Interprofessional education for shared decision making in drug therapy: a scoping review.

The current complex scenario of medication use calls for the implementation of interprofessional education (IPE) initiatives focused on shared decision making (SDM) in drug therapy. A scoping review was conducted to collate, summarize, and report the evidence available on IPE teaching and learning approaches in this context, involving pre-licensure healthcare students. Searches were conducted in seven electronic databases, with 21 articles meeting the inclusion criteria. This review examines educational strategies employed for interprofessional SDM as well as characteristics of students, teachers, and tutors involved in IPE interventions. The reviewed studies lack detailed description of the students' decision-making process, and none addresses aspects related to patient preferences as a part of learning outcomes. We identified shortcomings in how IPE interventions are assessed and reported. Only a few of the studies explicitly describe the use of competency-based frameworks proposed by national and international organizations, and less than 60% describe learning outcomes. The absence of experiences focused on interprofessional SDM in drug therapy suggests a gap that needs to be addressed with future studies evaluated in a robust way. We argue that such experiences enable students, as a team, to learn to share decisions with the patient as an effective team member.

Avaliação da educação interprofissional para a tomada de decisão compartilhada em farmacoterapia: uma revisão de escopo sobre métodos e instrumentos / Evaluación de la educación interprofesional para la toma de decisionescompartida en farmacoterapia: una revisión del alcance sobre métodos einstrumentos / Evaluation of interprofessional education for shared decision making in drug therapy: a scoping review on methods and instruments

Resumo Este estudo teve como objetivo descrever os métodos de pesquisa e instrumentos utilizados na avaliação de estratégias de educação interprofissional para a tomada de decisão compartilhada em farmacoterapia. Os tipos de avaliação empregados foram categorizados segundo o modelo adaptado de Kirkpatrick. Foi conduzida uma revisão de escopo, seguindo as recomendações do Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (Prisma-ScR). Entre os 21 estudos selecionados, houve predomínio dos métodos quantitativos na avaliação das experiências educacionais (n=18). Destes, o aspecto mais comum avaliado foi "atitudes e percepções dos estudantes em relação à educação e à prática interprofissional", por meio de instrumentos validados (n=13). Foram identificados dez diferentes instrumentos, que se mostraram em conformidade com as competências colaborativas do Interprofessional Education Collaborative. A variedade de instrumentos sinaliza a crescente produção de conhecimento acerca do assunto, mas aponta o desafio de realizar análises comparativas entre experiências educacionais ao redor do mundo. (AU)

Resumen El objetivo de este estudio es describir los métodos de investigación e instrumentos utilizados en la evaluación de estrategias de educación interprofesional para la toma de decisiones compartida en farmacoterapia. Los tipos de evaluación empleados se caracterizaron según el modelo adaptado de Kirkpatrick. Se realizó una revisión de alcance, siguiendo las recomendaciones del PRISMA-ScR. Entre los 21 estudios seleccionados, predominaron los métodos cuantitativos en la evaluación de las experiencias educativas (n=18). De ellos, el aspecto más común evaluado fue el de "actitudes y percepciones de los alumnos con relación a la educación y a la práctica interprofesional", por medio de instrumentos validados (n=13). Se identificaron diez diferentes instrumentos, que se mostraron en conformidad con las competencias colaborativas del Interprofessional Education Collaborative . La variedad de instrumentos señala la creciente producción de conocimiento sobre el asunto, pero muestra el desafío de realizar análisis comparativos entre experiencias educativas alrededor del mundo. (AU)

Abstract This study aimed to describe the research methods and instruments used in the evaluation of interprofessional education strategies for shared decision making in drug therapy. The types of evaluation employed were categorized according to Kirkpatrick's adapted model. A scoping review was conducted, following the PRISMA-ScR recommendations. Among the 21 selected studies, there was a predominance of quantitative methods in the evaluation of educational experiences (n=18). Of these, the most common aspect evaluated was "students' attitudes and perceptions towards interprofessional education and practice" by means of validated instruments (n=13). Ten different instruments were identified and found to be in line with the Interprofessional Education Collaborative competencies. The variety of instruments signals the growing production of knowledge about this topic, but points to the challenge of conducting comparative analyses between educational experiences around the world. (AU)

Autoetnografia colaborativa em tempos de pandemia: uma experiência de ensinoaprendizagem terapêutica e decolonial / Autoetnografía colaborativa en tiempos de pandemia: una experiencia de enseñanza-aprendizaje terapéutica y decolonial / Collaborative autoethnography in pandemic times: a therapeutic and decolonial teachinglearning experience

Esta Autoetnografia colaborativa teve como objetivo compreender a experiência de três estudantes em disciplina de Autoetnografia no programa de pós-graduação na Faculdade de Farmácia da Universidade Federal de Minas Gerais durante o período inicial da pandemia de Covid-19. Para tal, os diários de campo e as produções autoetnográficas dos estudantes - textos, poemas, fotografias, arquivos em áudio e arquivos em vídeo com performances ou dança - foram analisados. Destacaram-se os diversos aspectos terapêuticos e decoloniais que a Autoetnografia oportuniza pelo exercício metacognitivo. A disciplina humanizou o ambiente acadêmico proporcionando interconexão das ciências convencionais com as artes e a cultura. Este trabalho aponta os benefícios da Autoetnografia para a formação de profissionais de saúde críticos e reflexivos, especialmente os farmacêuticos, por promover competências apropriadas ao cuidado centrado na pessoa. (AU)

Esta autoetnografía tuvo el objetivo de comprender la experiencia de tres estudiantes de la asignatura de Autoetnografía en el programa de postgrado en la Facultad de Farmacia de la Universidad Federal de Minas Gerais durante el período inicial de la pandemia de Covid-19. Para ello, se analizaron los diarios de campo y las producciones autoetnográficas de los estudiantes: textos, poemas, fotografías, archivos de audio y archivos de video con performances o danza. Se destacaron los diversos aspectos terapéuticos y decoloniales a los que la Autoetnografía da oportunidad a partir del ejercicio metacognitivo. La asignatura humanizó el ambiente académico, proporcionando interconexión de las ciencias convencionales con las artes y la cultura. Este trabajo señala los beneficios de la Autoetnografía para la formación de profesionales de salud críticos y reflexivos, especialmente los farmacéuticos, por promover competencias apropiadas al cuidado centrado en la persona. (AU)

This collaborative autoethnography aimed to understand the experience of three students in an Autoethnography course in a graduate program at the Minas Gerais Federal University School of Pharmacy during the initial stages of the Covid-19 pandemic. To this end, the students' field journals and autoethnographic data - such as texts, poems, photographs, audio and video files with performances or dance - were analysed. The study highlighted multiple therapeutic and decolonial facets of autoethnography that arise from its metacognitive practice. This course humanized the academic environment, providing interconnectivity of conventional sciences with arts and culture. This research points out the benefits of including autoethnography in the training of health professionals as its critical and reflective features promote cultural and humanistic competences useful to person-centered care, which are very relevant to pharmacists. (AU)