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Examining Roles Pharmacists Assume in Disasters: A Content Analytic Approach

Published online by Cambridge University Press:  11 October 2013

Heath Ford*
Affiliation:
South College School of Pharmacy, Knoxville, Tennessee
Cham E. Dallas
Affiliation:
Institute for Disaster Management, College of Public Health, University of Georgia, Athens, Georgia Department of Emergency Medicine, Medical College of Georgia, Georgia Regents University, Athens, Georgia
Curt Harris*
Affiliation:
Institute for Disaster Management, College of Public Health, University of Georgia, Athens, Georgia
*
Address correspondence and reprint requests to Dr Heath Ford, South College School of Pharmacy, 400 Goody's Lane, Knoxville, TN 37931 (e-mail [email protected]).
Address correspondence and reprint requests to Dr Heath Ford, South College School of Pharmacy, 400 Goody's Lane, Knoxville, TN 37931 (e-mail [email protected]).

Abstract

Objective

Numerous practice reports recommend roles pharmacists may adopt during disasters. This study examines the peer-reviewed literature for factors that explain the roles pharmacists assume in disasters and the differences in roles and disasters when stratified by time.

Methods

Quantitative content analysis was used to gather data consisting of words and phrases from peer-reviewed pharmacy literature regarding pharmacists’ roles in disasters. Negative binomial regression and Kruskal-Wallis nonparametric models were applied to the data.

Results

Pharmacists’ roles in disasters have not changed significantly since the 1960s. Pharmaceutical supply remains their preferred role, while patient management and response integration roles decrease in context of common, geographically widespread disasters. Policy coordination roles, however, significantly increase in nuclear terrorism planning.

Conclusions

Pharmacists’ adoption of nonpharmaceutical supply roles may represent a problem of accepting a paradigm shift in nontraditional roles. Possible shortages of personnel in future disasters may change the pharmacists’ approach to disaster management. (Disaster Med Public Health Preparedness. 2013;7:563–572)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2013 

