Perspectives of nurses' role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses.

<h4>Objectives</h4>To understand healthcare professionals' experiences and perceptions of nurses' potential or ideal roles in pharmaceutical care (PC).<h4>Design</h4>Qualitative study conducted through semi-structured in-depth interviews.<h4>Setting</h4>...

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Autores principales: Elyne De Baetselier, Tinne Dilles, Luis M Batalha, Nienke E Dijkstra, Maria I Fernandes, Izabela Filov, Juliane Friedrichs, Vigdis A Grondahl, Jana Heczkova, Ann Karin Helgesen, Sue Jordan, Sarah Keeley, Thomas Klatt, Petros Kolovos, Veronika Kulirova, Sabina Ličen, Manuel Lillo-Crespo, Alba Malara, Hana Padysakova, Mirko Prosen, Dorina Pusztai, Jorge Riquelme-Galindo, Jana Rottkova, Carolien G Sino, Francesco Talarico, Styliani Tziaferi, Bart Van Rompaey
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:29b904c4a70446b2be5834ce7a89182f2021-11-25T06:23:45ZPerspectives of nurses' role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses.1932-620310.1371/journal.pone.0251982https://doaj.org/article/29b904c4a70446b2be5834ce7a89182f2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251982https://doaj.org/toc/1932-6203<h4>Objectives</h4>To understand healthcare professionals' experiences and perceptions of nurses' potential or ideal roles in pharmaceutical care (PC).<h4>Design</h4>Qualitative study conducted through semi-structured in-depth interviews.<h4>Setting</h4>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.<h4>Participants</h4>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.<h4>Data collection and analysis</h4>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.<h4>Results</h4>340 interviews were completed. Several tasks were described within four potential nursing responsibilities, that came up as the analysis themes, being: 1) monitoring therapeutic/adverse effects of medicines, 2) monitoring medicines adherence, 3) decision making on medicines, including prescribing 4) providing patient education/information. Nurses' autonomy varied across Europe, from none to limited to a few tasks and emergencies to a broad range of tasks and responsibilities. Intended level of autonomy depended on medicine types and level of education. Some changes are needed before nursing roles can be optimised and implemented in practice. Lack of time, shortage of nurses, absence of legal frameworks and limited education and knowledge are main threats to European nurses actualising their ideal role in PC.<h4>Conclusions</h4>European nurses have an active role in PC. Respondents reported positive impacts on care quality and patient outcomes when nurses assumed PC responsibilities. Healthcare professionals expect nurses to report observations and assessments. This key patient information should be shared and addressed by the interprofessional team. The study evidences the need of a unique and consensus-based PC framework across Europe.Elyne De BaetselierTinne DillesLuis M BatalhaNienke E DijkstraMaria I FernandesIzabela FilovJuliane FriedrichsVigdis A GrondahlJana HeczkovaAnn Karin HelgesenSue JordanSarah KeeleyThomas KlattPetros KolovosVeronika KulirovaSabina LičenManuel Lillo-CrespoAlba MalaraHana PadysakovaMirko ProsenDorina PusztaiJorge Riquelme-GalindoJana RottkovaCarolien G SinoFrancesco TalaricoStyliani TziaferiBart Van RompaeyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251982 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Elyne De Baetselier
Tinne Dilles
Luis M Batalha
Nienke E Dijkstra
Maria I Fernandes
Izabela Filov
Juliane Friedrichs
Vigdis A Grondahl
Jana Heczkova
Ann Karin Helgesen
Sue Jordan
Sarah Keeley
Thomas Klatt
Petros Kolovos
Veronika Kulirova
Sabina Ličen
Manuel Lillo-Crespo
Alba Malara
Hana Padysakova
Mirko Prosen
Dorina Pusztai
Jorge Riquelme-Galindo
Jana Rottkova
Carolien G Sino
Francesco Talarico
Styliani Tziaferi
Bart Van Rompaey
Perspectives of nurses' role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses.
description <h4>Objectives</h4>To understand healthcare professionals' experiences and perceptions of nurses' potential or ideal roles in pharmaceutical care (PC).<h4>Design</h4>Qualitative study conducted through semi-structured in-depth interviews.<h4>Setting</h4>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.<h4>Participants</h4>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.<h4>Data collection and analysis</h4>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.<h4>Results</h4>340 interviews were completed. Several tasks were described within four potential nursing responsibilities, that came up as the analysis themes, being: 1) monitoring therapeutic/adverse effects of medicines, 2) monitoring medicines adherence, 3) decision making on medicines, including prescribing 4) providing patient education/information. Nurses' autonomy varied across Europe, from none to limited to a few tasks and emergencies to a broad range of tasks and responsibilities. Intended level of autonomy depended on medicine types and level of education. Some changes are needed before nursing roles can be optimised and implemented in practice. Lack of time, shortage of nurses, absence of legal frameworks and limited education and knowledge are main threats to European nurses actualising their ideal role in PC.<h4>Conclusions</h4>European nurses have an active role in PC. Respondents reported positive impacts on care quality and patient outcomes when nurses assumed PC responsibilities. Healthcare professionals expect nurses to report observations and assessments. This key patient information should be shared and addressed by the interprofessional team. The study evidences the need of a unique and consensus-based PC framework across Europe.
format article
author Elyne De Baetselier
Tinne Dilles
Luis M Batalha
Nienke E Dijkstra
Maria I Fernandes
Izabela Filov
Juliane Friedrichs
Vigdis A Grondahl
Jana Heczkova
Ann Karin Helgesen
Sue Jordan
Sarah Keeley
Thomas Klatt
Petros Kolovos
Veronika Kulirova
Sabina Ličen
Manuel Lillo-Crespo
Alba Malara
Hana Padysakova
Mirko Prosen
Dorina Pusztai
Jorge Riquelme-Galindo
Jana Rottkova
Carolien G Sino
Francesco Talarico
Styliani Tziaferi
Bart Van Rompaey
author_facet Elyne De Baetselier
Tinne Dilles
Luis M Batalha
Nienke E Dijkstra
Maria I Fernandes
Izabela Filov
Juliane Friedrichs
Vigdis A Grondahl
Jana Heczkova
Ann Karin Helgesen
Sue Jordan
Sarah Keeley
Thomas Klatt
Petros Kolovos
Veronika Kulirova
Sabina Ličen
Manuel Lillo-Crespo
Alba Malara
Hana Padysakova
Mirko Prosen
Dorina Pusztai
Jorge Riquelme-Galindo
Jana Rottkova
Carolien G Sino
Francesco Talarico
Styliani Tziaferi
Bart Van Rompaey
author_sort Elyne De Baetselier
title Perspectives of nurses' role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses.
title_short Perspectives of nurses' role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses.
title_full Perspectives of nurses' role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses.
title_fullStr Perspectives of nurses' role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses.
title_full_unstemmed Perspectives of nurses' role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses.
title_sort perspectives of nurses' role in interprofessional pharmaceutical care across 14 european countries: a qualitative study in pharmacists, physicians and nurses.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/29b904c4a70446b2be5834ce7a89182f
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