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Nurses' and pharmacists' learning experiences from participating in inter professional medication reviews in primary health care: a qualitative study.
Fakultet for sykepleie og helsevitenskap, Nord universitet, Bodø, Norge.
Universitetet i Oslo, Oslo, Norge.
Institutt for sykepleievitenskap, Norges teknisk-naturvitenskapelige universitet, Trondheim, Norge.
Fakultet for sykepleie og helsevitenskap, Nord universitet, Bodø, Norge.
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2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background and Objective: 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 harm. What participating nurses and pharmacists learn from 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. Setting and Method: 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. Main outcome measures: A qualitative method is useful when looking at objects from the perspective of how they are experienced. Results: Sixteen nurses and four pharmacists were interviewed. 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. With time both professions jointly spoke of an increased awareness of the benefit of working as a team and the perception of contributing to better and more individual care. Conclusion: IMRs in primary health care meet some challenges especially concerning how to ensure participation of all three professions and how to get thorough information about the patient. Possible solutions might be to use shared communication tools like Internet based communication programs and to introduce the patient as a participant at the IMRs.

Place, publisher, year, edition, pages
2016.
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-25013OAI: oai:DiVA.org:hig-25013DiVA: diva2:1134725
Conference
45th ESCP Symposium on Clinical Pharmacy, 5-7 October 2016, Oslo, Norway
Available from: 2017-08-21 Created: 2017-08-21 Last updated: 2017-08-21Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf