Taking responsibility for pharmacotherapy: the role of philosophy of pharmaceutical care practice in the process of learning clinical skills
DOI:
https://doi.org/10.30968/jhphs.2025.163.1316Abstract
Objective: To describe how awareness of professional responsibility assumed based on the philosophy of the Pharmaceutical Care practice model impacts the development of competencies for clinical practice from the perspective of pharmacists working in the Brazilian Unified Health System. Methods: This is a qualitative study, based on the Grounded Theory methodology with a constructivist approach. In-depth interviews were conducted between April and June 2024 with pharmacists working in secondary and tertiary care of Brazilian Unified Health System, selected by intentional sampling. Data was analyzed with NVivo until thematic saturation. Results: Nine pharmacists who worked in the provision of clinical services in their practice settings were selected. Their statements demonstrated the importance of pharmacists understanding their role in the care process, to allow greater discernment regarding their attributions and the competencies necessary for practice. This awareness regarding the incorporation of the philosophy of Pharmaceutical Care practice also demonstrated to facilitate the identification of deficiencies and needs for improvement and the development of collaborative competencies. Thus, four elements stood out and outlined the reflections, namely: understanding of the assumed responsibility; the paradigm shift; integration into the multidisciplinary team and the importance of a practice standard. Conclusion: The philosophy of professional practice guides the pharmacist regarding their responsibility in the care process and, when internalized and assumed by pharmacists, proves to be an important pillar in the process of developing competencies for clinical pharmaceutical practice. Developing a workforce that recognizes its philosophy of practice and is prepared to assume responsibility for managing patients’ pharmacotherapeutic needs should therefore be part of actions linked to the development process of pharmacists focused on care.
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