ACTION RESEARCH AS A TOOL FOR TRANSFORMATION OF THE PHARMACIST'S PRAXIS IN PRIMARY CARE

Authors

  • Grazielli C. B. De Oliveira Centro de Estudos em Atenção Farmacêutica (Center for Pharmaceutical Care Studies), Department of Social Pharmacy, College of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
  • Mateus R. Alves Centro de Estudos em Atenção Farmacêutica (Center for Pharmaceutical Care Studies), Department of Social Pharmacy, College of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
  • Djenane Ramalho- De-oliveira Centro de Estudos em Atenção Farmacêutica (Center for Pharmaceutical Care Studies), Department of Social Pharmacy, College of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil

DOI:

https://doi.org/10.22159/ijpps.2017v9i3.16486

Keywords:

Medication Therapy Management, Comprehensive medication management, Pharmaceutical care, Primary health care, Pharmaceutical services, Action research, Qualitative research

Abstract

Objective: Describe and discuss the use of action research in the Pharmaceutical Assistance restructuring of primary care in the city of Lagoa Santa/MG (Brazil), for the implementation of comprehensive medication management services.

Methods: An action research project, based on fortnightly thematic discussions with a group of ten pharmacists, was used as a management tool to foster the engagement and critical reflection of pharmacists involved in the construction of their clinical practice in primary care.

Results: Action research encouraged pharmacists to think about their practices and to perceive the need for a clearer definition of their roles and responsibilities in primary care. The collective development allowed pharmacists to recognise their weaknesses and strengths, identifying themselves as professionals capable of assuming co-responsibility for the pharmacotherapy of the patient. The re-organization of the service was necessary to provide support for actions related to the logistic of medicines, so pharmacists could dedicate time to their clinical practice.

Conclusion: Action research can be an effective instrument of reflection, motivation and empowerment for the pharmacist team to meet the challenges of the Brazilian Unified Health System (Sistema Único de Saúde, SUS).

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References

Saturnino LTM, Perini E, Luz ZP, Modena CM. Farmacêutico: um professional em busca de sua identidade. Rev Bras Farm 2012;93:10–6.

Marin N, Luzia VL, Osorio-de-Castro CGS, Machado-dos-Santos S. Assistência farmacêutica para gerentes municipais. 20 ed. Rio de Janeiro: OPAS/OMS; 2003.

Herpler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm 1990;47:533–43.

Ramalho-de-Oliveira D. Atenção farmacêutica: da filosofia ao gerenciamento da terapia medicamentosa. 1 ed. São Paulo: Racine; 2011.

Nace Dk, Grundy P, Nielsen M. The Patient-Centered Medical Home: Integrating Comprehensive Medication Management to Optimize Patient Outcomes. 2 Ed. Resource Guide; 2012.

Freitas EL, Ramalho-de-Oliveira D, Perini E. Atenção farmacêutica-teoria e prática: um diálogo possível? Acta Farm Bonaerense 2006;25:447–53.

Cook T. Reflecting and learning together: action research as a vital element of developing understanding and practice. Education Act Res 2004;12:77–98.

Bridges J, Meyer J. Exploring the effectiveness of action research as a tool for organizational change in health care. J Res Nurs 2005;12:389–99.

Roberts AS, Benrimoj C, Chen TF, Williams KA, Hopp TR, Aslani P. Understanding practice change in community pharmacy : a qualitative study in Australia. Res Soc Adm Pharm 2005;1:546–64.

Koch T, Kralik D. Participatory action research in health care. Australia: Blackwell Publishing Ltd; 2006.

Adler N, Shani AB, Styhre A. Collaborative research in organisations: Foundations for learning, change, and theoretical development. Estados Unidos da América: Sage Publications; 2004.

Vallenga D, Grypdonck MHF, Hoogwerf LJR, Tan FIY. Action research: what, why and how? Actaneurol Belg; 2009. p. 81–90.

Dustman EL, Kohan MB, Stringer ET. Starting small and building out with ernie stringer: personal insights into action research and educational change. Action Res 2014;12:426–3.

Reason P, Bradbury H. The SAGE handbook of action research–participative inquiry and practice. 2 ed. Londres: SagePublications; 2008.

Zaheer-Ud-Din B. Pharmacy Practice Research Methods, Auckland: Adis; 2015.

Waterman H, Marshall M, Noble J, Davies H, Walshe K, Sheaff R, et al. The role of action research in the investigation and diffusion of innovations in health care: The PRIDE Project. Quality Health Res 2015;17:373–81.

