Seguridad en el uso de medicamentos: revisión integrativa de las estrategias utilizadas en educación para la salud
DOI:
https://doi.org/10.33448/rsd-v9i12.10944Palabras clave:
Errores de medicación; Seguridad del paciente; Educación superior.Resumen
La falta de seguridad del paciente en el uso de medicamentos constituye un problema de salud mundial, lo que aumenta la preocupación en torno a las políticas destinadas a mejorar la calidad y la seguridad de la atención. El objetivo de este trabajo es conocer las metodologías utilizadas para la enseñanza en salud de grado en seguridad en el uso de medicamentos. La metodología utilizada fue una revisión integradora de artículos publicados entre enero/2014 y junio/2019 que presentan metodologías de enseñanza para la salud de grado en seguridad en el uso de medicamentos. Treinta y cinco artículos fueron seleccionados. Los temas sobre la administración de medicamentos (n=11) y el cálculo de la dosis de medicamentos (n=6) fueron los más abordados, específicamente para los estudiantes de enfermería. El tema "prescripción de medicamentos" (n=4) fue abordado por los estudiantes de medicina. La seguridad del medicamento se abordó en cuatro estudios. Las principales metodologías identificadas fueron: simulación, aprendizaje basado en problemas y multimedia. Se concluye que la metodología que debe aplicarse en la enseñanza del uso seguro de los medicamentos depende del contexto del estudiante y de los servicios de salud, así como de los objetivos de aprendizaje. El razonamiento clínico y el pensamiento crítico sobre el uso seguro de los medicamentos deben practicarse durante la enseñanza de pregrado de los cursos de salud.
Citas
Achike, F. I., Smith, J., Leonard, S., Williams, J., Browning, F., & Glisson, J. (2014). Advancing safe drug use through interprofessional learning (IPL): a pilot study. Journal of clinical pharmacology, 54(7), 832–839. https://doi.org/10.1002/jcph.289
Adhikari, R., et al. (2014). A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse education today, 34(2), 185–190. https://doi.org/10.1016/j.nedt.2013.10.008
Andrew, S., & Mansour, M. (2014). Safeguarding in medication administration: understanding pre-registration nursing students' survey response to patient safety and peer reporting issues. Journal of nursing management, 22(3), 311–321. https://doi.org/10.1111/jonm.12134
Atayee, R. S., Awdishu, L., & Namba, J. (2016). Using Simulation to Improve First-Year Pharmacy Students' Ability to Identify Medication Errors Involving the Top 100 Prescription Medications. American journal of pharmaceutical education, 80(5), 86. https://doi.org/10.5688/ajpe80586
Aydin, K. A., & Dinç, L. (2017). Effects of Web-Based Instruction on Nursing Students' Arithmetical and Drug Dosage Calculation Skills. Computers, informatics, nursing : CIN, 35(5), 262–269. https://doi.org/10.1097/CIN.0000000000000317
Blatt, C. R. et al. (2014). Disciplina de Assistência Farmacêutica: ensinando, aprendendo e colaborando com a Assistência Farmacêutica Municipal. Rev. Bras. Farm. Hosp. Serv. Saúde, 5(2):34-38.
