Construction and validation of an instrument to identify barriers to implementing pharmaceutical care
Background: Pharmaceutical Care is a professional practice in high demand for implementation in Primary Health Care within the Public Health System. Consequently, it was necessary to develop and validate an instrument to assess the obstacles to this process. Methods: A methodological study was condu...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Exploratory Research in Clinical and Social Pharmacy |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667276624001264 |
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| author | Luanna Gabriella Resende da Silva Rúbia Yumi Murakami Silva Mariana Linhares Pereira Maria Teresa Herdeiro André Oliveira Baldoni |
| author_facet | Luanna Gabriella Resende da Silva Rúbia Yumi Murakami Silva Mariana Linhares Pereira Maria Teresa Herdeiro André Oliveira Baldoni |
| author_sort | Luanna Gabriella Resende da Silva |
| collection | DOAJ |
| description | Background: Pharmaceutical Care is a professional practice in high demand for implementation in Primary Health Care within the Public Health System. Consequently, it was necessary to develop and validate an instrument to assess the obstacles to this process. Methods: A methodological study was conducted in three stages: first, the questionnaire was developed based on the APOTECA framework, which includes Attitudinal, Political, Technical, and Administrative domains. Second, the content was validated using the Delphi Technique, with a content validity coefficient greater than or equal to 0.8 considered acceptable. Third, a pre-test was conducted with pharmacists working in Primary Health Care within the Public Health System. After validation, the instrument was administered to pharmacists participating in a training and support project for the implementation of Pharmaceutical Care. Results: The results indicated that the instrument was validated after two rounds of evaluation, with the first round involving 33 experts achieving a total content validity coefficient of 96 %, and the second round involving 18 experts achieving a total content validity coefficient of 98 %. In the third stage, the pre-test with Primary Health Care pharmacists resulted in a total content validity coefficient of 91 %. The final version of the questionnaire, which incorporated suggestions for improvements, included 19 questions. When answered by pharmacists, the responses indicated that Technical questions were the most significant barrier to implementation, followed by Political, Attitudinal, and Administrative questions. Conclusion: The validation of this instrument provides an important tool for identifying factors that hinder the implementation of Pharmaceutical Care within the Public Health System. |
| format | Article |
| id | doaj-art-e917770da5bd415e9150e7c11b7b9456 |
| institution | Kabale University |
| issn | 2667-2766 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Exploratory Research in Clinical and Social Pharmacy |
| spelling | doaj-art-e917770da5bd415e9150e7c11b7b94562024-12-07T08:34:48ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662024-12-0116100529Construction and validation of an instrument to identify barriers to implementing pharmaceutical careLuanna Gabriella Resende da Silva0Rúbia Yumi Murakami Silva1Mariana Linhares Pereira2Maria Teresa Herdeiro3André Oliveira Baldoni4Clinical Pharmacy Teaching and Research Center (NEPeFaC). Federal University of São João del-Rei, Campus Centro-Oeste Dona Lindu, Brazil; Corresponding author.Clinical Pharmacy Teaching and Research Center (NEPeFaC). Federal University of São João del-Rei, Campus Centro-Oeste Dona Lindu, BrazilClinical Pharmacy Teaching and Research Center (NEPeFaC). Federal University of São João del-Rei, Campus Centro-Oeste Dona Lindu, BrazilDepartment of Medical Sciences, Institute of Biomedicine (iBiMED), University of Aveiro. Adress: Campus Universitário de Santiago - Agra do Crasto: Edifício 30, 3810-193 Aveiro, PortugalClinical Pharmacy Teaching and Research Center (NEPeFaC). Federal University of São João del-Rei, Campus Centro-Oeste Dona Lindu, BrazilBackground: Pharmaceutical Care is a professional practice in high demand for implementation in Primary Health Care within the Public Health System. Consequently, it was necessary to develop and validate an instrument to assess the obstacles to this process. Methods: A methodological study was conducted in three stages: first, the questionnaire was developed based on the APOTECA framework, which includes Attitudinal, Political, Technical, and Administrative domains. Second, the content was validated using the Delphi Technique, with a content validity coefficient greater than or equal to 0.8 considered acceptable. Third, a pre-test was conducted with pharmacists working in Primary Health Care within the Public Health System. After validation, the instrument was administered to pharmacists participating in a training and support project for the implementation of Pharmaceutical Care. Results: The results indicated that the instrument was validated after two rounds of evaluation, with the first round involving 33 experts achieving a total content validity coefficient of 96 %, and the second round involving 18 experts achieving a total content validity coefficient of 98 %. In the third stage, the pre-test with Primary Health Care pharmacists resulted in a total content validity coefficient of 91 %. The final version of the questionnaire, which incorporated suggestions for improvements, included 19 questions. When answered by pharmacists, the responses indicated that Technical questions were the most significant barrier to implementation, followed by Political, Attitudinal, and Administrative questions. Conclusion: The validation of this instrument provides an important tool for identifying factors that hinder the implementation of Pharmaceutical Care within the Public Health System.http://www.sciencedirect.com/science/article/pii/S2667276624001264Validation studyEvidence-based pharmaceutical practicePharmaceutical carePublic health system |
| spellingShingle | Luanna Gabriella Resende da Silva Rúbia Yumi Murakami Silva Mariana Linhares Pereira Maria Teresa Herdeiro André Oliveira Baldoni Construction and validation of an instrument to identify barriers to implementing pharmaceutical care Exploratory Research in Clinical and Social Pharmacy Validation study Evidence-based pharmaceutical practice Pharmaceutical care Public health system |
| title | Construction and validation of an instrument to identify barriers to implementing pharmaceutical care |
| title_full | Construction and validation of an instrument to identify barriers to implementing pharmaceutical care |
| title_fullStr | Construction and validation of an instrument to identify barriers to implementing pharmaceutical care |
| title_full_unstemmed | Construction and validation of an instrument to identify barriers to implementing pharmaceutical care |
| title_short | Construction and validation of an instrument to identify barriers to implementing pharmaceutical care |
| title_sort | construction and validation of an instrument to identify barriers to implementing pharmaceutical care |
| topic | Validation study Evidence-based pharmaceutical practice Pharmaceutical care Public health system |
| url | http://www.sciencedirect.com/science/article/pii/S2667276624001264 |
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