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Nurses’ and pharmacists’ learning experiences from participating in interprofessional medication reviews for elderly in primary health care : a qualitative study

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  • معلومة اضافية
    • بيانات النشر:
      Mittuniversitetet, Avdelningen för omvårdnad
      Nord University, Namsos, Norway; Norwegian University of Science and Technology, Trondheim, Norway
      University of Oslo, Oslo, Norway
      Centre for Care research Mid-Norway, Steinkjer, Norway
      Centre for Care research Mid-Norway, Steinkjer, Norway; Nord University, Namsos, Norway
      Norwegian University of Science and Technology, Trondheim, Norway
    • الموضوع:
      2017
    • Collection:
      Mid Sweden University: Publications (DiVA)
    • نبذة مختصرة :
      Background: Traditionally, drug prescription and follow up have been the sole responsibility of physicians. However, interprofessional medication reviews (IMRs) have been developed to prevent drug discrepancies and patient harmespecially for elderly patients with polypharmacy and multimorbidity. What participating nurses and pharmacists learnfrom each other during IMR is poorly studied. The aim of this study was to investigate nurses’ and pharmacists’ perceived learning experience after participating in IMRs in primary health care for up to two years. Methods: A qualitative study with semi-structured focus group interviews and telephone interviews with nurses and pharmacists with experience from IMRs in nursing homes and home based services. The data was analysed thematically by using systematic text condensation. Results: Thirteen nurses and four pharmacists were interviewed. They described some challenges concerning how to ensure participation of all three professions and how to get thorough information about the patient. As expected, both professions talked of an increased awareness with time of the benefit of working as a team and the perception of contributing to better and more individual care. The nurses’ perception of the pharmacist changed from being a controller of drug management routines towards being a source of pharmacotherapy knowledge and a discussant partner of appropriate drug therapy in the elderly. The pharmacists became more aware of the nurses’ crucial role of providing clinical information about the patient to enable individual advice. Increasingly the nurses learned to link the patient’s symptoms of effect and side effect to the drugs prescribed. Conclusions: Although experiencing challenges in conducting IMRs, the nurses and pharmacists had learning experiences they said improved both their own practice and the quality of drug management. There are some challenges concerning how to ensure participation of all three professions and how to get thorough information about the patient.
    • File Description:
      application/pdf
    • Relation:
      BMC Family Practice, 2017, 18:1, s. 30-; http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-30490; PMID 28241789; ISI:000397342700002; Scopus 2-s2.0-85040460151
    • الرقم المعرف:
      10.1186/s12875-017-0598-0
    • Rights:
      info:eu-repo/semantics/openAccess
    • الرقم المعرف:
      edsbas.FCD76049