RESUMO
AIMS: Since knowledge, skills, and attitudes influence the adherence to self-care behaviours, the purpose of this review was to identify available instruments that measure diabetes knowledge, skills or attitudes of people living with this health condition and to evaluate their measurement properties. METHODS: A systematic search was conducted in PubMed, EMBASE, SCOPUS, Web of Science and CINAHL databases. The methodological quality of the included studies was assessed by the Consensus-based Standards for the selection of health Measurement Instruments. Risk of Bias checklist. The results of each study were rated by the updated criteria for good measurement properties and the quality of evidence was graded using a modified Grading of Recommendations Assessment, Development, and Evaluation approach. RESULTS: This review included 38 instruments that assess diabetes knowledge (n = 26) or skills (n = 6) or attitudes (n = 5) or both three constructs (n = 1). About 40% had satisfactory results for relevance, comprehensiveness, and comprehensibility, and about 30% had unsatisfactory results for comprehensiveness, but these results were supported by very low evidence. Most studies showed indeterminate results for structural validity (50%), internal consistency (98%) and reliability (84%). Instruments that had satisfactory results for construct validity and reliability were supported by low to very low evidence. One responsiveness study was identified, and the result was satisfactory, but supported by low evidence. The Diabetes Knowledge Questionnaire is the instrument with best evidence for use. CONCLUSIONS: To plan more assertive interventions, researchers need to follow up guidelines to develop instruments with good quality of the measurement proprieties.
Assuntos
Diabetes Mellitus , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Diabetes Mellitus/psicologia , Inquéritos e Questionários , AutocuidadoRESUMO
OBJECTIVE: This scoping review aimed to map the evidence of pharmacist-led medication reconciliation in hospital emergency services in Brazil. METHOD: We performed a scoping review by searching electronic databases LILACS, Pubmed, Embase, CINAHL, Scopus, Web of Science, Clinical trials, REBEC e Cochrane and conducting a manual search to identify studies published up to 20 October 2021. Studies that addressed pharmacist-led medication reconciliation in hospital emergency services in Brazil, regardless of clinical conditions, and outcomes evaluated, were included. RESULTS: A total of 168 studies were retrieved, with three matching the inclusion criteria. Most studies performed pharmacist-led medication reconciliation at emergency department admissions, but it was not the primary pharmaceutical attribution in this setting. Medication errors were identified during the medication reconciliation process, being drug omission the most reported. Studies did not describe the concerns in collecting the best medication history from patients and the humanistic, economic, and clinical outcomes of pharmacist-led medication reconciliation. Conclusions: This scoping review revealed the lack of evidence about the pharmacist-led medication reconciliation process in the emergency setting in Brazil. The findings suggest the need for future studies in this context.
OBJETIVO: Documentar la evidencia de la conciliación de medicamentos dirigida por farmacéuticos en los servicios de emergencia hospitalarios en Brasil.Método: Se realizó una revisión sistemática exploratoria de bases de datos electrónicas LILACS, Pubmed, Embase, CINAHL, Scopus, Web of Science, Clinical Trials, REBEC y Cochrane para identificar estudios publicados hasta el 20 de octubre de 2021. Los estudios incluidos abordaban la conciliación de medicamentos dirigida por farmacéuticos en los servicios de emergencia hospitalarios en Brasil, independientemente de las condiciones clínicas y los resultados evaluados. RESULTADOS: Se recuperaron un total de 168 estudios, tres de los cuales cumplieron los criterios de inclusión. La mayoría de los estudios realizaban la conciliación de la medicación dirigida por el farmacéutico en las admisiones al servicio de urgencias, pero ésta no era la principal atribución farmacéutica en ese contexto. Los errores de medicación fueron identificados durante el proceso de conciliación de medicamentos, siendo la omisión de medicamentos el error más reportado. Los estudios no hacían referencia a la importancia de recabar un historial farmacológico lo más completo posible ni a los resultados humanísticos, económicos y clínicos de la conciliación de medicamentos dirigida por farmacéuticos. CONCLUSIONES: Esta revisión sistemática exploratoria reveló la falta de evidencia sobre el proceso de conciliación de medicamentos dirigido por farmacéuticos en los servicios de urgencias de Brasil. Los hallazgos sugieren la necesidad de seguir investigando sobre este asunto.
Assuntos
Reconciliação de Medicamentos , Farmacêuticos , Brasil , Serviço Hospitalar de Emergência , Humanos , Preparações FarmacêuticasRESUMO
Objetivo: Documentar la evidencia de la conciliación de medicamentos dirigida por farmacéuticos en los servicios de emergencia hospitalarios en Brasil.Método: Se realizó una revisión sistemática exploratoria de bases dedatos electrónicas LILACS, Pubmed, Embase, CINAHL, Scopus, Web ofScience, Clinical Trials, REBEC y Cochrane para identificar estudios publicados hasta el 20 de octubre de 2021. Los estudios incluidos abordabanla conciliación de medicamentos dirigida por farmacéuticos en los servicios de emergencia hospitalarios en Brasil, independientemente de lascondiciones clínicas y los resultados evaluados.Resultados: Se recuperaron un total de 168 estudios, tres de los cualescumplieron los criterios de inclusión. La mayoría de los estudios realizaban la conciliación de la medicación dirigida por el farmacéutico en lasadmisiones al servicio de urgencias, pero ésta no era la principal atribución farmacéutica en ese contexto. Los errores de medicación fueron identificados durante el proceso de conciliación de medicamentos, siendo laomisión de medicamentos el error más reportado. Los estudios no hacían referencia a la importancia de recabar un historial farmacológico lo máscompleto posible ni a los resultados humanísticos, económicos y clínicosde la conciliación de medicamentos dirigida por farmacéuticos.(AU)
Objective: This scoping review aimed to map the evidence of pharmacist-led medication reconciliation in hospital emergency services in Brazil.Method: We performed a scoping review by searching electronic databases LILACS, Pubmed, Embase, CINAHL, Scopus, Web of Science,Clinical trials, REBEC e Cochrane and conducting a manual search toidentify studies published up to 20 October 2021. Studies that addressedpharmacist-led medication reconciliation in hospital emergency servicesin Brazil, regardless of clinical conditions, and outcomes evaluated, wereincluded.Results: A total of 168 studies were retrieved, with three matching theinclusion criteria. Most studies performed pharmacist-led medicationreconciliation at emergency department admissions, but it was not theprimary pharmaceutical attribution in this setting. Medication errors wereidentified during the medication reconciliation process, being drug omission the most reported. Studies did not describe the concerns in collectingthe best medication history from patients and the humanistic, economic,and clinical outcomes of pharmacist-led medication reconciliation. Conclusions: This scoping review revealed the lack of evidence aboutthe pharmacist-led medication reconciliation process in the emergencysetting in Brazil. The findings suggest the need for future studies in thiscontext. (AU)
