Formative Study Of The Implementation Of The Practical Approach To Care Kit In Brazil (PACK Brazil)

Abstract

Introduction: The Practical Approach to Care Kit (PACK) is a comprehensive clinical practice guideline created to qualify health professionals at primary care level. The objective of this research is to present the formative study of the initial implementation of the PACK in Brazil. Methodological Path: Qualitative study that used in-depth interviews, questionnaires and focus groups with the trainers responsible for introducing the PACK in the local health clinics. To analyse the data, a thematic matrix technique was used. Results: Four in-depth interviews were conducted; 22 trainers answered the questionnaires and 15 trainers participated in two focus groups. Four themes were identified: 1. Expectations / Feelings regarding the PACK and its training; 2. Use of the PACK; 3. After the PACK; 4. Suggestions. Final Considerations: Participants were very enthusiastic about the implementation of the PACK. Some effects of the training on health professionals were noted in relation to the use of the protocol, such as: it appears to have been more widely used by doctors and nurses, who are not only accustomed to the routine of teaching and research, but who often have a close professional relationship. In addition, the results of this study highlighted important issues that need to be explored in order to understand the implementation of the PACK, such as factors related to behaviour change in individual clinical practice and care sharing.

Facilitators and obstacles to implementing the practical approach to the care kit/pack Brazil / Facilitadores e obstáculos para implementar a abordagem prática do kit de cuidados/ pacote Brasil

“…The PACK was considered by the interviewees to be simple to use (after training) and easy to access. The positive acceptance among the health professionals interviewed also confirmed the findings in the previous training study carried out with the PACK tutors 24 .…”

Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Brazil

“… 29 45 Currently, a process evaluation in Florianópolis involving PACK trainers, trained health workers and local PACK programme leads, is assessing the acceptability, feasibility and uptake of the programme among primary care practitioners. 46 Preliminary findings suggest a positive response to the PACK programme.…”