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      A perspectiva de egressos e de outros atores envolvidos sobre uma formação em serviços farmacêuticos na Atenção Primária à Saúde Translated title: The perspective of graduates and other stakeholders on a training on pharmaceutical services in primary health care

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          Abstract

          Objetivou-se analisar as contribuições do curso Serviços Farmacêuticos na Atenção Primária em Saúde, oferecido no município do Rio de Janeiro, especialmente quanto às suas fortalezas e fragilidades para as práticas profissionais e na gestão do trabalho, considerando a perspectiva dos egressos e de outros atores de interesse. Os dados foram obtidos no período de 11 de dezembro de 2020 a 29 de janeiro de 2021, com reunião de grupo focal e por questionário eletrônico contendo perguntas estruturadas e semiestruturadas, autorrespondido por 109 (33,2%) egressos. Foram identificadas fortalezas, como a “ampliação do conhecimento” e “melhoria da atuação e/ou conduta profissional”, bem como fragilidades, como a carga horária. Ainda que com baixa carga horária e sob o desafio da compatibilização da atividade de educação continuada com a carga laboral, pode-se concluir que o curso conseguiu promover o desenvolvimento de competências em seus aspectos de ser, saber e fazer.

          Translated abstract

          El objetivo fue analizar las contribuciones del curso Servicios Farmacéuticos en la Atención Primaria de la Salud, ofrecido en el municipio de Río de Janeiro, especialmente con relación a sus puntos fuertes y débiles para las prácticas profesionales y en la gestión del trabajo, considerando la perspectiva de los egresados y otros actores de interés. Los datos se obtuvieron en el período del 11/12/2020 al 29/01/2021, con reunión de grupo focal y por cuestionario electrónico, que contenía preguntas estructuradas y semiestructuradas, auto-respondido por 109 (33,2%) egresados. Se identificaron puntos fuertes como la ‘ampliación del conocimiento’ y la ‘mejora de la actuación y/o conducta profesional’ así como fragilidades, como la carga horaria. Aunque con baja carga horaria y enfrentando el desafío de la compatibilización de la actividad de la educación continuada con la carga laboral, fue posible concluir que el curso consiguió promover el desarrollo de competencias en sus aspectos de ser, saber y hacer.

          Translated abstract

          The objective was to analyze the contributions of the course on Primary Health Care Services offered in the municipality of Rio de Janeiro, especially regarding strengths and weaknesses for professional practices and work management, considering the perspective of graduates and other stakeholders. Data were obtained between 12/11/2020 and 01/29/2021 from focus group meetings and electronic questionnaires containing self-reported structured and semi-structured questions, answered by 109 (33,2%) graduates. Strengths were identified, such as ‘expanded knowledge’ and ‘improved professional performance and/or conduct’, as well as weaknesses, such as the workload. Although with a low hourly workload and under the challenge of making continuing education activity compatible with the workload, it can be concluded that the course managed to promote the development of competencies in its aspects of being, knowing and doing.

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            Pharmaceutical care in Brazil’s primary health care

            ABSTRACT OBJECTIVE To characterize the activities of clinical nature developed by pharmacists in basic health units and their participation in educational activities aiming at health promotion. METHODS This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015), a cross-sectional and exploratory study, of evaluative nature, consisting of a survey of information in a representative sample of cities, stratified by the Brazilian regions that constitute domains of study, and a subsample of primary health care services. The interviewed pharmacists (n=285) were responsible for the delivery of medicines and were interviewed in person with the use of a script. The characterization of the activities of clinical nature was based on information from pharmacists who declared to perform them, and on participation in educational activities aiming at health promotion, according to information from all pharmacists. The results are presented in frequency and their 95% confidence intervals. RESULTS From the interviewed subjects, 21.3% said they perform activities of clinical nature. Of these, more than 80% considered them very important; the majority does not dispose of specific places to perform them, which hinders privacy and confidentiality in these activities. The main denominations were “pharmaceutical guidance” and “pharmaceutical care.” The registration of activities is mainly made in the users’ medical records, computerized system, and in a specific document filed at the pharmacy, impairing the circulation of information among professionals. Most pharmacists performed these activities mainly along with physicians and nurses; 24.7% rarely participated in meetings with the health team, and 19.7% have never participated. CONCLUSIONS Activities of clinical nature performed by pharmacists in Brazil are still incipient. The difficulties found point out to the professionals’ improvisation and effort. The small participation in educational activities of health promotion indicates little integration of pharmacists with the health team and of pharmaceutical services with other health actions.
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              Pedagogia da autonomia: saberes necessários à prática educativa

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                Author and article information

                Journal
                icse
                Interface - Comunicação, Saúde, Educação
                Interface (Botucatu)
                UNESP (Botucatu, SP, Brazil )
                1414-3283
                1807-5762
                2023
                : 27
                : e220594
                Affiliations
                [01] Rio de Janeiro orgnameFundação Oswaldo Cruz orgdiv1Escola Nacional de Saúde Pública Sergio Arouca orgdiv2Programa de Pós-Graduação em Saúde Pública Brazil
                [03] Rio de Janeiro RJ orgnameFiocruz orgdiv1ENSP orgdiv2Departamento de Política de Medicamentos e Assistência Farmacêutica Brasil
                [02] Rio de Janeiro RJ orgnameFiocruz orgdiv1ENSP orgdiv2Centro de Estudos da Saúde do Trabalhador e Ecologia Humana Brasil
                Article
                S1414-32832023000100256 S1414-3283(23)02700000256
                10.1590/interface.220594
                75d8fd3b-c52f-4499-a8ea-fbf346eed6e2

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 21 July 2023
                : 29 November 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 20, Pages: 0
                Product

                SciELO Brazil

                Categories
                Artigos

                Pharmaceutical services,Primary Health Care,Staff development,Education, continuing,Brazilian National Health System,Asistencia farmacéutica,Atención Primaria de la Salud,Desarrollo de personal,Educación permanente,Sistema Brasileño de Salud,Assistência farmacêutica,Atenção Primária à Saúde,Desenvolvimento de pessoal,Educação permanente,Sistema Único de Saúde

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