Nurses' responsibilities and tasks in pharmaceutical care: A scoping review (original) (raw)
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International Journal of Environmental Research and Public Health, 2021
Clear role descriptions promote the quality of interprofessional collaboration. Currently, it is unclear to what extent healthcare professionals consider pharmaceutical care (PC) activities to be nurses’ responsibility in order to obtain best care quality. This study aimed to create and evaluate a framework describing potential nursing tasks in PC and to investigate nurses’ level of responsibility. A framework of PC tasks and contextual factors was developed based on literature review and previous DeMoPhaC project results. Tasks and context were cross-sectionally evaluated using an online survey in 14 European countries. A total of 923 nurses, 240 physicians and 199 pharmacists responded. The majority would consider nurses responsible for tasks within: medication self-management (86–97%), patient education (85–96%), medication safety (83–95%), monitoring adherence (82–97%), care coordination (82–95%), and drug monitoring (78–96%). The most prevalent level of responsibility was ‘with...
Medication management by graduate nurses: Before, during and following medication administration
Nursing & Health Sciences, 2004
The purpose of the present study was to explore graduate nurses' perceptions of their medication management activities in the acute care context. A qualitative research design with a semistructured interview schedule was used to elicit information from participants. The sampling population consisted of graduate nurses involved in direct patient care in medical and surgical wards of a Melbourne metropolitan teaching hospital, completing a graduate nurse program. Twelve graduate nurses participated in the interviews. Two major themes emerged: (i) monitoring medications and (ii) interventions for patient care. The findings indicate that graduate nurses are required to address several facets of the medication management role in their daily practice. It is pertinent to examine ward dynamics to ensure that graduate nurses have ready access to experienced health care professionals. Through collegial support, graduate nurses should also be encouraged to critically examine the different possibilities when making clinical judgments about monitoring patient medications.
Nursing management in drug therapy
1999
This text's systematic organization, prototype approach, and effective pedagogy will help your students make sense of the complex world of pharmacology. Written by nursing pharmacology faculty, this text takes a totally fresh approach to the teaching of pharmacology. It is the first ever to fully integrate pharmacology with the nursing process and present it in a framework that encourages students to 'think' nursing pharmacology. Its goal is to maximize therapeutic effect and minimize adverse reactions; it accomplishes this through the use of a nursing management map to help students understand how to customize patient drug therapy, according to drug and patient variables. Units are organized by body system and chapters by drug classification and therapeutic uses; text uses the prototype approach to teach drug information. Adult, pediatric, geriatric and pregnant and lactating patient considerations. Concept Maps, Critical Thinking Clinical Scenarios, End-of-Chapter Ques...
PLOS ONE, 2021
Objectives To understand healthcare professionals’ experiences and perceptions of nurses’ potential or ideal roles in pharmaceutical care (PC). Design Qualitative study conducted through semi-structured in-depth interviews. Setting Between December 2018 and October 2019, interviews were conducted with healthcare professionals of 14 European countries in four healthcare settings: hospitals, community care, mental health and long-term residential care. Participants In each country, pharmacists, physicians and nurses in each of the four settings were interviewed. Participants were selected on the basis that they were key informants with broad knowledge and experience of PC. Data collection and analysis All interviews were conducted face to face. Each country conducted an initial thematic analysis. Consensus was reached through a face-to-face discussion of all 14 national leads. Results 340 interviews were completed. Several tasks were described within four potential nursing responsibil...
Medication preparation and administration: analysis of inquiries and information by the nursing team
Revista Latino-Americana de Enfermagem, 2007
This study analyzed questions presented by nursing technicians and auxiliaries during medication preparation and administration. Data were collected through a form in which nurses who worked in the hospitalization unit of a general hospital in São Paulo, Brazil, were asked to take notes of any questions asked to them. Most of the 255 questions were related to medication dilution (103). Regarding the answers source, only 7.5% of answers were obtained from pharmaceutical professionals, 35.5% of the answers given by nurses was incorrect or partially correct, which can constitute a factor for medication administration errors. In addition, there are no pharmacists present in hospitalization units of Brazilian hospitals. These professionals could, jointly with nurses, facilitate medication orientation to nursing professionals during preparation and administration, as well as to patients themselves.
Nursing Forum, 2012
This study examined the opinions of nurses about the introduction of enrolled nurse medication administration and analyzed its impact on the medication error rate. METHODS. Data were collected using a survey and examination of incident reports regarding nursing medication errors. Nurses (registered nurse, enrolled nurse with medication endorsement, enrolled nurse) responded to survey items regarding the introduction of enrolled nurse medication administration. Data analysis included descriptive statistics, Fischer's exact test, and chi-square analysis where appropriate. RESULTS. The majority of nurses (75.2%) supported enrolled nurse medication administration. However, differences in opinion were observed between registered nurse (RN) and enrolled nurse with medication endorsement (ENME) regarding clear understanding of responsibility and accountability (RN: 47.2% vs. ENME: 77.8%; p = .033), and whether suitable education was provided (RN: 34.7% vs. ENME: 73.7%; p = .012). Moreover, less than one-third of RNs agreed that the assessment process for EN medication endorsement clearly identified the competence of the ENME to administer medications. Nonetheless, nursing medication errors did not increase in the 12-month period after the introduction of enrolled nurse medication administration (pre: 314, post: 302). CONCLUSIONS. The findings of this study suggest areas that should be addressed in the future, including assessment of competence and focused education about accountability and responsibility.
Nurses perception of pharmaceutical care practice: A qualitative approach
Tropical Journal of Pharmaceutical Research
Purpose: To evaluate the perception of nurses regarding pharmaceutical care services in the healthcare system of Khyber Pakhtunkhwa (KPK) Province of Pakistan.Methods: This qualitative study was implemented by conducting semi-structured interviews. For data collection, interviews (face-to-face) were conducted after developing an interview guide. The interviewees were 18 nurses and were interviewed at their nursing stations in hospitals. Interviews were continued until the data reached a saturation point. The respondents signed a written consent form before the start of the interview.Results: From the thematic content analysis, five major themes were extracted as stated here: (a) incognizance of pharmaceutical care; (b) collaboration of nurses and pharmacists; (c) improper distribution system; (d) lack of provision of patient counseling; and (e) pharmacist’s role in reducing prescribing errors.Conclusion: Based to the findings, Pakistani nurses have poor knowledge of pharmaceutical ...
Administration of medicines part 1: the law and nursing
Nursing Standard, 2003
The law requires that medicines are given to the right person, at the right time, in the correct form, using the correct dose, via the correct route. To achieve this, the legal framework draws together four separate areas of accountability to protect patients from the harmful effects of medicines while allowing them to benefit from their therapeutic properties (Figure 1). Four key areas of law bind nurses when administering medicine. They regulate the right to administer medicine and the standard required when giving medicine. They can mutually or collectively demand that actions are justified and apply sanctions if those demands are not satisfied. It is vital, therefore, that administration practice is informed by reference to the law in each area of accountability.