Implementation of clinical pharmacy services in Brazilian Hospitals: A Scoping Review
DOI:
https://doi.org/10.30968/rbfhss.2024.151.1072Abstract
Objective: To map studies in the literature on the implementation of clinical pharmacy services in Brazilian hospitals. Methods: A scoping review was performed, following the recommendations described in the Joanna Briggs Institute Reviewer’s Manual. A systematic search was carried out, in April 2023, in the PubMed/MEDLINE, Virtual Health Library, Web of Science, Embase and Google Scholar databases, using descriptors related to: “implementation science”, “pharmacists” and “hospitals”. Two reviewers independently analyzed the titles, abstracts, and full texts of the articles according to the eligibility criteria. Data from the included articles were extracted and presented descriptively. Results: Searches in the databases resulted in 323 articles, of which seven were included in this review. Most studies were carried out in the southeast of the country (n=4). As for the design of the studies, four was quantitative and observational and two was qualitative study. Most studies used the nomenclature “Clinical Pharmacy Service” to refer to the implemented service (n=5). Five studies did not describe in detail the method used for implementation and only one study used a framework to guide this process. As for the implementation results, most of the studies (n=4) aimed to quantify pharmaceutical interventions or the impact of the service, focusing on the impact of the pharmacist’s performance. Conclusion: This scoping review highlighted the scarcity of studies investigating the implementation of clinical pharmacy services in Brazilian hospitals. Furthermore, most studies did not describe in detail the method used for implementation. Such findings indicate the need for further studies that explore this theme, using the bases of Implementation Science, to contribute to the benefits of clinical pharmacy services being translated into clinical practice.
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