East, L., & Hutchinson, M. (2015). Evaluation of a filmed clinical scenario as a teaching resource for an introductory pharmacology unit for undergraduate health students: A pilot study. Nurse education today, 35(12), 1252–1256. https://doi.org/10.1016/j.nedt.2015.04.009
Eltony, S. A., El-Sayed, N. H., El-Araby, S. E., & Kassab, S. E. (2017). Implementation and evaluation of a patient safety course in a problem-based learning program. Education for health (Abingdon, England), 30(1), 44–49. https://doi.org/10.4103/1357-6283.210512
Eriksson, A. L., & Wallerstedt, S. M. (2018). Developing confidence in basic prescribing skills during medical school: a longitudinal questionnaire study investigating the effects of a modified clinical pharmacology course. European journal of clinical pharmacology, 74(10), 1343–1349. https://doi.org/10.1007/s00228-018-2508-3
Ferreira, R. M. F., & Nunes, A. C. P. (2019). A formação contínua no desenvolvimento de competências do professor de enfermagem. Revista Gaúcha de Enfermagem, 40, e20180171. https://doi.org/10.1590/1983-1447.2019.20180171
Freitas, D. A. et al. (2016). Saberes docentes sobre processo ensino-aprendizagem e sua importância para a formação profissional em saúde. Interface - Comunicação, Saúde, Educação, 20(57), 437-448. https://doi.org/10.1590/1807-57622014.1177
Guimarães, M. S. A. et al. (2017). Estratégia Saúde da Família e Uso Racional de Medicamentos: o trabalho dos agentes comunitários em Palmas (To). Trabalho, Educação e Saúde, 15(1), 183-203. https://doi.org/10.1590/1981-7746-sol00037
Grugnetti, A. M., Bagnasco, A., Rosa, F., & Sasso, L. (2014). Effectiveness of a Clinical Skills Workshop for drug-dosage calculation in a nursing program. Nurse education today, 34(4), 619–624. https://doi.org/10.1016/j.nedt.2013.05.021
Hayes, C., Power, T., Davidson, P. M., Daly, J., & Jackson, D. (2015). Nurse interrupted: Development of a realistic medication administration simulation for undergraduate nurses. Nurse education today, 35(9), 981–986.
Hanson J. (2016). Surveying the experiences and perceptions of undergraduate nursing students of a flipped classroom approach to increase understanding of drug science and its application to clinical practice. Nurse education in practice, 16(1), 79–85. https://doi.org/10.1016/j.nepr.2015.09.001
Hayes, C., Jackson, D., Davidson, P. M., Daly, J., & Power, T. (2017). Calm to chaos: Engaging undergraduate nursing students with the complex nature of interruptions during medication administration. Journal of clinical nursing, 26(23-24), 4839–4847. https://doi.org/10.1111/jocn.13866
Hayes, C., Jackson, D., Davidson, P. M., Daly, J., & Power, T. (2018). Pondering practice: Enhancing the art of reflection. Journal of clinical nursing, 27(1-2), e345–e353. https://doi.org/10.1111/jocn.13876
Hewitt, J., Tower, M., & Latimer, S. (2015). An education intervention to improve nursing students' understanding of medication safety. Nurse education in practice, 15(1), 17–21. https://doi.org/10.1016/j.nepr.2014.11.001
Hurley T. V. (2017). Experiential Teaching Increases Medication Calculation Accuracy Among Baccalaureate Nursing Students. Nursing education perspectives, 38(1), 34–36. https://doi.org/10.1097/01.NEP.0000000000000097
Institute of Medicine (US) Committee on Quality of Health Care in America, Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.). (1999). To Err is Human: Building a Safer Health System. National Academies Press (US).
Institute of Medicine (US) Committee on Quality of Health Care in America. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. National Academies Press (US).
Karpa, K. D., Hom, L. L., Huffman, P., Lehman, E. B., Chinchilli, V. M., Haidet, P., & Leong, S. L. (2015). Medication safety curriculum: enhancing skills and changing behaviors. BMC medical education, 15, 234.
Krivanek, M. J. et al. (2019). Perspectives from academic and practice leaders on nursing student's education and role in medication reconciliation. J Prof Nurs, 35(2):75-80. https://doi.org/10.1016/j.profnurs.2018.07.005
Lapkin, S., Levett-Jones, T., & Gilligan, C. (2015). Using the Theory of Planned Behaviour to examine health professional students' behavioural intentions in relation to medication safety and collaborative practice. Nurse education today, 35(8), 935–940. https://doi.org/10.1016/j.nedt.2015.03.018
Lee, N. J., Jang, H., & Park, S. Y. (2016). Patient safety education and baccalaureate nursing students' patient safety competency: A cross-sectional study. Nursing & health sciences, 18(2), 163–171. https://doi.org/10.1111/nhs.12237
Marvanova, M., & Henkel, P. J. (2018). Collaborating on medication errors in nursing. The clinical teacher, 15(2), 163–168. https://doi.org/10.1111/tct.12655
McMullan M. (2018). Evaluation of a medication calculation mobile app using a cognitive load instructional design. International journal of medical informatics, 118, 72–77.
