Abstracts / Research in Social and Administrative Pharmacy 12 (2016) e19–e47 Culturally competent community pharmacy practice: Exploring the perspectives of those with disabilities T. Aspden1, R. Haua1, M. Fryer1, A. Jones1, A. Jung1, T. Kaiaruna1, S. Ma1, H. Tibble-Gotz1, L. WilkinsonMeyers2, J. Harrison1, 1School of Pharmacy, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand, 2School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand Introduction: People living with disabilities are an important group of health consumers. On average they have greater health care need than those living without disability, and more of this remains unmet. Aims: To explore the experiences of people living with disabilities when accessing community pharmacy services in New Zealand. Methods: A qualitative approach investigated the community pharmacy experiences of adults with physical, sensory and intellectual disabilities. The focus group and interviews (people with intellectual impairment only) were recorded and transcribed verbatim. Transcripts from the two participant groups were analysed separately using a general inductive approach to identify key themes related to access. Ten people with a range of impairment types participated in the focus group and 10 people with a range of intellectual and learning impairments were interviewed. Results: Discourse focussed on access manifested as accessibility of services and of pharmacy premises. Key characteristics of community pharmacy that influenced access included pharmacy staff’s: cultural awareness, recognition of patient autonomy, relationship development, assumptions made about disability, communication skills, respect for privacy, and the physical environment. The roles of transport, support staff and personal finances were also highlighted by several participants with an intellectual impairment, as influencing access to services. Discussion: Additional training has the potential to produce pharmacy staff able to provide an environment which is more accessible to all those who visit pharmacies. Training should include knowledge about common conditions and material tailored to respectful and effective communication with those with physical, intellectual and sensory impairments. Further research is needed to substantiate this recommendation. Professionalism of pharmacists on social network sites A. Benetoli1, T.F. Chen1, M. Schaefer2, B. Chaar1, T. Hehir3, P. Aslani1, 1Faculty of Pharmacy, University of Sydney, Sydney, NSW, Australia2Charite University Medicine, Berlin, Germany3FIP Young Pharmacists Group, Sydney, NSW, Australia Introduction: Social networking sites (SNS) are a new venue for communication about health and medicines
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[1]. Health professionals’ behaviour on SNS may influence public perceptions. Aims: We aimed to explore how pharmacists separate professional and personal activities on SNS, their perceptions of professional behaviour on SNS, and opinions on guidelines in this area. Methods: In-depth interviews were conducted with 31 pharmacists from 9 countries. Interviews were recorded, transcribed verbatim and content analysed. Results: Analysis of interviews revealed three broad themes: 1) Use of SNS- a majority of participants had a “blended” approach to SNS use (posting personal and professional comments on the same SNS) and about a third had a “dual citizenship” approach (separated professional and personal activities). 2) Professionalism on SNS perceived unprofessional online behaviours of peers included over exposure of personal life; open complaints about the profession, physicians, and patients; inappropriate descriptions of pharmacists’ roles and activities; and breaches of patient confidentiality. Participants displayed positive professional behaviours such as sharing relevant health information with the public and addressing misleading health information. However, posts about compassion for patients and examples of effective patient care were also observed. 3) Guidelines- There was no consensus on having professional social media guidelines available. Some preferred SNS unregulated while most believed certain guidance was needed to keep the profession in high standards in the online environment. Discussion: A clear-cut strategy to separate professional and personal activities on SNS was not adopted by most pharmacists. Issues associated with pharmacists’ online behaviour were reported which could negatively impact people’s perceptions of the profession, including of individual practitioners. However, support for guidelines to guide pharmacists on how to behave online was not unanimous.
Reference 1. Moorhead SA, et al. A new dimension of health care: systematic review of the uses, benefits, and limitations of social media for health communication. J Med Internet Res 2013;15. Development of a Score to Predict Hospitalisation due to Adverse Drug Reactions in Older Patients N. Nair, L. Chalmers, B. Bereznicki, R. Castelino, G. Peterson, C. Curtain, M. Connolly, L. Bereznicki, Division of Pharmacy, University of Tasmania, Hobart, Tasmania, Australia Introduction: Adverse drug reactions (ADRs) are a significant cause of hospitalisation in elderly patients. Aim: To develop a risk score to predict ADR-related hospitalisation in people aged R65 years. Methods: We conducted a prospective cross-sectional study at the Royal Hobart Hospital, Tasmania over a 12-month period to identify the proportion of patients