Home care nurses’ perceptions about their role in interprofessional collaborative practice in clinical medication reviews
Journal of Interprofessional Education & Practice, vol. 28, pp. 100526
Abstract
Regular clinical medication reviews (CMRs) are recommended for monitoring and addressing potential drug-related problems, especially in elderly people. Interprofessional collaborative practice (ICP) by general practitioners, community pharmacists, and nurses in a CMR is recommended and expected to produce more efficient CMRs. Involving home care nurses in ICP is not yet well implemented, and their perspectives are unclear. This study explores how they perceive their role in ICP in CMRs and the requirements to assume that role. Structured interviews were performed, using case-vignettes; data were analyzed with a thematic analysis approach. Twelve home care nurses were interviewed. Three themes regarding the nurses' role were identified: (1) observing, recognizing, and communicating information for a CMR to prescribers and community pharmacists (2); helping to provide patient information and education about implemented changes in the pharmaceutical care plan; and (3) the nurses’ level of involvement in ICP. Three themes regarding requirements were identified: (1) nursing competences, (2) periodic interprofessional consultation and ad hoc interprofessional communication, and (3) guidelines describing the role of nurses. Home care nurses could provide additional support in a CMR. Nursing competences, periodic interprofessional consultation and ad hoc interprofessional communication, and guidelines describing the role of home care nurses are required.
Authors 6
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Nienke E. Dijkstra corresponding
University of Applied Sciences Utrecht
Affiliation as printed
Research Group Innovation in Pharmaceutical Care, University of Applied Sciences Utrecht, Heidelberglaan 7, 3584 CS Utrecht, PO Box 12011, 3501 AA, Utrecht, the Netherlands
Research Group Proactive Care for Elderly People Living at Home, University of Applied Sciences Utrecht, Heidelberglaan 7, 3584 CS, Utrecht, the Netherlands
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University of Applied Sciences Utrecht
Affiliation as printed
Research Group Proactive Care for Elderly People Living at Home, University of Applied Sciences Utrecht, Heidelberglaan 7, 3584 CS, Utrecht, the Netherlands
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Utrecht University · University Medical Center Utrecht · University of Southampton
Affiliation as printed
Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, United Kingdom
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SIR Institute for Pharmacy Practice and Policy
Affiliation as printed
SIR Institute for Pharmacy Practice and Policy, Leiden, the Netherlands
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Affiliation as printed
Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Heidelberglaan 8, 3584 CS, Utrecht, the Netherlands
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University of Applied Sciences Utrecht · Utrecht University
Affiliation as printed
Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Heidelberglaan 8, 3584 CS, Utrecht, the Netherlands
Research Group Innovation in Pharmaceutical Care, University of Applied Sciences Utrecht, Heidelberglaan 7, 3584 CS Utrecht, PO Box 12011, 3501 AA, Utrecht, the Netherlands
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