Melnyk, B. e Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Lippincott Williams & Wilkins, 2nded.
Mendes, K. D. S. et al. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto - Enfermagem, 17(4), 758-764. https://doi.org/10.1590/S0104-07072008000400018
Metzger, N. L., Chesson, M. M., & Momary, K. M. (2015). Simulated Order Verification and Medication Reconciliation during an Introductory Pharmacy Practice Experience. American journal of pharmaceutical education, 79(7), 96. https://doi.org/10.5688/ajpe79796
Ministério da Saúde. (2013a). Brasília - DF. Portaria nº 529, de 1º de abril de 2013. Institui o Programa Nacional de Segurança do Paciente. Recuperado em 10 agosto, 2020, de http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html
Ministério da Saúde. (2013b). Brasília - DF. Portaria nº 1.377, de 9 de julho de 2013. Aprova os Protocolos de Segurança do Paciente. Recuperado em 10 agosto, 2020, de https://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt1377_09_07_2013.html
Ministério da Saúde. (2013c). Brasília - DF. Portaria nº 2.095, de 24 de setembro de 2013. Aprova os Protocolos Básicos de Segurança do Paciente. Recuperado em 10 agosto, 2020, de http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt2095_24_09_2013.html
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097
Nam-Ju L., Haena J., Su-Yeon P. (2016). Patient safety education and baccalaureate nursing students' patient safety competency: A cross-sectional study. Nurs Health Sci. 18(2):163-71.
Nascimento, M. S. e Magro, M. C. da S. (2018). Simulação realística: método de melhoria de conhecimento e autoconfiança de estudantes de Enfermagem na administração de medicamento. REME rev. min. enferm, 22, e1094. DOI: 10.5935/1415-2762.20180024
Omura, M., Levett-Jones, T., Stone, T. E., Maguire, J., & Lapkin, S. (2015). Measuring the impact of an interprofessional multimedia learning resource on Japanese nurses and nursing students using the Theory of Planned Behavior Medication Safety Questionnaire. Nursing & health sciences, 17(4), 500–506. https://doi.org/10.1111/nhs.12224
Orbæk, J., Gaard, M., Fabricius, P., Lefevre, R. S., & Møller, T. (2015). Patient safety and technology-driven medication - A qualitative study on how graduate nursing students navigate through complex medication administration. Nurse education in practice, 15(3), 203–211. https://doi.org/10.1016/j.nepr.2014.11.015
Preston, P., Leone-Sheehan, D., & Keys, B. (2019). Nursing student perceptions of pharmacology education and safe medication administration: A qualitative research study. Nurse education today, 74, 76–81.
Ragucci, K. R., Kern, D. H., & Shrader, S. P. (2016). Evaluation of Interprofessional Team Disclosure of a Medical Error to a Simulated Patient. American journal of pharmaceutical education, 80(8), 138. https://doi.org/10.5688/ajpe808138
Rodrigues, I. D. C. V., et al. (2020). Realistic simulation: use and benefits for teaching - learning nursing diagnostic reasoning. Research, Society and Development, 9(7), e553974338. https://doi.org/10.33448/rsd-v9i7.4338
Savage A. R. (2015). Educational audit on drug dose calculation learning in a Tanzanian school of nursing. African health sciences, 15(2), 647–655. https://doi.org/10.4314/ahs.v15i2.44
Schneidereith T. (2015). Seeing Through Google Glass: Using an Innovative Technology to Improve Medication Safety Behaviors in Undergraduate Nursing Students. Nursing education perspectives, 36(5), 337–339. https://doi.org/10.5480/15-1653
Serag-Bolos, E. S., Miranda, A. C., Gelot, S. R., Dharia, S. P., & Shaeer, K. M. (2017). Assessing students' knowledge regarding the roles and responsibilities of a pharmacist with focus on care transitions through simulation. Currents in pharmacy teaching & learning, 9(4), 616–625. https://doi.org/10.1016/j.cptl.2017.03.020
Silva, A. F., Pontes, G. A. de & Belian, R. B. (2020) Simulação clínica e educação médica: relato de experiência sobre construção de um cenário de alta fidelidade. Revista de Saúde Digital e Tecnologias Educacionais, 5(1), 99-111. https://doi.org/10.36517/resdite.v5.n1.2020.re9
Silva, K. K. A. & Behar, P. A. (2019). Competências digitais na educação: uma discussão acerca do conceito. Educação em Revista, 35, e209940. https://doi.org/10.1590/0102-4698209940
Souza, L. B. e Bonamigo, A. W. (2019). Integração Ensino-serviço na Formação de Profissionais para Sistemas Públicos De Saúde. Trab. educ. saúde, 17(3), e0021747.
