Pharmacy Practice Experiential Programs in the Context of Clinical Education

Objectives: The purpose of this study was to observe the potency of musculoskeletal disorders (MSDs) and risk factors of pharmaceutical works in Ujung Berung General Hospital pharmacy installation including preparing, storage, and distribution, using computer workstation and to provide preventive suggestion to increase safety and prevent decrease of productivity in the hospital pharmacy installation.Methods: It was qualitative and quantitative descriptive research. Data were taken using observational method during pharmaceutical work from February to April 2017 and analyzed using Rapid Entire Body Assessment (REBA) worksheet to obtain the level of MSDs risk factors. The participants were categorized into low risk for score of <4, medium risk for score of 4–7, and high risk for score of 8–10. Data were showed in statistic and narrative explanation.Results: 42.9% of workers were in high risk, 35.7% of workers were in medium risk, 14.3% of workers were in very high risk, and 7.1% of pharmaceutical workers in hospital pharmacy were in low risk.Conclusion: Most of the workers had potency for MSDs. Common problems related to MSDs occurred were basic risk factors during pharmaceutical work such as force, repetition, awkward posture, static posture, and contact stress that caused trauma.

“…7. This can minimize spending muscle strength and body weight emphasis when taking heavy objects [12]. Fig.…”

Section: Resultsmentioning

confidence: 99%

“…An ergonomic guide for hospital pharmacies issued by OHSAS in 2004 explained ideal distance for taking goods, i.e. if item to resting muscles for a moment before the next take[12].…”

mentioning

confidence: 99%

The Potency of Musculoskeletal Disorders and Ergonomic Risk Factors of Pharmacy Worker at a Hospital Pharmacy Installation in Bandung

Nurfitria¹,

Sutrisno²,

Ramadhania³

2018

“…As a result, we believe that the model of Kurt Lewin can assist organizations that wish to establish CMM services with satisfactory results. It can also meet the interests of both organizations and academia [47][48][49]50] as it produced knowledge that promoted change in the studied reality.…”

Section: Discussionmentioning

confidence: 99%

Implementation and Systematization of a Comprehensive Medication Management (Cmm) Service Delivered to Women With Breast Cancer

Ribeiro

Mendonça

Filardi

et al. 2018

Objective: The aim of the present study was to describe the process of implementation and systematization of a comprehensive medication management (CMM) service, from the perspective of the participants involved, in a high complexity service that cares for women with breast cancer in Brazil.Methods: A qualitative study that utilized action research that followed the procedures proposed by Kurt Lewin and the ethical and clinical principles of pharmaceutical care practice. Data collection techniques were participant observation between August 2014 and December 2016, semi-structured interviews with eight pharmacists and pharmacy residents, field notes, and analysis of documents.Results: Six major themes emerged in four cycles of the action research process: (1) Resistance is human; the management of conflict is necessary; (2) insecurity with being a clinician; (3) management of change supported by driving forces; (4) pharmaceutical care fostering professionals’ self-efficacy; (5) documentation as the conducting wire of the practice; and (6) the advantages of a systematized practice.Conclusion: The study offered an understanding of the process of implementation of CMM services from the perspective of pharmacists. It produced knowledge on the experiences of pharmacists as they lived through the process of transformation of their professional practice to offer a patient-centered and systematized service. The framework of Lewin supported the introduction of a new work path for pharmacists, which could be operationalized as an innovative technology for the Brazilian health-care system: CMM services.

Section: Discussionmentioning

confidence: 99%

Implementation and Systematization of a Comprehensive Medication Management (Cmm) Service Delivered to Women With Breast Cancer

Ribeiro

Mendonça

Filardi

et al. 2018

Objective: The aim of the present study was to describe the process of implementation and systematization of a comprehensive medication management (CMM) service, from the perspective of the participants involved, in a high complexity service that cares for women with breast cancer in Brazil. Methods:A qualitative study that utilized action research that followed the procedures proposed by Kurt Lewin and the ethical and clinical principles of pharmaceutical care practice. Data collection techniques were participant observation between August 2014 and December 2016, semi-structured interviews with eight pharmacists and pharmacy residents, field notes, and analysis of documents.Results: Six major themes emerged in four cycles of the action research process: (1) Resistance is human; the management of conflict is necessary; (2) insecurity with being a clinician; (3) management of change supported by driving forces; (4) pharmaceutical care fostering professionals' selfefficacy; (5) documentation as the conducting wire of the practice; and (6) the advantages of a systematized practice. Conclusion:The study offered an understanding of the process of implementation of CMM services from the perspective of pharmacists. It produced knowledge on the experiences of pharmacists as they lived through the process of transformation of their professional practice to offer a patientcentered and systematized service. The framework of Lewin supported the introduction of a new work path for pharmacists, which could be operationalized as an innovative technology for the Brazilian health-care system: CMM services.