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Nutrition Education and Community Pharmacy: A First Exploration of Current Attitudes and Practices in Northern Ireland

机译:营养教育与社区药房:对北爱尔兰当前态度和实践的首次探索

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摘要

Community pharmacist is one of the most prominent and accessible healthcare professions. The community pharmacists’ role in healthcare is evolving, with opportunities being taken to reduce pressure on primary care services. However, the question remains of how well community pharmacists are equipped for this changing role. This was a sequentially designed study using a mix of methods to explore nutrition education among community pharmacists in Northern Ireland. It consisted of two phases. Phase 1 was a cross-sectional exploration to map the attitudes and practice of Northern Ireland (NI) pharmacists towards diet-related health promotion and disease prevention. An online questionnaire with open and closed questions to gain both quantitative and qualitative responses was developed and distributed to community pharmacists practising in NI. A total of 91% considered nutrition important in reducing the global burden of disease. While the majority (89%) believed patients would value nutritional advice from a pharmacist, 74% were not confident in providing advice to a patient with diabetes. From the consensus gained in Phase 1 a nutrition education intervention (Phase 2) for pre-registration pharmacists was developed using the Hardens 10 question system. The training programme was advertised to pre-registration pharmacy students in NI. It was delivered by nutrition experts who have education qualifications. The intervention was evaluated using a before and after questionnaire that assessed knowledge, attitudes, and practice (KAP). Phase 2 did find sustained improvement from the baseline in KAP but there was a decline from immediately post-training to three months post-training. This suggests the need to further embed nutrition education. The education programme was found to be effective for the target population and sets the stage for the development of an implementation strategy for a wider roll-out with evaluation.
机译:社区药剂师是最突出和最有空的医疗保健专业之一。社区药剂师在医疗保健中的作用正在发展,有机会减少初级保健服务的压力。但是,社区药剂师如何为这种不断变化的角色提供了良好的问题。这是一系列依次设计的研究,这些方法是探讨北爱尔兰北部社区药剂师营养教育的方法。它由两个阶段组成。第1阶段是将北爱尔兰(NI)药剂师展开饮食有关的健康促进和疾病预防的横截面探索。开放和结束问题的在线问卷是制定并分发到NI练习的社区药剂师。在减少全球疾病负担方面,共有91%认为营养很重要。虽然大多数人(89%)认为患者将重视药剂师的营养建议,但74%的人在向患有糖尿病患者提供建议方面没有相信。从第1阶段获得的共识,使用硬化10问题系统制定了预先登记药剂师的营养教育干预(第2阶段)。培训计划被宣传到NI的预先注册药剂学生。它由有教育资格的营养专家提供。在调查,态度和练习(KAP)之前和之后,使用前后评估干预。第2阶段确实发现了KAP中基线的持续改善,但在训练后三个月后立即逐渐下降。这表明需要进一步嵌入营养教育。发现教育计划对目标人口有效,并设立了制定更广泛推出的实施策略的阶段。

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