Implantação do cuidado farmacêutico em um serviço oncológico
Ano de defesa: | 2023 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Santa Maria
Centro de Ciências da Saúde |
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Ciências da Saúde
|
Departamento: |
Ciências da Saúde
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.ufsm.br/handle/1/30374 |
Resumo: | Pharmaceutical care can be carried out, in oncology practice, in an effective and reproducible way, through the provision of pharmaceutical clinical services, aiming at the rational use of medicines, in addition to the promotion, protection and recovery of health, as well as the prevention of health problems associated with cancer. However, there are few models and reports on the deployment and development of these pharmaceutical clinical services in the outpatient hospital setting for patients undergoing cancer treatment, with oral medications. The objective of this study was to propose a model for deployment clinical pharmaceutical services (SCF) in a hospital oncology unit. This is a descriptive, cross-sectional research with a qualitativequantitative approach, developed in the pharmacy of an Oncology Center (CO) of a hospital in the south of the country that is a regional reference in cancer treatment by the Unified Health System. SCF deployment included the discovery stages (search for theoretical-practical references and legislation applied to pharmaceutical care in oncology); exploration (application of validated and adapted data collection instruments to characterize the clinical team and outpatients); preparation (organization of tools necessary for implementation) and presupposed the testing, operation and sustainability stage (pilot test after deployment). As a result of the study, health, labor and professional legislation was found in the discovery that established the role of the clinical pharmacist, but there was little guidance for pharmacists who work in the care of outpatients. There was also a lack of experiences that addressed and discussed the SCF deployment process. During the exploration, the need to mobilize the CO team to understand the role of the clinical pharmacist was identified. It was identified that the majority of patients were women, not elderly, with breast cancer, using oral hormonal therapy (tamoxifen, anastrazole) and who demonstrated satisfaction with the care received by the team and confidence in the treatment they were receiving. In preparation, workflows were established for prescription, dispensing, education and pharmacotherapeutic monitoring activities and tools and training actions necessary for the deployment of the SCF were suggested. The testing, operation and sustainability stage, in turn, was not carried out. It was concluded that creating SCF is a major challenge. The methods and tools used must be adapted to the reality of each institution, considering management support, the care scenario, available resources and benefits for patients. |
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2023-10-20T11:49:09Z2023-10-20T11:49:09Z2023-08-28http://repositorio.ufsm.br/handle/1/30374Pharmaceutical care can be carried out, in oncology practice, in an effective and reproducible way, through the provision of pharmaceutical clinical services, aiming at the rational use of medicines, in addition to the promotion, protection and recovery of health, as well as the prevention of health problems associated with cancer. However, there are few models and reports on the deployment and development of these pharmaceutical clinical services in the outpatient hospital setting for patients undergoing cancer treatment, with oral medications. The objective of this study was to propose a model for deployment clinical pharmaceutical services (SCF) in a hospital oncology unit. This is a descriptive, cross-sectional research with a qualitativequantitative approach, developed in the pharmacy of an Oncology Center (CO) of a hospital in the south of the country that is a regional reference in cancer treatment by the Unified Health System. SCF deployment included the discovery stages (search for theoretical-practical references and legislation applied to pharmaceutical care in oncology); exploration (application of validated and adapted data collection instruments to characterize the clinical team and outpatients); preparation (organization of tools necessary for implementation) and presupposed the testing, operation and sustainability stage (pilot test after deployment). As a result of the study, health, labor and professional legislation was found in the discovery that established the role of the clinical pharmacist, but there was little guidance for pharmacists who work in the care of outpatients. There was also a lack of experiences that addressed and discussed the SCF deployment process. During the exploration, the need to mobilize the CO team to understand the role of the clinical pharmacist was identified. It was identified that the majority of patients were women, not elderly, with breast cancer, using oral hormonal therapy (tamoxifen, anastrazole) and who demonstrated satisfaction with the care received by the team and confidence in the treatment they were receiving. In preparation, workflows were established for