Interprofessional pharmaceutical care: the physician's view of the nurse's work
DOI:
https://doi.org/10.29352/mill0220.27114Keywords:
pharmaceutical care; medication management; interprofessional collaboration; teamwork; nursing.Abstract
Introduction: In health care related to medication usage, multiple professionals interact, without boundaries of responsibilities and great variability between contexts and countries.
Objetive(s): Recognize the portuguese physicians’s view about the roles of nurses in interprofessional pharmaceutical care (PC).
Methods: Qualitative, descriptive, exploratory study. Intentional selection and semi-structured interview with eight physicians with relevant experience in PC. Coding and content analysis of relevant extracts from the interviews.
Results: The role of nurses in interprofessional PC was considered relevant and fit into the preparation, administration, monitoring, prescription and education of the user and caregiver. The prescription of medication by nurses is not consensual among the participants, although some consider this possibility under specific conditions. The nurse-user/caregiver relationship is highlighted as a strength and specific training in pharmacotherapy as a weakness.
Conclusion: Physicians consider the role of nurses in the PC to be relevant. There is receptivity, so that this is reinforced throughout the process, also integrating the prescription, when it becomes clear that the nursing curricula are differentiated in the PC.
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References
Celio, J., Ninane, F., Bugnon, O., & Schneider, M. P. (2018). Pharmacist-nurse collaborations in medication adherence-enhancing interventions: A review. Patient Education and Counseling, 101(7), 1175–1192. https://doi.org/10.1016/j.pec.2018.01.022
Choo, J., Hutchinson, A., & Bucknall, T. (2010). Nurses’ role in medication safety. Journal of Nursing Management, 18(7), 853–861. https://doi.org/10.1111/j.1365-2834.2010.01164.x
De Baetselier, E., Dilles, T., Batalha, L. M., Dijkstra, N. E., Fernandes, M. I., Filov, I., Friedrichs, J., Grondahl, V. A., Heczkova, J., Helgesen, A. K., Jordan, S., Keeley, S., Klatt, T., Kolovos, P., Kulirova, V., Ličen, S., Lillo-Crespo, M., Malara, A., Padysakova, H., … Van Rompaey, B. (2021). Perspectives of nurses’ role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses. PloS One, 16(5), e0251982. https://doi.org/10.1371/journal.pone.0251982
De Baetselier, E., Van Rompaey, B., Batalha, L. M., Bergqvist, M., Czarkowska-Paczek, B., De Santis, A., Dijkstra, N. E., Fernandes, M. I., Filov, I., Grøndahl, V. A., Heczkova, J., Helgesen, A. K., Isfort, M., Jordan, S., Karnjus, I., Keeley, S., Kolovos, P., Langer, G., Lillo-Crespo, M., … Dilles, T. (2020). EUPRON: Nurses’ practice in interprofessional pharmaceutical care in Europe. A cross-sectional survey in 17 countries. BMJ Open, 10(6), e036269. https://doi.org/10.1136/bmjopen-2019-036269
Dilles, T., Vander Stichele, R., Van Rompaey, B., Van Bortel, L., & Elseviers, M. (2010). Nurses’ practices in pharmacotherapy and their association with educational level. Journal of Advanced Nursing, 66(5), 1072–1079. https://doi.org/10.1111/j.1365-2648.2010.05268.x
Ghahramanian, A., Rezaei, T., Abdullahzadeh, F., Sheikhalipour, Z., & Dianat, I. (2017). Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication. Health Promotion Perspectives, 7(3), 168–174. https://doi.org/10.15171/hpp.2017.30
Heczková, J., & Bulava, A. (2018). Nurses’ knowledge of the medication management at intensive care units. Pielegniarstwo XXI Wieku / Nursing in the 21st Century, 17(1), 18–23. https://doi.org/10.2478/pielxxiw-2018-0003
Hepler, C. D., & Strand, L. M. (1990). Opportunities and responsibilities in pharmaceutical care. American Journal of Hospital Pharmacy, 47(3), 533–543.