Ryan F, Coughlan M, Cronin P. Step-by-step guide to critiquing research. Part 2: Qualitative research. Br J Nurs 2007;16:738–44.

Bazeley P. Analysing qualitative data: more than ‘Identifying Themes’. J Qualitative Res 2009;2:6–22.

IBGE: Instituto Brasileiro de Geografia e Estatística [internet]. Cidades. Available from: http://cidades.ibge.gov.br/xtras/ perfil.php?lang=andcodmun=313760andsearch=minas-gerais|lagoa-santa. [Last accessed on 10 Mar 2016]

Cipolle RJ, Strand LM, Morley P. Pharmaceutical care practice: the patient-centered approach to medication management. New York: McGraw-Hill; 2012.

Srikanth MS, Ramesh Adepu, Nagaraj S. Impact of an educational intervention on knowledge, attitude, and practices of urban community pharmacists toward adverse drug reaction reporting in a South Indian city. Asian J Pharm Clin Res 2016;9:140-4.

Lewin K, Grabbe P. Conduct, knowledge and the acceptance of new values. J Soc Issues 1945;1:53–64.

Oliveira AF. A percepção dos farmacêuticos como profissionais da atenção primária de saúde no SUS de fortaleza–CE [dissertação]. [Ceará]: Universidade Federal do Ceará; 2008. p. 123.

Furtado BT. O farmacêutico na atenção básica: a experiência da equipe de programa saúde da família frente à atenção farmacêutica [dissertação]. [Belo Horizonte]: Universidade Federal de Minas Gerais; 2008. p. 99.

Gomes CAP, Fonseca AL, Machado MC, Rosa MB, Fassy MF, Silva RMC, et al. A Assistência Farmacêutica na Atenção à Saúde. Belo Horizonte: Funed; 2010.

Karthikeyan G, Ranganayakulu D. Benefits of clinical pharmacists pharmaceutical care intervention to the quality of patient’s life and control hypertension. Asian J Pharm Clin Res 2014;7:223–6.

Alano GM. Reflexão e contribuição para uma nova prática-os serviços farmacêuticos voltados ao paciente sob a perspectiva de farmacêuticos do Estado de Santa Catarina [dissertação]. Universidade Federal de Santa Catarina; 2005.

Ramalho-de Oliveira D. Por uma formação crítico-humanista do profissional da atenção farmacêutica: Um ensaio reflexivo. Red Sudam Atención Farm 2011;5:1–10.

Sørensen EW, Haugbølle LS. Using an action research process in pharmacy practice research-a cooperative project between university and internship pharmacies. Res Soc Adm Pharm 2008;4:384–401.

Ngwerume KT, Themessl-Huber M. Using action research to develop a research aware community pharmacy team. Action Res 2010;8:387–406.

Coscrato G, Bueno SMV. Pesquisa qualitativa sobre humanização em saúde mediatizada por pesquisa-ação. Saúde e Transformação Social 2010;1:120–8.

Nichols R. Action research in healthcare: the collaborative action research network health care group. Edu Action Res 1997;5:185–92.

Barreto RO, Paula APP. Rio da Vida Coletivo: empoderamento, emancipação e práxis. Rev Adm Pública 2014;48:111–30.

Rosenthal M, Austin Z, Tsuyuki RT. Are pharmacists the ultimate barrier to pharmacy practice change? Can Pharm J 2010;143:37–42.

Franco MAS. Pedagogia da pesquisa-ação. Educ e Pesqui 2005;31:483–502.

Nørgaard LS, Sørensen EW. Action research methodology in clinical pharmacy: how to involve and change. Int J Clin Pharm 2016;38:739–45.

Woods P, Gapp R, King MA. Researching pharmacist managerial capability: Philosophical perspectives and paradigms of inquiry. Res Soc Adm Pharm 2011;11:265–79.

Published

01-03-2017

How to Cite

Oliveira, G. C. B. D., M. R. Alves, and D. R.-. De-oliveira. “ACTION RESEARCH AS A TOOL FOR TRANSFORMATION OF THE PHARMACIST’S PRAXIS IN PRIMARY CARE”. International Journal of Pharmacy and Pharmaceutical Sciences, vol. 9, no. 3, Mar. 2017, pp. 180-5, doi:10.22159/ijpps.2017v9i3.16486.

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Original Article(s)