prescription, dispensing, education and pharmacotherapeutic monitoring activities and tools and training actions necessary for the deployment of the SCF were suggested. The testing, operation and sustainability stage, in turn, was not carried out. It was concluded that creating SCF is a major challenge. The methods and tools used must be adapted to the reality of each institution, considering management support, the care scenario, available resources and benefits for patients.O cuidado farmacêutico pode ser realizado, na prática oncológica, de forma efetiva e reprodutível, por meio da oferta de serviços clínicos farmacêuticos, visando o uso racional de medicamentos, além da promoção, proteção e recuperação da saúde, bem como a prevenção de problemas de saúde associados ao câncer. Entretanto, poucos são os modelos e relatos de implantação e desenvolvimento destes serviços clínicos farmacêuticos no cenário hospitalar ambulatorial para pacientes em tratamento do câncer, com medicamentos por via oral. O objetivo deste estudo foi propor um modelo para implantação de serviços clínicos farmacêuticos (SCF) em uma unidade oncológica hospitalar. Trata-se de uma pesquisa descritiva, transversal com abordagem quali-quantitativa, desenvolvida na farmácia de um Centro de Oncologia (CO) de um hospital do sul do país que é referência regional no tratamento de câncer pelo Sistema Único de Saúde. A proposta de implantação de SCF incluiu as etapas de descoberta (busca de referencial teórico-prático e legislações aplicadas ao cuidado farmacêutico em oncologia); exploração (aplicação de instrumentos de coleta de dados validados e adaptados para caracterização da equipe clínica e dos pacientes ambulatoriais); preparação (organização de ferramentas necessárias para a implementação) e pressupôs a etapa de teste, operação e sustentabilidade (teste piloto após implantação). Como resultados do estudo, na descoberta foram encontradas legislações sanitárias, trabalhistas e profissionais que estabeleceram a atuação do farmacêutico clínico, mas existiam poucas orientações aos farmacêuticos que atuam no atendimento de pacientes ambulatoriais. Também observou-se escassez de experiências que abordassem e discutissem o processo de implantação de SCF. Na exploração, identificou-se a necessidade de mobilizar a equipe do CO para o entendimento da função do farmacêutico clínico. Identificou-se que a maioria dos pacientes eram mulheres, não idosas, com câncer de mama, utilizando terapia hormonal oral (tamoxifeno, anastrazol) e que demonstravam satisfação com o atendimento recebido pela equipe e segurança com o tratamento que realizavam. Na preparação foram estabelecidos fluxos de trabalho para as atividades de prescrição, dispensação, educação e acompanhamento farmacoterapêutico e sugeriram-se ferramentas e ações de capacitação necessárias para a implantação dos SCF. A etapa de teste, operação e sustentabilidade, por sua vez, não foi executada. Concluiu-se que desenvolver SCF é um grande desafio. Os métodos e ferramentas utilizados devem ser adaptados à realidade de cada instituição, considerando o apoio da gestão, o cenário de assistência, os recursos disponíveis e os benefícios para os pacientes.porUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em Ciências da SaúdeUFSMBrasilCiências da SaúdeAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessAntineoplásicosAdministração oralServiço de farmácia clínicaAntineoplastic agentsAdministrationOralClinical pharmacy serviceCNPQ::CIENCIAS DA SAUDEImplantação do cuidado farmacêutico em um serviço oncológicoDeployment of pharmaceutical care in an oncology serviceinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisCampos, Marli Matiko Anraku dehttp://lattes.cnpq.br/6421182991125434Flores, Liziane MaahsWerlang, Maria CristinaCanto, Gizele Scotti dohttp://lattes.cnpq.br/7545797300762420Bonini, Maíra Bernardt400000000001600600600600600600ac8e430f-6a47-4d8e-91cd-2fd828e1aa37bfdeb095-6fcc-4df5-a0d6-506ef440c93c7efcbe40-b07e-4773-aa69-640f8b4d6e5fbc0b3681-8784-4e0c-85f3-7fe9234527d6526f2155-c289-4a9a-ab68-611b482916dereponame:Biblioteca Digital de Teses e Dissertações do UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMLICENSElicense.txtlicense.txttext/plain; charset=utf-81956http://repositorio.ufsm.br/bitstream/1/30374/3/license.txt2f0571ecee68693bd5cd3f17c1e075dfMD53ORIGINALDIS_PPGCS_2023_BONINI_MAIRA.pdfDIS_PPGCS_2023_BONINI_MAIRA.pdfDissertação de mestradoapplication/pdf4909369http://repositorio.ufsm.br/bitstream/1/30374/1/DIS_PPGCS_2023_BONINI_MAIRA.pdfb8dad85883f4f83b907fc2fff07e9388MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805http://repositorio.ufsm.br/bitstream/1/30374/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD521/303742023-10-20 08:49:09.573oai:repositorio.ufsm.br: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 Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2023-10-20T11:49:09Biblioteca Digital de Teses e Dissertações do UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.por.fl_str_mv |
Implantação do cuidado farmacêutico em um serviço oncológico |
dc.title.alternative.eng.fl_str_mv |
Deployment of pharmaceutical care in an oncology service |
title |
Implantação do cuidado farmacêutico em um serviço oncológico |
spellingShingle |
