期刊
Addiction
Addiction 医学-精神病学
CiteScore
10.80
自引率
6.70%
发文量
319
审稿时长
3 months
期刊介绍: Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.
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