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References

1. Stopford, BM. The National Disaster Medical System: America's medical readiness force. Disaster Manage Response. 2005;3:53-56.CrossRefGoogle ScholarPubMed
2. Hogue, MD, Hogue, HB, Lander, RD, Avent, K, Fleenor, M. The nontraditional role of pharmacists after Hurricane Katrina: process description and lessons learned. Public Health Rep. 2009;124:217-223.Google Scholar
3. Inglesby, TV. Progress in disaster planning and preparedness since 2001. JAMA. 2011;306:1372-1373.Google Scholar
4. Hepler, CD, Strand, LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 1990;47:533-543.Google ScholarPubMed
5. Setlak, P. Bioterrorism preparedness and response: emerging role for health-system pharmacists. Am J Health Syst Pharm. 2004;61:1167-1175.CrossRefGoogle ScholarPubMed
6. Pincock, LL, Montello, MJ, Tarosky, MJ, Pierce, WF, Edwards, CW. Pharmacist readiness roles for emergency preparedness. Am J Health Syst Pharm. 2011;68:620-623.Google Scholar
7. Austin, Z, Martin, JC, Gregory, PA. Pharmacy practice in times of civil crisis: the experience of SARS and the blackout in Ontario, Canada. Res Social Adm Pharm. 2007;3:320-335.Google Scholar
8. Chin, TW, Chant, C, Tanzini, R, Wells, J. Severe acute respiratory syndrome (SARS): the pharmacist's role. Pharmacotherapy. 2004;24:705-712.Google Scholar
9. Smith, E, Wasiak, J, Sen, A, Archer, F, Burkle, FM. Three decades of disasters: a review of disaster-specific literature from 1977-2009. Prehosp Disaster Med. 2009;24:306-311.Google Scholar
10. Rubin, A, Babbie, E. Research Methods for Social Work, 7th ed. Belmont, CA: Cengage Learning; 2011.Google Scholar
11. UCLA Institute for Digital Research and Education. IDRE Research Technology Group; 2013. IDRE website. http://www.ats.ucla.edu/stat/sas/dae/nbreg.htm. Accessed December 12, 2012.Google Scholar
12. Piza, EL. Using poisson and negative binomial regression models to measure the influence of risk on crime incident counts. Newark, NJ: Rutgers Center on Public Security; 2012. http://www.rutgerscps.org/docs/CountRegressionModels.pdf.Google Scholar
13. Elliot, AE, Hynan, LS. A SAS macro implementation of a multiple comparison post hoc test for a Kruskal-Wallis analysis. Comp Meth Prog Bio. 2011:75-80.CrossRefGoogle Scholar
14. American Society of Hospial Pharmacists. ASHP Statement on Pharmaceutical Care. American Society of Hospital Pharmacists. Am J Hosp Pharm. 1993;50:17-23.Google Scholar
15. Rx Response. Rx Response report: Spring 2012. Washington, DC: Rx Response; 2012.Google Scholar
16. Braucher, CL. The mission of the pharmacist in nuclear disaster. Mil Med. 1966;131:234-244.CrossRefGoogle ScholarPubMed
17. Montello, MJ, Ostroff, C, Frank, EC, Haffer, AS, Rogers, JR. 2001. anthrax crisis in Washington, DC: pharmacists’ role in screening and selecting prophylaxis. Am J Health Syst Pharm. 2002;59:1193-1199.Google Scholar
18. Accreditation Council for Pharmaceutical Education. Accreditation standards and guidelines for the professional program in pharmacy leading to the doctor of pharmacy degree. Chicago, IL: Accreditation Council for Pharmaceutical Education; 2006.Google Scholar
19. Hayney, MS. Avian influenza poses threat. J Am Pharm Assoc. 2005;45:633-635.Google Scholar
20. Margolis, AR, Grabenstein, JD. Immunizations against bioterrorism: smallpox and anthrax. J Am Pharm Assoc. 2009;49:566-568.CrossRefGoogle ScholarPubMed
21. Lee, JJ, Johnson, SJ, Sohmer, MJ. Guidie for mass prophylaxis of hospital employees in preparation for a bioterrorist attack. Am J Health-Syst Pharm. 2009;66:570-575.CrossRefGoogle ScholarPubMed
22. Thomas, JK, Noppenberger, J. Avian influenza: a review. Am J Health-Syst Pharm. 2007;64:149-165.Google Scholar
23. Guharoy, R, Panzik, P, Noviasky, JA, etal. Smallpox: clinical features, prevention, and management. Ann Pharmacother. 2004;38:440-447.Google Scholar
24. American Pharmacists Association. APhA Code of Ethics. Washington, DC: American Pharmacists Association; 1969.Google Scholar
25. Goffman, TE. The current state of affairs for disaster planning for a nuclear terrorist attack. Am J Disaster Med. 2009;4:59-64.CrossRefGoogle ScholarPubMed
26. Dallas, CE, Burkle, FM Jr. Nuclear war in the Middle East: where is the voice of medicine and public health? Prehosp Disaster Med. 2011;26:383-386.Google Scholar
27. Stroud, C, Bruce, M, Nadig, L, Hougan, M. eds. Crisis Standards of Care: Summary of a Workshop Series. Washington, DC: The National Academies Press; 2010.Google Scholar
28. Liability of persons rendering emergency care. Code of Georgia. Annotated (OCGA) section 31-11-8. 2012.Google Scholar
29. Coule, P, Schwartz, R, Swienton, R. eds. Advanced Disaster Life Support, 2nd ed. Chicago, IL: American Medical Association; 2004.Google Scholar
30. Fink, S. The deadly choices at Memorial. The New York Times; August 25, 2009.Google Scholar
31. Courtney, B, Toner, E, Waldhorn, R, etal. Healthcare coalitions: the new foundation for national healthcare preparedness and response for catastrophic health emergencies. Biosecur Bioterror. 2009;7(2):153-163.Google Scholar