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Learning from consultations conducted by community pharmacists in Northern Ireland for nonprescription sildenafil: a qualitative study using the theoretical domains framework
- Source :
- Sexual Medicine, 9(6). ELSEVIER SCI LTD, Sexual Medicine, Gordijn, R, Teichert, M, Nicolai, M P J, Elzevier, H W, Guchelaar, H-J & Hughes, C M 2021, ' Learning From Consultations Conducted by Community Pharmacists in Northern Ireland for Nonprescription Sildenafil: A Qualitative Study Using the Theoretical Domains Framework ', Sexual medicine, vol. 9, no. 6, pp. 100440 . https://doi.org/10.1016/j.esxm.2021.100440, Sexual Medicine, Vol 9, Iss 6, Pp 100440-(2021), Gordijn, R, Teichert, M, Nicolai, M P J, Elzevier, H W, Guchelaar, H-J & Hughes, C M 2021, ' Learning From Consultations Conducted by Community Pharmacists in Northern Ireland for Nonprescription Sildenafil: A Qualitative Study Using the Theoretical Domains Framework ', Sexual medicine, vol. 9, no. 6, 100440 . https://doi.org/10.1016/j.esxm.2021.100440
- Publication Year :
- 2021
-
Abstract
- Introduction Nonprescription sildenafil was introduced to the United Kingdom in 2018 as the first pharmacy service concerning sexual function, an important but often ignored factor for quality of life. Aim This study aimed to evaluate pharmacists’ views on providing nonprescription sildenafil, their perceptions of the barriers and facilitators to provide this service and strategies to overcome potential barriers, using a theory-based approach. Methods Community pharmacists were purposefully sampled in Northern Ireland, followed by snowball sampling. Face-to-face interviews were conducted between October 2019 and January 2020. The semi-structured interviews used a piloted topic guide based on the 14-domain Theoretical Domains Framework (TDF). All interviews were audio-recorded, transcribed verbatim and anonymized. Transcripts were analyzed deductively in NVivo 13, utilizing the TDF domains as coding categories. Within each domain, content analysis was utilized to identify barriers and facilitators. Main Outcome Measure Barriers and facilitators within the TDF domains for pharmacists to provide nonprescription sildenafil. Results Ten pharmacists were interviewed to reach data saturation. Eight pharmacists had experience with dispensing nonprescription sildenafil. They valued nonprescription sildenafil as an additional service (“Social/professional role and identity”). Training, concise product guidelines, and private consultation areas were important facilitators (“Environmental context and resources”). The service required trusting clients (“Optimism”), with concerns about abuse and men not visiting their GP. From experience gained, pharmacists became more confident dealing with difficult situations such as patients being vague about their medical history or alcoholism or mental problems as causes for erectile disfunction (ED) (“Skills” and “Beliefs about capabilities”). Pharmacists considered lifestyle and medication causes of ED important but preferred to focus on safe supply. In general, pharmacists were satisfied with the perceived professional recognition, using their clinical knowledge or helping patients resume sexual relationships (“Beliefs about consequences”). Conclusion Pharmacists welcomed nonprescription sildenafil to enhance their role as easily accessible healthcare providers for patients.
- Subjects :
- medicine.medical_specialty
Urology
Endocrinology, Diabetes and Metabolism
media_common.quotation_subject
Sildenafil
Context (language use)
Pharmacy
Nonprescription Drugs
Dermatology
Community Pharmacy Services
Other systems of medicine
Behavioral Neuroscience
Endocrinology
Optimism
Quality of life (healthcare)
SDG 3 - Good Health and Well-being
medicine
media_common
Original Research
Service (business)
business.industry
Pharmacotherapy
Psychiatry and Mental health
Snowball sampling
Reproductive Medicine
Content analysis
Family medicine
Medicine
Theoretical Domains Framework
Psychology
business
RZ201-999
Qualitative research
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Sexual Medicine, 9(6). ELSEVIER SCI LTD, Sexual Medicine, Gordijn, R, Teichert, M, Nicolai, M P J, Elzevier, H W, Guchelaar, H-J & Hughes, C M 2021, ' Learning From Consultations Conducted by Community Pharmacists in Northern Ireland for Nonprescription Sildenafil: A Qualitative Study Using the Theoretical Domains Framework ', Sexual medicine, vol. 9, no. 6, pp. 100440 . https://doi.org/10.1016/j.esxm.2021.100440, Sexual Medicine, Vol 9, Iss 6, Pp 100440-(2021), Gordijn, R, Teichert, M, Nicolai, M P J, Elzevier, H W, Guchelaar, H-J & Hughes, C M 2021, ' Learning From Consultations Conducted by Community Pharmacists in Northern Ireland for Nonprescription Sildenafil: A Qualitative Study Using the Theoretical Domains Framework ', Sexual medicine, vol. 9, no. 6, 100440 . https://doi.org/10.1016/j.esxm.2021.100440
- Accession number :
- edsair.doi.dedup.....a993d4b2ff2ef50d443fba6b0e894d3a