在社区实践中指导成功实施抑郁症的策略:从前线学习的经验教训
Justin P Turner1,2,3,4, Kelda Newport5, Aisling M McEvoy1
1Centre for Medicines Use and Safety, Memorial University of Newfoundland, Newfoundland and Labrador.
概括
医疗保健提供者确定了关键行动,以支持在社区实践中减少药物的处方. 策略包括患者教育,时间分配和专业间合作,以提高药物适当性.
科学领域:
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- "更安全的MedsNL"倡议旨在促进纽芬兰和拉布拉多的适当药物使用.
- 两项基于证据的干预专注于减轻对质子抑制剂和镇静剂的处方.
- 在临床实践中实施新的专业服务带来了挑战.
研究的目的:
- 确定和优先考虑支持在社区实践中实施抑郁症的行动.
- 了解药剂师,医生和护士从业人员对减药实施的看法.
主要方法:
- 虚拟聚焦小组与社区药剂师,医生和护士执业人员进行.
- 使用名义集团技术来引出和优先考虑实施行动.
- 用专题分析来比较不同专业群体的优先行动.
主要成果:
- 五个重点小组包括11名药剂师,7名医生和4名执业护士.
- 参与者确定了支持抑郁症的五个关键行动:患者教育,时间/资源分配,跨专业合作,患者关系和公众意识调整.
- 这些前五项行动获得了优先级评分的68%.
结论:
- 药剂师,医生和护士从业人员确定了实施基于证据的抑郁症的共识策略.
- 分享这些策略可以帮助将抑郁症嵌入日常实践中.
- 这些发现支持前线医疗服务提供者采取药物适当性倡议.
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