Comprehensive Resource for Healthy Medication Practices

The Health Services Centre (HCS) for a BC First Nation supports the community with primary and emergency care, public health programming and medications. The Centre identified a clear community for proper resources aimed at improving medication practices. Limited guidance and access to resources regarding medication practices can lead to technical and logistical concerns that can impact patient care if not appropriately addressed. To address this need, the HCS partnered with the Entry-to-Practice PharmD Program at the University of British Columbia to develop a Comprehensive Resource for Healthy Medication Practices (the Resource). The goal of this Resource is to provide a comprehensive tool for the First Nation to improve the community’s culturally safe, effective and evidence-based management of medication ordering, storage, dispensing, education and disposal. These five categories were identified by the authors as encompassing the scope of the community’s expressed needs. The Resource has been designed to be easily accessible by staff both current and future, and specifically relevant to the needs of the First Nation and the Health Services Centre. An environmental scan and literature review were conducted, examining existing resources pertaining to culturally safe medication practices in Indigenous communities. This data was used to create a questionnaire to identify current procedures, community opinions and community suggestions pertaining to medication practices in the First Nation. Community engagement with members of the First Nation and staff at the Health Services Centre also took place through an in-person townhall and interviews. The project members developed each section of the resource based on interview and questionnaire data. The Resource was reviewed by university and community partners.

不列颠哥伦比亚省（British Columbia，简称BC）某原住民第一民族（First Nation）的健康服务中心（Health Services Centre, HCS）为社区提供全科医疗、急诊救治、公共卫生项目开展与药品保障服务。该中心明确了社区在优化用药实践方面存在的切实资源缺口。若未能妥善应对，用药实践相关的指导不足与资源获取受限问题，可能引发技术与后勤层面的隐患，进而影响患者照护质量。为满足这一需求，HCS与不列颠哥伦比亚大学（University of British Columbia）的执业导向药学博士（Doctor of Pharmacy, PharmD）培养项目合作，开发了《健康用药实践综合资源包》（Comprehensive Resource for Healthy Medication Practices，以下简称“本资源包”）。本资源包的目标是为该第一民族社区提供一套综合工具，助力其以符合文化安全、高效且循证的方式，开展用药医嘱开具、药品储存、药品调配、用药教育及药品废弃处置全流程管理。项目研发团队经梳理确认，上述五大范畴覆盖了社区明确提出的全部用药实践需求。本资源包的设计兼顾了当前与未来在岗工作人员的便捷获取需求，且高度贴合该第一民族及健康服务中心的实际需求。研发团队开展了环境扫描与文献综述，梳理了原住民社区中与符合文化安全要求的用药实践相关的现有资源。基于上述调研数据，团队设计了调查问卷，以明确该第一民族当前的用药实践流程、社区成员的看法及相关改进建议。同时，研发团队还通过线下市政厅座谈会与访谈调研，与该第一民族社区成员及健康服务中心工作人员开展了社区参与式工作。项目团队结合访谈与问卷调研数据，完成了本资源包各章节的内容搭建。本资源包先后经由高校合作方与社区合作方进行了审核校验。