Keywords
Medication Systems
Quality of Health Care
Abstract
ADVANCED NURSES’ PRACTICES RELATED TO PHARMACEUTICAL CARE IN THE CZECH REPUBLIC
Introduction. The use of pharmaceutical products is a very complex part of healthcare, where a variety of healthcare professionals collaborate. Unfortunately, the role of all professional groups does not seem to be entirely clear despite of the high regulation. Evidence suggests that the role of nurses can be much wider than expected and specified by the related policies.
Aim. The aim of the study was to explore nurses’, physicians’ and pharmacists’ perspectives of nurses’ practices related to pharmaceutical care (PC) in the Czech Republic.
Methods. A cross-sectional online survey was conducted. Qualified nurses (629), physicians (69) and pharmacists (39) were questioned about their views on the nurses’ involvement in various advanced activities related to PC.
Results. Participation on the advanced activities related to PC during the last month was high (providing information and patient education 80%; monitoring medication adherence 72%; monitoring medication effects 56% and participation on prescribing medication 19%). Nurses were most likely to see the investigated PC aspects as part of their nursing tasks when compared to the physicians’ or pharmacists’ point of view. However, a substantial part of participants believed in the positive impact of nurses’ involvement in activities related to PC. On the other side, interprofessional collaboration remains unsatisfactory and communication within an interprofessional team was rated as being very poor.
Conclusions. The need to increase the nurses’ involvement in PC exists. Optimising formal nurses’ competencies, revising the skills mix in different types of workplaces and revising the nursing curricula, as well as improving the interprofessional collaboration, could result in a positive eff ect on patient outcomes.
References
1. Sulosaari V, Suhonen R, Leino-Kilpi H. An integrative review of the literature on registered nurses’ medication competence. Journal of Clinical Nursing. 2010; 20(3-4): 464-478.
2. Vogenberg FR, Benjamin D. The Medication-Use Process and the Importance of Mastering Fundamentals. Pharmacy and Therapeutics. 2011; 36(10): 651-652.
3. Shah A. Pharmacy Intervention in the Medication-use Process. The role of pharmacists in proving patient safety. 2010.
4. Noblet T, Marriott J, Graham-Clarke E, et al. Barriers to and facilitators of independent non-medical prescribing in clinical practice: a mixed-methods systematic review. Journal of Physiotherapy. 2017. 63(4): 221-234.
5. Heczkova J, Bulava A. The role of nurses in medication management in the Czech Republic: A narrative literature review. Ošetrovatelstvo: teoria, výskum, vzdelavanie, 2016; 6: 38-43.
6. Dilles T, Vander Stichele R, Van Rompaey B, et al. Nurses’ practices in pharmacotherapy and their association with educational level. Journal of Advanced Nursing. 2010; 66(5): 1072-1079.
7. Heczková J, Bulava A. Administering Medication As a Part of Nursing Care at an ICU. Profese online. 2017; 10(2): 18-28.
8. Falconer N, Barras M, Martin J, et al. Defi ning and classifying terminology for medication harm: a call for consensus. European Journal of Clinical Pharmacology. 2019; 75(2): 137-145.
9. Basger BJ, Moles RJ, Chen TF. Application of drug-related problem (DRP) classification systems: a review of the literature. European Journal of Clinical Pharmacology. 2014; 70(7): 799-815.
10. Ensing HT, Stuijt CC, van den Bemt BJ, et al. Identifying the Optimal Role for Pharmacists in Care Transitions: A Systematic Review. Journal of Managed Care & Specialty Pharmacy. 2015; 21(8): 614-636.
11. Muth C, Blom JW, Smith SM, et al. Evidence supporting the best clinical management of patients with multimorbidity and polypharmacy: a systematic guideline review and expert consensus. Journal of Internal Medicine. 2019; 285(3): 272-288.
12. Maier CB, Aiken LH. Task shifting from physicians to nurses in primary care in 39 countries: a cross-country comparative study. European Journal of Public Health. 2016; 26(6): 927-934.
13. Act No. 378/2007 Coll. on pharmaceuticals, in Collection of laws of the Czech Republic. 2007.
14. Act No. 167/1998 Coll. on addictive substances, in Collection of laws of the Czech Republic. 1998.
15. Prošková E, Marková E, Marsová J, et al. Podávání léčivých přípravků v lůžkové péči. 2014: UTPO 1.LF UK.
16. Decree No. 55/2011 Coll. on activities of health care workers, in Collection of laws of the Czech Republic. 2011.
17. Heczková J. Kompetence sester při podávání léčivých přípravků na pracovištích intenzivní péče. 2018.
18. Mikšová Z, Šamaj M, Machálková L, et al. Naplňování kompetencí členů ošetřovatelského týmu. Kontakt. 2014; 16(2): 130-142.
19. Bártlová S. Pracovní vztahy a kompetence všeobecných sester v České republice. Zdravotnické noviny. 2007.
20. De Baetselier E, Van Rompaey B, Batalha L, et al. EUPRON - Nurses’ practices in interprofessional pharmaceutical care in Europe. A cross-sectional survey in 17 countries. BMJ Open (accepted), 2020.
21. Bouvy JC, De Bruin ML, Koopmanschap MA. Epidemiology of adverse drug reactions in Europe: a review of recent observational studies. Drug Safety. 2015, 38(5): 437-453.
22. Petrovic M, Somers A, Marien S, et al. Optimization of Drug Use In Older People: A Key Factor for a Successful Aging, in The Cambridge Handbook of Successful Aging, Fernández-Ballesteros R, Benetos A, Editors. Cambridge University Press, 2019.
23. Koubová M. Návrat ke středoškolskému vzdělávání sester se nelíbí odborům ani ČAS - Zdravotnický deník. Zdravotnický deník, 2015.
24. Mlsová L. Jihočeské nemocnice vítají zkrácení vzdělávání sester. iDNES.cz, 2016.
25. Leendertse AJ, Van Den Bemt PM, Poolman JB, et al. Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. Value Health. 2011; 14(1): 34-40.
26. Action Group A1. Adherence to prescription and medical plans Summary of the results achieved in 2016-2018. 2018.
27. Snyder H, Engstrom J. The antecedents, forms and consequences of patient involvement: A narrative review of the literature. International Journal of Nursing Studies. 2016; 53: 351-378.
28. Reeves S, Pelone F, Harrison R, et al. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews. 2017; 6: CD000072.
29. D’Amour D, Ferrada-Videla M, San Martin Rodriguez L, et al. The conceptual basis for interprofessional collaboration: core concepts and theoretical frameworks. Journal of Interprofessional Care. 2005; 19 Suppl 1: 116-131.
30. Fleischmann N, Tetzlaff B, Werle J, et al. Interprofessional collaboration in nursing homes (interprof): a grounded theory study of general practitioner experiences and strategies to perform nursing home visits. BMC Family Practice. 2016; 17(1): 123.
31. Jarošová D, Zeleníková R. Unfi nished nursing care - the fi rst pilot study in the Czech Republic. Kontakt. 2019; 21(4): 388-394.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 Unported License.
Copyright (c) 2020 Authors