Corina Raduescu

Background: Perinatal depression (PND) screening is often recommended in primary care settings, which includes the community pharmacy setting. However, there is limited research exploring pharmacists’ perspectives on their roles in screening for perinatal mental illness. Aim: This study aimed to explore pharmacists’ views of pharmacists’ roles in PND screening, as well as training and resource needs for PND screening in community pharmacy settings. Method: A questionnaire including three open-ended questions focusing on pharmacists’ perspectives of their role in PND screening, their training, and resource needs in this area, was disseminated to pharmacists across Australia via professional organisations and social media. Each open-ended question was separately analysed by inductive content analysis. Subcategories were deductively mapped to the Theoretical Framework of Acceptability. Results: Responses (N = 149) from the first open-ended question about pharmacists’ roles in PND screening resulted in three categories (PND screening in primary care settings will support the community, community pharmacy environment, and system and policy changes) and ten subcategories. Responses to question two on training needs (n = 148) were categorised as: training content, training length, and training delivery while responses about resource needs (n = 147) fell into three categories: adapting community pharmacy operating structures, pharmacist-specific resources, and consumer-specific resources. Conclusion: While some pharmacists were accepting of a role in PND screening due to pharmacists’ accessibility and positive relationships with consumers, others had concerns regarding whether PND screening was within pharmacists’ scope of practice. Further training and resources are needed to facilitate pharmacists’ roles in PND screening, referral and care.

The COVID-19 pandemic has forced universities worldwide to deliver emergency remote online teaching and learning. This study analyses teaching practices at a globally ranked Australian university. These practices were adopted to develop connection with students in the absence of face-to-face learning. Complex adaptive system theory is applied, and a mixed research method adopted to examine the evolution of the remote classroom and to understand behaviour as a process of self-organisation. We find that social connection is the underlying mechanism by which the classroom evolved to meet the learning outcomes within the remote online teaching and learning environment. In response to initial transition and institutional pressures, educators attempted to replicate online their work in a face-to-face environment, creating surrogate social connectedness. Our study findings not only extend the literature on the continuing impact of the pandemic on higher education but also highlight the need for pedagogy to drive change and the importance of social connectedness.

With the recent and rapid transition to online teaching and learning in higher education, this explanatory study investigated the key design considerations used by business educators designing assessments suitable for online delivery. From a comprehensive literature review, we identified five key design considerations for online assessments: they must (1) assure academic integrity; (2) allow for provision of quality feedback; (3) support a positive learning experience for students; (4) assure the integrity of student information; and (5) ensure all students have an equal chance to complete the assessment successfully. An additional consideration (authenticity) was identified through a survey of educators and four focus group discussions. Our analysis confirmed that scale of delivery and resource limitations, along with institutional policies and accreditation requirements, are broader and interrelated contextual factors that influence practices and decisions about assessment design. Focus group participants also identified constraints and trade-offs they negotiated in designing, evaluating and implementing online assessments. Based on our findings we propose a framework to assist educators in best-practice decision-making about online assessment design and contribute to the discourse between educators, higher education providers and professional accreditation bodies regarding online assessment.

Internationally, 20% of women experience perinatal depression (PND). Healthcare providers including general practitioners and midwives are critical in providing PND screening and support; however, the current workforce is unable to meet growing demands for PND care. As accessible and trusted primary healthcare professionals, pharmacists could provide PND care to complement existing services, thereby contributing to early detection and intervention. This study aimed to explore perinatal women’s views of community pharmacist-delivered PND screening and care, with a focus on their attitudes towards and acceptability of PND screening implementation in community pharmacy. Semi-structured interviews with women (n = 41) were undertaken, whereby interview data were transcribed verbatim and then inductively and thematically analysed. Five overarching themes emerged; “patient experience with existing PND support and screening services”; “familiarity with pharmacists’ roles”; “pharmacist visibility in PND screening care”; “patient—pharmacist relationships” and “factors influencing service accessibility”. Themes and subthemes were mapped to the Consolidated Framework for Implementation Research. Findings highlight participants’ generally positive attitudes towards community pharmacist-delivered PND screening and care, and the potential acceptability of such services provided pharmacists are trained and referral pathways are established. Addressing perceived barriers and facilitators would allow community pharmacist-delivered PND screening and care to support existing PND care models.