The development of a model of interprofessional collaboration of nurses in pharmaceutical care
A qualitative descriptive study
DOI:
https://doi.org/10.14528/snr.2021.55.2.3034Keywords:
nursing, pharmacy, medicine, medication handling, collaborationAbstract
Introduction: Interprofessional collaboration of nurses in pharmaceutical care is important in ensuring quality patient care. However, including nurses in pharmaceutical care opens up several issues related to their education and consequently, also their competencies to ensure effective pharmaceutical care. The aim of the study was to establish the viewpoints of doctors, pharmacists, and nurses, and about the role of nurses in interprofessional collaboration in pharmaceutical care in Slovenia.
Methods: A descriptive interpretative method was used. A purposive quota sample included 24 participants: 8 doctors, 8 pharmacists and 8 nurses. Data were collected by semi-structured interviews. The obtained data were analysed using the content analysis method.
Results: The study has showed that nurses have been performing tasks in pharmaceutical care and that they also see their role in further efforts of interprofessional collaboration. However, the results show that doctors and pharmacists are not in favour of nurses' potential professional competencies, which include pharmaceutical care. In particular, they draw attention to the knowledge that they consider nurses lack. They see a solution in the introduction of additional training in pharmacology. Nurses believe that they are mistreated or treated unequally in pharmaceutical care.
Discussion and conclusion: Interprofessional collaboration of nurses in pharmaceutical care is highly significant and can bring positive results to treatment, but nurses should obtain additional knowledge, have a more prominent role in clinical trials and assume a more active role in these efforts.
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Alleman, S. S., Van Mill, J. W. F., Botermann, L., Berger, K., Griese, N., & Hersberger, K. E. (2014). Pharmaceutical care: DPCNE definition 2013. International Journal of Clinical Pharmacy, 36(3), 544–555. https://doi.org/10.1007/s11096-014-9933-x
Anoz Jimenez, L., Ferrer Ferrer, C., Becerril Moreno, F., Navarro de Lara, S., & Estaun Diaz de Villegas, E. (2011). Nursing interventions as part of an integral pharmaceutical care team. Farmacia Hospitalaria, 35(1), 1−7. https://doi.org/10.1016/S2173-5085(11)70001-6
Asiamah, N., Mensah, H. K., & Oteng-Abayie, E. (2017). General, target, and accessible population: Demystifying the concepts for effective sampling. The Qualitative Report, 22(6), 1607−1621. https://doi.org/10.46743/2160-3715/2017.2674
Brown, J., Stevens, J., & Kermode, S. (2011). Supporting student nurse professionalisation: The role of the clinical teacher. Nurse Education Today, 32(1), 606−610. https://doi.org/10.1016/j.nedt.2011.08.007 PMid:21907468
Benner, P. (2001). From novice to expert: Excellence and power in clinical nursing practice. Upper Saddle River: Prentice Hall.
Choo, J., Hutchinson, A., & Bucknall, T. (2010). Nurses' role in medication safety. Journal of Nursing Management, 18, 853–861.
https://doi.org/10.1111/j.1365-2834.2010.01164.x PMid:20946221
Celio, J., Ninane, F., & Bugnon, O. (2010). Pharmacist-nurses collaboration in medication adherance-enhancing intervantions: A review. Patient Education and Counseling, 100(7), 1175−1192. https://doi.org/10.1016/j.pec.2018.01.022 PMid:29628282
De Baetselier, E., Van Rompaey, B., Batalha, I. M., Bergqvist, M., Czarkowska-Paczek, B., De Santis, A., & Dilles, A. (2020). EUPRON: Nurses practice in interprofessional pharmaceutical care in Europe: A cross-sectional survey in 17 countries. BMJ Open, 10(6), Article e036269. https://doi.org/10.1136/bmjopen-2019-036269 PMid:32499269; PMCid:PMC7282395
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, 1072–1079. https://doi.org/10.1111/j.1365-2648.2010.05268.x PMid:20337787
Debout, C. (2004). Quelles formations pour quelles compétences infirmières dans l'avenir? [Which education for which nursing competences in the future?]. Soins, 684(1), 54–57. PMid:15151080.
Ebert, L., Hoffman, K., & Levett-Jones, T. (2014). They have no idea of what we do or what we know: Australian graduated perceptions of working in a health care team. Nurse Education and Practice, 14(5), 544−550. https://doi.org/10.1016/j.nepr.2014.06.005 PMid:24999074
Forster, A. J., Murff, H. J., Peterson, J. F., Gandhi, T. K., & Bates, D. W. (2003). The incidence and severity of adverse events affecting patient after discharge from the hospital. Annais of Internal Medicine, 138, 161−167. https://doi.org/10.7326/0003-4819-138-3-200302040-00007 PMid:12558354
Heczkova, J., & Dilles, T. (2020). Advanced nurses' practices related to pharmaceutical care in the Czech Republic. Nursing in 21st century, 19(3), 155−162.
