Perceived roles and barriers in caring for the people who are homeless: A survey of UK pharmacists

Vibhu Paudyal (Corresponding Author), Kathrine Lesley Gibson Smith, Katie MacLure, Katrina Forbes-McKay, Andrew Radley, Derek Stewart

Research output: Contribution to journalArticle

Abstract

Background Community pharmacists can be an accessible source for advice and support for the people who are homeless, given their utilisation of a variety of currently available services such as dispensing of medicines, drugs and alcohol services. Objective To determine community pharmacists’ training, experiences and behavioural determinants in counselling and management of homeless population. Setting UK community pharmacies. Method A questionnaire based on literature and theoretical domains framework was mailed to randomly sampled community pharmacies in England and Scotland (n = 2000). Data were analysed using descriptive and inferential statistics. Main outcome measures Pharmacists’ perspectives, pharmacists’ training, pharmacists’ experiences and behavioural determinants. Results A total of 321 responses (RR 16.1%) were received. Respondents indicated lack of knowledge, skills, intentions as well as contextual factors such as lack of guidelines impacted on their counselling and management of homeless patients. Less than a third (n = 101, 32.2%) indicated that they knew where to refer a homeless patient for social support. Broaching the subject of homelessness was outside their comfort zone (n = 139, 44.3%). Only four (1.2%) respondents could correctly answer all knowledge assessment questions. Conclusions Community pharmacist identified lack of education, training opportunities and guidelines in counselling and management of homeless patients. Targeting community pharmacists’ knowledge, skills and intention to provide care to the homeless patients may enable addressing health inequality through community pharmacy.
Original languageEnglish
Pages (from-to)215-227
Number of pages13
JournalInternational Journal of Clinical Pharmacy
Volume41
Issue number1
Early online date18 Jan 2019
DOIs
Publication statusPublished - Feb 2019

Fingerprint

Pharmacists
Broaching
Pharmacies
Counseling
Medicine
Education
Alcohols
Health
Statistics
Guidelines
Homeless Persons
Pharmaceutical Preparations
Scotland
Surveys and Questionnaires
Social Support
England
Outcome Assessment (Health Care)
Population

Keywords

  • Community pharmacist
  • Community pharmacy
  • Counselling
  • Homeless
  • Signposting
  • United Kingdom
  • Pharmacists/psychology
  • Attitude of Health Personnel
  • Cross-Sectional Studies
  • Health Status Disparities
  • Homeless Persons/education
  • Humans
  • Middle Aged
  • Male
  • Community Pharmacy Services/standards
  • Counseling/methods
  • United Kingdom/epidemiology
  • Professional Role/psychology
  • Adult
  • Female
  • Perception
  • Surveys and Questionnaires
  • Aged
  • MORTALITY
  • INDIVIDUALS
  • HEALTH

ASJC Scopus subject areas

  • Pharmacology (medical)
  • Pharmacy
  • Toxicology
  • Pharmacology
  • Pharmaceutical Science

Cite this

Perceived roles and barriers in caring for the people who are homeless : A survey of UK pharmacists. / Paudyal, Vibhu (Corresponding Author); Gibson Smith, Kathrine Lesley; MacLure, Katie; Forbes-McKay, Katrina; Radley, Andrew ; Stewart, Derek.

In: International Journal of Clinical Pharmacy, Vol. 41, No. 1, 02.2019, p. 215-227.

Research output: Contribution to journalArticle

Paudyal, Vibhu ; Gibson Smith, Kathrine Lesley ; MacLure, Katie ; Forbes-McKay, Katrina ; Radley, Andrew ; Stewart, Derek. / Perceived roles and barriers in caring for the people who are homeless : A survey of UK pharmacists. In: International Journal of Clinical Pharmacy. 2019 ; Vol. 41, No. 1. pp. 215-227.
@article{ef64fc7a86764244851a2a1af07d1d07,
title = "Perceived roles and barriers in caring for the people who are homeless: A survey of UK pharmacists",
abstract = "Background Community pharmacists can be an accessible source for advice and support for the people who are homeless, given their utilisation of a variety of currently available services such as dispensing of medicines, drugs and alcohol services. Objective To determine community pharmacists’ training, experiences and behavioural determinants in counselling and management of homeless population. Setting UK community pharmacies. Method A questionnaire based on literature and theoretical domains framework was mailed to randomly sampled community pharmacies in England and Scotland (n = 2000). Data were analysed using descriptive and inferential statistics. Main outcome measures Pharmacists’ perspectives, pharmacists’ training, pharmacists’ experiences and behavioural determinants. Results A total of 321 responses (RR 16.1{\%}) were received. Respondents indicated lack of knowledge, skills, intentions as well as contextual factors such as lack of guidelines impacted on their counselling and management of homeless patients. Less than a third (n = 101, 32.2{\%}) indicated that they knew where to refer a homeless patient for social support. Broaching the subject of homelessness was outside their comfort zone (n = 139, 44.3{\%}). Only four (1.2{\%}) respondents could correctly answer all knowledge assessment questions. Conclusions Community pharmacist identified lack of education, training opportunities and guidelines in counselling and management of homeless patients. Targeting community pharmacists’ knowledge, skills and intention to provide care to the homeless patients may enable addressing health inequality through community pharmacy.",
keywords = "Community pharmacist, Community pharmacy, Counselling, Homeless, Signposting, United Kingdom, Pharmacists/psychology, Attitude of Health Personnel, Cross-Sectional Studies, Health Status Disparities, Homeless Persons/education, Humans, Middle Aged, Male, Community Pharmacy Services/standards, Counseling/methods, United Kingdom/epidemiology, Professional Role/psychology, Adult, Female, Perception, Surveys and Questionnaires, Aged, MORTALITY, INDIVIDUALS, HEALTH",
author = "Vibhu Paudyal and {Gibson Smith}, {Kathrine Lesley} and Katie MacLure and Katrina Forbes-McKay and Andrew Radley and Derek Stewart",
note = "Acknowledgements We would like to acknowledge Louise Pelosi, Rachael Shuttleton, Olivia McLaughlin and Clair Reid for survey administration and data input. Funding This research was funded by Robert Gordon University. The funder had no role design of the study and collection, analysis, and interpretation of data and in writing the manuscript.",
year = "2019",
month = "2",
doi = "10.1007/s11096-019-00789-4",
language = "English",
volume = "41",
pages = "215--227",
journal = "International Journal of Clinical Pharmacy",
issn = "2210-7703",
publisher = "Springer Netherlands",
number = "1",

