Capacitação de farmacêuticos para a provisão de um serviço de gerenciamento da terapia medicamentosa à pacientes oncológicos em âmbito hospitalar.

Abstract

The treatment of cancer patients is associated with complex drug therapy and when these patients have other health problems, the risks involved increase. In this context, there is a social need for cancer patients to be cared for in a holistic, standardized, and systematized way in order to guarantee the best results with pharmacotherapy. However, in the hospital environment, many pharmaceutical clinical activities are developed without a systematized structure, which can make the optimization of pharmacotherapy unfeasible. In this sense, training the pharmaceutical professional to offer Comprehensive Medication Management (CMM) services, based on the theoretical-methodological framework of pharmaceutical care, it is important for this professional to assume the responsibility of meeting the pharmacotherapeutic needs of the patients receiving care in a comprehensive manner. In view of the above, the objective of this work is to critically describe the process of training pharmacists on the CMM service based on the theoretical-methodological framework of pharmaceutical care practice applied to hospitalized oncology patients in a High Complexity Oncology Care center at Belo Horizonte. To achieve this, qualitative research was used as a methodology to critically describe the pharmaceutical training process. Fourteen pharmacists were trained through 11 hybrid meetings, consisting of theoretical classes, clinical case practice and focus groups. Five individual semi-structured interviews were carried out, between November 2021 and June 2022. Data collection was carried out through audio recording and transcription of meetings and interviews, participant observation, descriptions and reflections in a field diary. The data was organized in a coded manner for analysis into themes and/or categories manually. After the systematic analysis of the data four major themes were constructed:1) initial perception of care for these professionals, 2) reflection on how care has been offered in the institution, the relationship with professional training, 3) responsibility, resolution of actions and limits for professional performance and 4) aspects to operationalize activities with the CMM service. It was possible to follow the pharmacists' perceptions after the presentation of the CMM concepts and how they were able to understand the social need for patient-centered care, in a holistic way and how they created strategies to provide continuous care for the patients they serve. The research reinforces the need to teach pharmaceutical care practice not only during undergraduate studies, but also for professionals working in the labor market, so that this practice becomes formally established.