https://doi.org/10.2478/pielxxiw-2020-0021
Khan, A. N., Khan, M. U., Shoaib, M. H., Yousuf, R. I., & Mir, S. A. (2014). Practice nurses and pharmacists: A perspective on the expectation and experience of nurses for future collaboration. Oman Medical Journal, 29(4), 271−275. https://doi.org/10.5001/omj.2014.71 PMid:25170408; PMCid:PMC4137584
Kuhlmann, E., & Larsen, C. (2013). Long term care in Europe: Challenges and strategies in nursing staff management. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 56(8), 1064−1071. https://doi.org/10.1007/s00103-013-1745-y PMid:23884521
Kaae, S., & Traulsen, J. M. (2015). Qualitative methods in pharmacy practice research. In B. Zaheen (Ed.). Pharmacy Practice Research Methods (pp. 49−68). Zuidlaren: Springer. https://doi.org/10.1007/978-3-319-14672-0_4
Laine, M., Heijden, B. V. D., Wickstrom, G., Hasselkorn, H. M., & Tackenberg, P. (2009). Job insecurity and intend to live from the nursing profession in Europe: A cross curural comparison on the impact of job insicurity apon intend to live. The International Journal of Human Resource Management, 20(2), 420−438. https://doi.org/10.1080/09585190802673486
Mušič, A. (2012). Medicinske sestre in povezanost splošnega zadovoljstva na delovnem mestu s komuniciranjem v timu, z zdravnikom in z vodstvom. In A. Tomavčevič (Ed.). Odzivi na gospodarsko krizo: Inovativnost, podjetništvo, trajnostni razvoj (pp. 31−37). Koper: Univerza na Primorskem, Fakulteta za managament.
Manzano-Garcia, G., & Ayala-Calvo, J. C. (2014). An overview of nursing in Europe: A SWOT analysis. Nursing Inquiry, 21(4), 358−367.
https://doi.org/10.1111/nin.12069 PMid:24738741
Makowsky, M. J., Schindel, T. J., Rosenthal, M., Campbell, K., Tsuyuki, R. T., & Madill, H. M. (2009). Collaboration between pharmacists, physicians and nurse practitioners: A qualitative investigation of working relationships in the inpatient medical setting. Journal of Interprofessional Care, 23(2), 169−184.
https://doi.org/10.1080/13561820802602552 PMid:19234987
Maier, C. B., & Aiken, L. H. (2016). Tasks shifting from physician to nurses in primary care in 39 countries: A crosscountry comparative study. European journal of Public Health, 26(6), 927−932. https://doi.org/10.1093/eurpub/ckw098 PMid:27485719
Morley, L., & Cashell, A. (2017). Collaboration in Health Care. Journal of Medical Imaging and Radiation Sciences, 48(2), 207−216. https://doi.org/10.1016/j.jmir.2017.02.071 PMid:31047370
Moder, A., & Korstjens, I. (2018). Practical guidance to qualitative research Part 3: Sampling, data collection and analysis. The European Journal of General Practice, 24(1), 1−10. https://doi.org/10.1080/13814788.2017.1375091
Price, A. M. (2013). Caring and technology in an intensive care unit: An etnographic study. Nursing in Critical Care, 18(6), 278−288. https://doi.org/10.1111/nicc.12032 PMid:24165069
Polit, D. F., & Beck, C. T., (2020). Nursing research. Philadelphia: Wolter Kluwer Health.
Prosen, M., Ličen, S., & Karnjuš, I. (2018). Vloga medicinskih sester v medpoklicnem sodelovanju v okviru farmacevtske skrbi v Evropi: Rezultati EUPRON projekta za Slovenijo. Izola: Univerza na Primorskem Fakulteta za vede o zdravju.
Prosen, M., Karnjuš, I., & Ličen, S. (2019). Poročilo kvalitativne raziskave o medpoklicnem sodelovanju medicinskih sester v okviru farmacevtske skrbi v Sloveniji: Projekt DemoPhaC. Izola: Univerza na Primorskem Fakulteta za vede o zdravju.
Sandelowski, M. (2000). Whatever happened to qualitative description. Research in Nursing and Health, 23(4), 334−340. https://doi.org/10.1002/1098-240X(200008)23:4<334::AIDNUR9>3.0.CO;2-G
Vaismoradi, M., Jordan, S., Vizcaya-Moreno, F., Friedl, I., & Glarcher, M. (2020). PRN medicines optimization and nurse education. Pharmacy, 8(4), 201.
https://doi.org/10.3390/pharmacy8040201 PMid:33114731; PMCid:PMC7712763
Vasileiou, K., Barnett, J., Thorpe, S., & Young, T. (2018). Caracteristing and justifying sample size sufficiency in interview-based studies: Systematic analysis of qualitative health research over a 15-year period. Medical Research Methodology, 18, 148. https://doi.org/10.1186/s12874-018-0594-7
Wang, S. P., Wang, J., Huang, Q. H., Zhang, Y. H., & Liu, J. (2018). Pharmacy and nursing students' attitudes toward nurse-pharmacist collaboration at a Chinese university. BMC Medical Education, 18(1), 179−179. https://doi.org/10.1186/s12909-018-1285-0 PMid:30068328 PMCid:PMC6090867
Yin, K. R. (2010). Qualitative research from start to finish. New York: The Guilford Press.
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