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Operacionalização da ferramenta do Norwegian General Practice-Nursing Home à realidade portuguesa
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Abstract(s)
A prescrição de Medicamentos Potencialmente Inapropriados (MPI) é uma preocupação crescente entre a população idosa institucionalizada, devido às suas características específicas e à elevada prevalência de uso inadequado de medicamentos. Em Portugal, não existe uma lista adaptada de MPI para esta população, o que motivou a adaptação dos critérios Norwegian General Practice Nursing Home criteria (NORGEP-NH) para a realidade nacional. O objetivo principal desta dissertação foi operacionalizar os critérios NORGEP-NH para idosos institucionalizados em Portugal, utilizando o Método Delphi com um painel de peritos composto por médicos, farmacêuticos e enfermeiros com experiência na gestão de cuidados a idosos. Os critérios foram avaliados quanto à sua relevância clínica numa escala de Likert de 0 (sem relevância clínica) a 10 (alta relevência clínica). O processo de consenso necessitou de apenas uma ronda online. A lista final, resultante do consenso, incluiu 35 critérios explícitos para o uso potencialmente inapropriado de medicamentos em lares de idosos, divididos em três secções: substâncias
únicas, combinações e desprescrição.
A adaptação dos critérios NORGEP-NH para Portugal mostrou-se relevante e
ajustada ao contexto clínico dos idosos institucionalizados, o que facilitará a
prática clínica diária dos profissionais de saúde em lares de idosos.
Conclui-se que a operacionalização dos critérios NORGEP-NH para a realidade
portuguesa é uma ferramenta valiosa para melhorar a segurança
medicamentosa e otimizar os cuidados aos idosos institucionalizados,
contribuindo para uma prática clínica mais informada e orientada para as
necessidades específicas dos utentes.
The prescription of potentially inappropriate medications (PIM) is a growing concern among the institutionalised elderly population, due to their specific characteristics and the high prevalence of inappropriate medication use. In Portugal, there is no adapted list of PIM for this population, which led to the adaptation of the Norwegian General Practice Nursing Home criteria (NORGEPNH criteria) to the national context. The main objective of this dissertation was to operationalise the NORGEP-NH criteria for institutionalised elderly individuals in Portugal, using the Delphi Method with a panel of experts consisting of doctors, pharmacists, and nurses with experience in elderly care management. The criteria were evaluated for their clinical relevance on a Likert scale from 0 (no clinical relevance) to 10 (high clinical relevance). The consensus process took place in an online round. The final list, resulting from consensus, included 35 explicit criteria for the PIMs in nursing homes, divided into three sections: single substances, combinations, and deprescribing. The adaptation of the NORGEP-NH criteria for Portugal proved to be relevant and suited to the clinical context of institutionalised elderly individuals, facilitating the daily clinical practice of healthcare professionals in nursing homes. The conclusion is that putting the NORGEP-NH criteria into practice in Portugal is a useful way to make medications safer and improve care for elderly people who live in institutions. This leads to better clinical practice that is tailored to the users' specific needs.
The prescription of potentially inappropriate medications (PIM) is a growing concern among the institutionalised elderly population, due to their specific characteristics and the high prevalence of inappropriate medication use. In Portugal, there is no adapted list of PIM for this population, which led to the adaptation of the Norwegian General Practice Nursing Home criteria (NORGEPNH criteria) to the national context. The main objective of this dissertation was to operationalise the NORGEP-NH criteria for institutionalised elderly individuals in Portugal, using the Delphi Method with a panel of experts consisting of doctors, pharmacists, and nurses with experience in elderly care management. The criteria were evaluated for their clinical relevance on a Likert scale from 0 (no clinical relevance) to 10 (high clinical relevance). The consensus process took place in an online round. The final list, resulting from consensus, included 35 explicit criteria for the PIMs in nursing homes, divided into three sections: single substances, combinations, and deprescribing. The adaptation of the NORGEP-NH criteria for Portugal proved to be relevant and suited to the clinical context of institutionalised elderly individuals, facilitating the daily clinical practice of healthcare professionals in nursing homes. The conclusion is that putting the NORGEP-NH criteria into practice in Portugal is a useful way to make medications safer and improve care for elderly people who live in institutions. This leads to better clinical practice that is tailored to the users' specific needs.
Description
Keywords
Idoso Critérios de medicamentos potencialmente inapropriados Norgep-nh operacionalizada