Johansson-Pajala, R.-M., Jorsäter Blomgren, K., Bastholm-Rahmner, P., Fastbom, J., & Martin, L. (2016). Nurses in municipal care of the elderly act as pharmacovigilant intermediaries: A qualitative study of medication management. Scandinavian Journal of Primary Health Care, 34(1), 37–45. https://doi.org/10.3109/02813432.2015.1132891
Khezrian, M., McNeil, C. J., Murray, A. D., & Myint, P. K. (2020). An overview of prevalence, determinants and health outcomes of polypharmacy. Therapeutic Advances in Drug Safety, 11, 2042098620933741. https://doi.org/10.1177/2042098620933741
Latimer, S., Hewitt, J., Stanbrough, R., & McAndrew, R. (2017). Reducing medication errors: Teaching strategies that increase nursing students’ awareness of medication errors and their prevention. Nurse Education Today, 52, 7–9. https://doi.org/10.1016/j.nedt.2017.02.004
Leufer, T., & Cleary-Holdforth, J. (2013). Let’s do no harm: Medication errors in nursing: part 1. Nurse Education in Practice, 13(3), 213–216. https://doi.org/10.1016/j.nepr.2013.01.013
Maddox, C., Halsall, D., Hall, J., & Tully, M. P. (2016). Factors influencing nurse and pharmacist willingness to take or not take responsibility for non-medical prescribing. Research in Social & Administrative Pharmacy: RSAP, 12(1), 41–55. https://doi.org/10.1016/j.sapharm.2015.04.001
Maier, C. B. (2019). Nurse prescribing of medicines in 13 European countries. Human Resources for Health, 17(1), 95. https://doi.org/10.1186/s12960-019-0429-6
Maier, C. B., & Aiken, L. H. (2016). Task shifting from physicians to nurses in primary care in 39 countries: A cross-country comparative study. European Journal of Public Health, 26(6), 927–934. https://doi.org/10.1093/eurpub/ckw098
Muench, U., Whaley, C., Coffman, J., & Spetz, J. (2021). Scope-of-Practice for Nurse Practitioners and Adherence to Medications for Chronic Illness in Primary Care. Journal of General Internal Medicine, 36(2), 478–486. https://doi.org/10.1007/s11606-020-05963-3
Ng, L. K. (2020). The perceived importance of soft (service) skills in nursing care: A research study. Nurse Education Today, 85, 104302. https://doi.org/10.1016/j.nedt.2019.104302
Noblet, T., Marriott, J., Graham-Clarke, E., Shirley, D., & Rushton, A. (2018). Clinical and cost-effectiveness of non-medical prescribing: A systematic review of randomised controlled trials. PloS One, 13(3), e0193286. https://doi.org/10.1371/journal.pone.0193286
Polit, D. F., & Beck, C. T. (2019). Fundamentos de Pesquisa em Enfermagem, Avaliação de evidências para a prática da enfermagem (9.a Ed.) (9a ed). Artmed. https://www.lusodidacta.pt/catalogo/504-fundamentos-de-pesquisa-em-enfermagem-avaliacao-de-evidencias-para-a-pratica-da-enfermagem-9-ed
Romero-Collado, A., Homs-Romero, E., Zabaleta-del-Olmo, E., & Juvinya-Canal, D. (2014). Nurse prescribing in primary care in Spain: Legal framework, historical characteristics and relationship to perceived professional identity. Journal of Nursing Management, 22(3), 394–404. https://doi.org/10.1111/jonm.12139
Silvestre, C. C., Santos, L. M. C., de Oliveira-Filho, A. D., & de Lyra, D. P. (2017). «What is not written does not exist»: The importance of proper documentation of medication use history. International Journal of Clinical Pharmacy, 39(5), 985–988. https://doi.org/10.1007/s11096-017-0519-2
Vinuto, J. (2014). A amostragem em bola de neve na pesquisa qualitativa: Um debate em aberto. Tematicas, 22(44), Art. 44. https://doi.org/10.20396/tematicas.v22i44.10977
Virgolesi, M., Pucciarelli, G., Colantoni, A. M., D’Andrea, F., Di Donato, B., Giorgi, F., Landi, L., Salustri, E., Turci, C., & Proietti, M. G. (2017). The effectiveness of a nursing discharge programme to improve medication adherence and patient satisfaction in the psychiatric intensive care unit. Journal of Clinical Nursing, 26(23–24), 4456–4466. https://doi.org/10.1111/jocn.13776
Volpe, C. R. G., Melo, E. M. M. de, Aguiar, L. B. de, Pinho, D. L. M., & Stival, M. M. (2016). Risk factors for medication errors in the electronic and manual prescription. Revista Latino-Americana De Enfermagem, 24, e2742. https://doi.org/10.1590/1518-8345.0642.2742
Wilson, A. J., Palmer, L., Levett-Jones, T., Gilligan, C., & Outram, S. (2016). Interprofessional collaborative practice for medication safety: Nursing, pharmacy, and medical graduates’ experiences and perspectives. Journal of Interprofessional Care, 30(5), 649–654. https://doi.org/10.1080/13561820.2016.1191450
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