Community pharmacist experiences of providing needle and syringe programmes in Ireland

• Published in: Research in social and administrative pharmacy Vol. 13; no. 4; pp. 767 - 777
• Main Authors: McVeigh, Jim, Hearne, Evelyn, Bates, Geoff, Van Hout, Marie Claire
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.07.2017
• Subjects: Attitude of Health Personnel; Communication; Community Pharmacy Services - organization & administration; Drug Users - psychology; Harm reduction; Health Knowledge, Attitudes, Practice; Humans; Injecting drug users; Interviews as Topic; Ireland; Needle and syringe programme; Needle-Exchange Programs - organization & administration; Opiate users; Pharmacists - organization & administration; Pharmacists - psychology; Professional Role; Professional-Patient Relations; Program Evaluation; Qualitative Research; Substance Abuse, Intravenous - psychology; Trust; Harm reduction; Needle and syringe programme; Opiate users; Injecting drug users
• ISSN: 1551-7411; 1934-8150
• DOI: 10.1016/j.sapharm.2016.07.006

Community pharmacists are increasingly acknowledged as under-utilized, important and accessible health providers in providing harm reduction support to drug users via needle and syringe programmes (NSP), provision of advice, HIV/Hepatitis testing and as referral mechanism to social, medical and treatment services. We report here on qualitative findings as part of the evaluation of the pilot Pharmacy Needle Exchange (PNEX) programme in Ireland. The aim was to understand and illustrate pharmacist experiences of providing NSP. Of the 107 eligible pharmacies, a total of 70 participated in the national evaluation. Telephone interviews (n = 17) and one-to-one interviews (n = 13) using a semi-structured guide were conducted with 30 pharmacists. Analysis of data was conducted using the Empirical Phenomenological Psychological (EPP) five step protocol. Pharmacist experiences illustrated the largely positive nature of providing NSP, and highlighted needs to develop harm reduction training for pharmacists and appropriate strategies to raise awareness, provide exchange packs to meet the specific needs of the diverse populations of people who inject drugs and ensure the development of trusting relationships and opportunities to engage within a confidential service. Further enhancement of NSP coverage and targeted service delivery within national care pathways for drug and alcohol services is warranted.