Tittle, V., Randall, D., Maheswaran, V., Webb, A., Quantrill, S., & Roberts, M. (2014). Practical prescribing course: a student evaluation. The clinical teacher, 11(1), 38–42. https://doi.org/10.1111/tct.12106
Toassi, R. F. C., et al. (2020). Ensino da graduação em cenários da atenção primária: espaço para aprendizagem interprofissional. Trab. educ. Saúde, 18(2), e0026798. https://doi.org/10.1590/1981-7746-sol00267
Ward, S., & Wasson, G. (2016). Bridging the gap: improving safe prescribing from university to workplace. International journal of clinical pharmacy, 38(5), 1023–1026. https://doi.org/10.1007/s11096-016-0346-x
Whitehair, L., Provost, S., & Hurley, J. (2014). Identification of prescribing errors by pre-registration student nurses: a cross-sectional observational study utilising a prescription medication quiz. Nurse education today, 34(2), 225–232. https://doi.org/10.1016/j.nedt.2012.12.010
Wilson, J. A., Pegram, A. H., Battise, D. M., & Robinson, A. M. (2017). Traditional lecture versus jigsaw learning method for teaching Medication Therapy Management (MTM) core elements. Currents in pharmacy teaching & learning, 9(6), 1151–1159. https://doi.org/10.1016/j.cptl.2017.07.028
World Health Organization. (2005). World Alliance for Patient Safety: forward programme. Recuperado em 10 agosto, 2020, de https://www.who.int/patientsafety/en/brochure_final.pdf
World Health Organization. (2006). First Global Patient Safety Challenge: Clean Care is Safer Care. Recuperado em 10 agosto, 2020, de https://www.who.int/gpsc/clean_care_is_safer_care/en/
World Health Organization. (2008). The Second Global Patient Safety Challenge: Safe Surgery Saves Lives. Recuperado em 10 agosto, 2020, de https://apps.who.int/iris/handle/10665/70080
World Health Organization. (2009). Conceptual Framework for the International Classification for Patient Safety. Recuperado em 10 agosto, 2020, de https://www.who.int/patientsafety/taxonomy/icps_full_report.pdf
World Health Organization. (2011). WHO patient safety curriculum guide: multiprofessional edition. Recuperado em 10 agosto, 2020, de https://apps.who.int/iris/bitstream/handle/10665/44641/9789241501958_cze.pdf
World Health Organization. (2017a). Medication Without Harm - Global Patient Safety Challenge on Medication Safety. Recuperado em 10 agosto, 2020, de http://www.gims-foundation.org/wp-content/uploads/2017/05/WHO-Brochure-GPSC_Medication-Without-Harm-2017.pdf
World Health Organization. (2017b). WHO launches global effort to halve medication-related errors in 5 years. Recuperado em 10 agosto, 2020, de https://www.who.int/news/item/29-03-2017-who-launches-global-effort-to-halve-medication-related-errors-in-5-years
World Health Organization, Organization for Economic Co-operation and Development, and The World Bank. (2018). Delivering Quality Health Services: A Global Imperative. Recuperado em 10 agosto, 2020, de https://apps.who.int/iris/handle/10665/272465
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Derechos de autor 2020 Juliane Cabral ; Domênica Bossardi Ramos; Camila Borba Ferreira; Rita Catalina de Aquino Caregnato; Carine Raquel Blatt
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