Implantação do cuidado farmacêutico em um serviço oncológico Bonini, Maíra Bernardt Antineoplásicos Administração oral Serviço de farmácia clínica Antineoplastic agents Administration Oral Clinical pharmacy service CNPQ::CIENCIAS DA SAUDE |
title_short |
Implantação do cuidado farmacêutico em um serviço oncológico |
title_full |
Implantação do cuidado farmacêutico em um serviço oncológico |
title_fullStr |
Implantação do cuidado farmacêutico em um serviço oncológico |
title_full_unstemmed |
Implantação do cuidado farmacêutico em um serviço oncológico |
title_sort |
Implantação do cuidado farmacêutico em um serviço oncológico |
author |
Bonini, Maíra Bernardt |
author_facet |
Bonini, Maíra Bernardt |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Campos, Marli Matiko Anraku de |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/6421182991125434 |
dc.contributor.advisor-co1.fl_str_mv |
Flores, Liziane Maahs |
dc.contributor.referee1.fl_str_mv |
Werlang, Maria Cristina |
dc.contributor.referee2.fl_str_mv |
Canto, Gizele Scotti do |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7545797300762420 |
dc.contributor.author.fl_str_mv |
Bonini, Maíra Bernardt |
contributor_str_mv |
Campos, Marli Matiko Anraku de Flores, Liziane Maahs Werlang, Maria Cristina Canto, Gizele Scotti do |
dc.subject.por.fl_str_mv |
Antineoplásicos Administração oral Serviço de farmácia clínica |
topic |
Antineoplásicos Administração oral Serviço de farmácia clínica Antineoplastic agents Administration Oral Clinical pharmacy service CNPQ::CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Antineoplastic agents Administration Oral Clinical pharmacy service |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE |
description |
Pharmaceutical care can be carried out, in oncology practice, in an effective and reproducible way, through the provision of pharmaceutical clinical services, aiming at the rational use of medicines, in addition to the promotion, protection and recovery of health, as well as the prevention of health problems associated with cancer. However, there are few models and reports on the deployment and development of these pharmaceutical clinical services in the outpatient hospital setting for patients undergoing cancer treatment, with oral medications. The objective of this study was to propose a model for deployment clinical pharmaceutical services (SCF) in a hospital oncology unit. This is a descriptive, cross-sectional research with a qualitativequantitative approach, developed in the pharmacy of an Oncology Center (CO) of a hospital in the south of the country that is a regional reference in cancer treatment by the Unified Health System. SCF deployment included the discovery stages (search for theoretical-practical references and legislation applied to pharmaceutical care in oncology); exploration (application of validated and adapted data collection instruments to characterize the clinical team and outpatients); preparation (organization of tools necessary for implementation) and presupposed the testing, operation and sustainability stage (pilot test after deployment). As a result of the study, health, labor and professional legislation was found in the discovery that established the role of the clinical pharmacist, but there was little guidance for pharmacists who work in the care of outpatients. There was also a lack of experiences that addressed and discussed the SCF deployment process. During the exploration, the need to mobilize the CO team to understand the role of the clinical pharmacist was identified. It was identified that the majority of patients were women, not elderly, with breast cancer, using oral hormonal therapy (tamoxifen, anastrazole) and who demonstrated satisfaction with the care received by the team and confidence in the treatment they were receiving. In preparation, workflows were established for prescription, dispensing, education and pharmacotherapeutic monitoring activities and tools and training actions necessary for the deployment of the SCF were suggested. The testing, operation and sustainability stage, in turn, was not carried out. It was concluded that creating SCF is a major challenge. The methods and tools used must be adapted to the reality of each institution, considering management support, the care scenario, available resources and benefits for patients. |
publishDate |
2023 |
dc.date.accessioned.fl_str_mv |
2023-10-20T11:49:09Z |
dc.date.available.fl_str_mv |
2023-10-20T11:49:09Z |
dc.date.issued.fl_str_mv |
2023-08-28 |
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info:eu-repo/semantics/masterThesis |
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http://repositorio.ufsm.br/handle/1/30374 |
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por |
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400000000001 |
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Universidade Federal de Santa Maria Centro de Ciências da Saúde |
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UFSM |
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Brasil |
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Ciências da Saúde |
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Universidade Federal de Santa Maria Centro de Ciências da Saúde |
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