}

TY - JOUR

T1 - Perceived roles and barriers in caring for the people who are homeless

T2 - A survey of UK pharmacists

AU - Paudyal, Vibhu

AU - Gibson Smith, Kathrine Lesley

AU - MacLure, Katie

AU - Forbes-McKay, Katrina

AU - Radley, Andrew

AU - Stewart, Derek

N1 - Acknowledgements We would like to acknowledge Louise Pelosi, Rachael Shuttleton, Olivia McLaughlin and Clair Reid for survey administration and data input. Funding This research was funded by Robert Gordon University. The funder had no role design of the study and collection, analysis, and interpretation of data and in writing the manuscript.

PY - 2019/2

Y1 - 2019/2

N2 - Background Community pharmacists can be an accessible source for advice and support for the people who are homeless, given their utilisation of a variety of currently available services such as dispensing of medicines, drugs and alcohol services. Objective To determine community pharmacists’ training, experiences and behavioural determinants in counselling and management of homeless population. Setting UK community pharmacies. Method A questionnaire based on literature and theoretical domains framework was mailed to randomly sampled community pharmacies in England and Scotland (n = 2000). Data were analysed using descriptive and inferential statistics. Main outcome measures Pharmacists’ perspectives, pharmacists’ training, pharmacists’ experiences and behavioural determinants. Results A total of 321 responses (RR 16.1%) were received. Respondents indicated lack of knowledge, skills, intentions as well as contextual factors such as lack of guidelines impacted on their counselling and management of homeless patients. Less than a third (n = 101, 32.2%) indicated that they knew where to refer a homeless patient for social support. Broaching the subject of homelessness was outside their comfort zone (n = 139, 44.3%). Only four (1.2%) respondents could correctly answer all knowledge assessment questions. Conclusions Community pharmacist identified lack of education, training opportunities and guidelines in counselling and management of homeless patients. Targeting community pharmacists’ knowledge, skills and intention to provide care to the homeless patients may enable addressing health inequality through community pharmacy.

AB - Background Community pharmacists can be an accessible source for advice and support for the people who are homeless, given their utilisation of a variety of currently available services such as dispensing of medicines, drugs and alcohol services. Objective To determine community pharmacists’ training, experiences and behavioural determinants in counselling and management of homeless population. Setting UK community pharmacies. Method A questionnaire based on literature and theoretical domains framework was mailed to randomly sampled community pharmacies in England and Scotland (n = 2000). Data were analysed using descriptive and inferential statistics. Main outcome measures Pharmacists’ perspectives, pharmacists’ training, pharmacists’ experiences and behavioural determinants. Results A total of 321 responses (RR 16.1%) were received. Respondents indicated lack of knowledge, skills, intentions as well as contextual factors such as lack of guidelines impacted on their counselling and management of homeless patients. Less than a third (n = 101, 32.2%) indicated that they knew where to refer a homeless patient for social support. Broaching the subject of homelessness was outside their comfort zone (n = 139, 44.3%). Only four (1.2%) respondents could correctly answer all knowledge assessment questions. Conclusions Community pharmacist identified lack of education, training opportunities and guidelines in counselling and management of homeless patients. Targeting community pharmacists’ knowledge, skills and intention to provide care to the homeless patients may enable addressing health inequality through community pharmacy.

KW - Community pharmacist

KW - Community pharmacy

KW - Counselling

KW - Homeless

KW - Signposting

KW - United Kingdom

KW - Pharmacists/psychology

KW - Attitude of Health Personnel

KW - Cross-Sectional Studies

KW - Health Status Disparities

KW - Homeless Persons/education

KW - Humans

KW - Middle Aged

KW - Male

KW - Community Pharmacy Services/standards

KW - Counseling/methods

KW - United Kingdom/epidemiology

KW - Professional Role/psychology

KW - Adult

KW - Female

KW - Perception

KW - Surveys and Questionnaires

KW - Aged

KW - MORTALITY

KW - INDIVIDUALS

KW - HEALTH

UR - http://www.scopus.com/inward/record.url?scp=85060207974&partnerID=8YFLogxK

UR - http://www.mendeley.com/research/perceived-roles-barriers-caring-people-homeless-survey-uk-community-pharmacists

U2 - 10.1007/s11096-019-00789-4

DO - 10.1007/s11096-019-00789-4

M3 - Article

C2 - 30659491

VL - 41

SP - 215

EP - 227

JO - International Journal of Clinical Pharmacy

JF - International Journal of Clinical Pharmacy

SN - 2210-7703

IS - 1

ER -