TY - JOUR
T1 - Home care nurses’ perceptions about their role in interprofessional collaborative practice in clinical medication reviews
AU - Dijkstra, Nienke E.
AU - Sino, Carolien G.M.
AU - Schoonhoven, Lisette
AU - Verdoorn, Sanne
AU - Bouvy, Marcel L.
AU - Heerdink, Eibert R.
N1 - Funding Information:
Home care nurses can provide additional support in ICP with other healthcare professionals in a CMR. This support involves providing information about the signs and symptoms of potential DRPs, patient preferences, and potential therapeutic effects. Furthermore, home care nurses can assist in checking and correcting a patient's understanding of information about implemented changes in the pharmaceutical care plan.
Publisher Copyright:
© 2022 The Authors
PY - 2022/9
Y1 - 2022/9
N2 - 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.
AB - 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.
KW - Clinical medication reviews
KW - Elderly
KW - Interprofessional collaborative practice
KW - Nursing
KW - Pharmaceutical care
KW - Pharmacists
KW - Prescribers
UR - http://www.scopus.com/inward/record.url?scp=85132959514&partnerID=8YFLogxK
U2 - 10.1016/j.xjep.2022.100526
DO - 10.1016/j.xjep.2022.100526
M3 - Article
AN - SCOPUS:85132959514
SN - 2405-4526
VL - 28
SP - 1
EP - 8
JO - Journal of Interprofessional Education and Practice
JF - Journal of Interprofessional Education and Practice
M1 - 100526
ER -