Artikel
The NUPHAC-EU framework about NUrses’ role in interprofessional PHArmaceutical Care: Cross-sectional evaluation in EUrope.
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Autoren
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Elyne de Baetselier
- Faculty of Medicine and Health Sciences -Â Nursing and Midwifery, University of Antwerp, Belgium
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B. Van Rompaey
- Faculty of Medicine and Health Sciences -Â Nursing and Midwifery, University of Antwerp, Belgium
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N. Dijkstra
- Faculty of Medicine and Health Sciences -Â Nursing and Midwifery, University of Antwerp, Belgium
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S. Sino
- Faculty of Medicine and Health Sciences -Â Nursing and Midwifery, University of Antwerp, Belgium
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L. Batalha
- Faculty of Medicine and Health Sciences -Â Nursing and Midwifery, University of Antwerp, Belgium
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I. Foliv
- Faculty of Medicine and Health Sciences -Â Nursing and Midwifery, University of Antwerp, Belgium
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V. Grøndahl
- Faculty of Medicine and Health Sciences -Â Nursing and Midwifery, University of Antwerp, Belgium
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J. Heczkova
- Faculty of Medicine and Health Sciences -Â Nursing and Midwifery, University of Antwerp, Belgium
| Veröffentlicht: | 5. Juli 2021 |
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Gliederung
Text
Background: Clear role descriptions promote the quality of interprofessional collaboration in clinical practice, and international collaboration in research, education and innovation [1]. A broad range of pharmaceutical care (PC) activities are described [2]. However, it is unclear to what extent healthcare workers consider PC tasks as nurses’ responsibility in order to obtain best quality of care and patient outcomes.
Objectives: To investigate healthcare workers’ opinions about the level of nurse responsibility in PC in an ideal healthcare situation.
Design and methods: A cross-sectional study with an online survey in physicians, pharmacists and nurses of different healthcare settings in 14 European countries was performed. Opinions about the level of nurse responsibility (not allowed, under supervision, shared responsibility, full autonomy) for tasks within seven PC domains, and potential barriers or enablers for nurses’ role were questioned.
Results: A total of 923 nurses, 240 physicians and 199 pharmacists responded. The majority would allow nurses to perform tasks within six PC domains: patient medication self-management (86%), patient education (85%), medication safety (83%), care coordination (82%), monitoring medicines effects (78%), and monitoring adherence (72%). The most prevalent level of responsibility was ‘allowed with shared responsibility’. Within prescription management 16-52% of the healthcare workers would not allow nurses to perform tasks.
Conclusions: A framework was created, consisting of seven PC domains, 26 tasks, potential levels of autonomy within these domains, and 20 contextual factors for nurses performing PC tasks. This framework can be used to enable healthcare workers to openly discuss allocation of specific (shared) responsibilities and tasks.
Conflict of interest: None of the authors has any conflicts of interest to report.
Funding: This study was supported by the Erasmus+ Programme of the European Union [grant number 2018-1-BE02-KA203-046861] and MDMJ accountants, Belgium.
References
- 1.
- Wilson AJ, Palmer L, Levett-Jones T, Gilligan C, Outram S. Interprofessional collaborative practice for medication safety: Nursing, pharmacy, and medical graduates' experiences and perspectives. J Interprof Care. 2016;30(5):649-54. DOI: 10.1080/13561820.2016.1191450
- 2.
- De Baetselier E, Van Rompaey B, Batalha LM, Bergqvist M, Czarkowska-Paczek B, De Santis A, Dijkstra NE, Fernandes MI, Filov I, Grøndahl VA, Heczkova J, Helgesen AK, Isfort M, Jordan S, Karnjus I, Keeley S, Kolovos P, Langer G, Lillo-Crespo M, Logan V, Malara A, Meyer G, Olah A, Padysakova H, Prosen M, Pusztai D, Sino CG, Tziaferi S, Ziakova E, Dilles T. EUPRON: nurses' practice in interprofessional pharmaceutical care in Europe. A cross-sectional survey in 17 countries. BMJ Open. 2020 Jun 3;10(6):e036269. DOI: 10.1136/bmjopen-2019-036269
