Packeiser Priscila B, Castro Mauro S
Pharmaceutical Services Graduate Program, Federal University of Rio Grande do Sul. Porto Alegre, RS (Brazil).
Department of Drug Production and Control, College of Pharmacy, Federal University of Rio Grande do Sul. Porto Alegre, RS (Brazil).
Pharm Pract (Granada). 2020 Oct-Dec;18(4):1865. doi: 10.18549/PharmPract.2020.4.1865. Epub 2020 Oct 16.
Aiming to facilitate the drug dispensing process and patient counseling, specific professional skills are required. The knowledge, skills and attitudes involved in this process can be improved. From 2012 to 2015, a nationwide course was held, in partnership with the Ministry of Health and the Federal University of Rio Grande do Sul (UFRGS) - Brazil, to train pharmacists working in primary health care through the development of their clinical and communication skills. One of the steps in this process involved the simulation of the drug dispensing process and patient counseling.
To evaluate the performance of pharmacists in drug dispensing and counseling through patient simulation role-playing held in a face-to-face meeting at the end of a training course.
A cross-sectional and retrospective study with analysis of patient simulation recordings and data collection using an assessment instrument with scores ranging from 0 to 10 points to assess pharmacist's behavior, skills, and technical knowledge.
Participants presented poor-to-regular performance, with median scores equal to or lower than six. The median time of the drug dispensing simulation was five minutes and the patient counseling was eight minutes. Pharmacists had better scores in the simulation of asthma cases. In drug dispensing, 99.5% of pharmacists had difficulty checking the patient's time availability, 98.5% did not know how to use the devices, and 94.7% did not advise the patient on what to do if they forgot to take a dose. In patient counseling simulation, 1.18% of pharmacists remembered to advise on what do with medication leftovers, and 50.6% asked questions that induced the patient's responses.
The low-to-regular performance showed that pharmacists had difficulties at improving their skills in the performance of complete and effective drug dispensing and patient counseling.
为了促进药品调配过程和患者咨询，需要特定的专业技能。这一过程中涉及的知识、技能和态度是可以得到提升的。2012年至2015年，与巴西卫生部和南里奥格兰德联邦大学（UFRGS）合作举办了一项全国性课程，旨在通过培养临床和沟通技能来培训在初级卫生保健领域工作的药剂师。这一过程中的一个步骤涉及药品调配过程和患者咨询的模拟。
通过培训课程结束时面对面会议中进行的患者模拟角色扮演来评估药剂师在药品调配和咨询方面的表现。
一项横断面回顾性研究，通过分析患者模拟记录，并使用评分范围为0至10分的评估工具收集数据，以评估药剂师的行为、技能和专业知识。
参与者的表现从较差到一般，中位数得分等于或低于6分。药品调配模拟的中位数时间为5分钟，患者咨询为8分钟。药剂师在哮喘病例模拟中的得分更高。在药品调配方面，99.5%的药剂师在检查患者的可用时间方面存在困难，98.5%的药剂师不知道如何使用设备，94.7%的药剂师没有就患者忘记服药时该怎么做向患者提供建议。在患者咨询模拟中，1.18%的药剂师记得就如何处理剩余药物提供建议，50.6%的药剂师提出了能引导患者做出回应的问题。
较低到一般的表现表明，药剂师在提高其进行完整有效的药品调配和患者咨询的技能方面存在困难。
