Overcoming stigma in pharmacy practice

Gysel, Stephanie; Tsuyuki, Ross T.

doi:10.1177/17151635211063188

Cited by 4 publications

(6 citation statements)

References 5 publications

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“… 11 Pharmacists embedded within communities can provide a stigma-free environment for those with previous negative experiences within the broader health care system. 12 Pharmacy-based PrEP services, including prescribing of PrEP medications and laboratory monitoring, could reduce barriers to PrEP access for those at greater risk of HIV exposure, including, but not limited to, sexually and gender diverse (2SLGBTQ+) individuals, heterosexual sero-discordant couples and persons who inject drugs. 1 , 7 A recent review article by Kennedy et al in 2022 showed high patient satisfaction with PrEP provided at pharmacies in the United States and South Africa as well as positive findings for pharmacists’ willingness and general support to provide the service.…”

Section: Introductionmentioning

confidence: 99%

Community pharmacists’ acceptance of prescribing pre-exposure prophylaxis (PrEP) for human immunodeficiency virus (HIV)

et al. 2023

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Background: Pre-exposure prophylaxis (PrEP) for human immunodeficiency virus (HIV) prevention is highly effective. Pharmacists can increase PrEP accessibility through pharmacist prescribing. This study aimed to determine pharmacists’ acceptance of a pharmacist PrEP prescribing service in Nova Scotia. Methods: A triangulation mixed methods study consisting of an online survey and qualitative interviews was conducted with Nova Scotia community pharmacists. The survey questionnaire and qualitative interview guide were underpinned by the 7 constructs of the Theoretical Framework of Acceptability (affective attitude, burden, ethicality, opportunity costs, intervention coherence, perceived effectiveness and self-efficacy). Survey data were analyzed descriptively and with ordinal logistic regression to determine associations between variables. Interview transcripts were deductively coded according to the same constructs and then inductively coded to identify themes within each construct. Results: A total of 214 community pharmacists completed the survey, and 19 completed the interview. Pharmacists were positive about PrEP prescribing in the constructs of affective attitude (improved access), ethicality (benefits communities), intervention coherence (practice alignment) and self-efficacy (role). Pharmacists expressed concerns about burden (increased workload), opportunity costs (time to provide the service) and perceived effectiveness (education/training, public awareness, laboratory test ordering and reimbursement). Conclusion: A PrEP prescribing service has mixed acceptability to Nova Scotia pharmacists yet represents a model of service delivery to increase PrEP access to underserved populations. Future service development must consider pharmacists’ workload, education and training as well as factors relating to laboratory test ordering and reimbursement.

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Section: Introductionmentioning

confidence: 99%

Community pharmacists’ acceptance of prescribing pre-exposure prophylaxis (PrEP) for human immunodeficiency virus (HIV)

et al. 2023

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“…4 However, as discussed in previous editorials, several issues prevent pharmacists from practising at their full scope, including doubts within the profession, 5,6 workflow and staffing, 7 remuneration 8 and public image. 9,10 Multifaceted and locally adapted solutions to address these issues are essential to ensure the sustainability of services delivered by pharmacists. Here, pharmacy advocacy organizations play a key role in supporting the current and future needs of the pharmacy profession.…”

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confidence: 99%

Do we need to separate pharmacy advocacy organizations?

Liu,

Tsuyuki

2024

Can Pharm J

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“…Barriers to a full scope of practice 9,10,11,24,25,27,37,41,43,54,55,57,59 : This has been a favourite topic, because many of the barriers are self-induced. Someone has to talk about them openly if we are to change things.…”

mentioning

confidence: 99%

“…We suggest a lot of new areas for care that need pharmacists: hypertension, 2,28,43,47 services to the elderly, 8 diabetes, 13 natural disasters, 22,45 vaccine hesitancy, 51 HPV 52 and the need for better follow-up by pharmacists. 32 • Barriers to a full scope of practice 9,10,11,24,25,27,37,41,43,54,55,57,59 :…”

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confidence: 99%

“…24,25 We also review the tension between employers and pharmacists with EDITORIAL regards to patient care and staffing, 27,57 a leadership crisis in pharmacy, 37 poor professional identity, 41,59 remuneration, 43 our images shared on social media that show drug distribution rather than images of patient care 54 and stigma. 55 Which editorial is my favourite? That's like asking which of my children I like best.…”

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confidence: 99%

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