De Baetselier, Elyne and Van Rompaey, Bart and Batalha M, Luis and Bergqvist, Minica and Czarkowska-Paczek, Bozena and De Santis, Alberto and Dijkstra E, Nienke and Fernandes I, Maria and Filov, Izabela and Abrahamsen Grøndahl, Vigdis and Heczkova, Jana and Karin Helgesen, Ann and Isfort, Michael and Jordan, Susan and Karnjus, Igor and Keeley, Sarah and Kolovos, Petros and Langer, Gero and Lillo- Cr espo, Manuel and Logan, Vera and Malara, Alba and Mayer, Gabriele and Olah, Andras and Padysakova, Hana and Prosen, Mirko and Pusztai, Dorina and Sino G, Carolien and Tziaferi, Styliani and Ziakova, Elena and Dilles, Tinne (2020) EUPRON: nurses’ practice in interprofessional pharmaceutical care in Europe. A cross-sectional survey in 17 countries. BMJ Open 2020. pp. 1-12. ISSN 2044-6055
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Abstract
Objectives Safe pharmaceutical care (PC) requires an interprofessional team approach, involving physicians, nurses and pharmacists. Nurses’ roles however, are not always explicit and clear, complicating interprofessional collaboration. The aim of this study is to describe nurses’ practice and interprofessional collaboration in PC, from the viewpoint of nurses, physicians and pharmacists.
Design A cross-sectional survey.
Setting The study was conducted in 17 European countries, each with their own health systems.
Participants Pharmacists, physicians and nurses with an active role in PC were surveyed.
Main outcome measures Nurses’ involvement in PC, experiences of interprofessional collaboration and communication and views on nurses’ competences.
Results A total of 4888 nurses, 974 physicians and 857 pharmacists from 17 European countries responded. Providing patient education and information (PEI), monitoring medicines adherence (MMA), monitoring adverse/therapeutic effects (ME) and prescribing medicines were considered integral to nursing practice by 78%, 73%, 69% and 15% of nurses, respectively. Most respondents were convinced that quality of PC would be improved by increasing nurses’ involvement in ME (95%), MMA (95%), PEI (91%) and prescribing (53%). Mean scores for the reported quality of collaboration between nurses and physicians, collaboration between nurses and pharmacists and interprofessional communication were respectively <7/10, ≤4/10, <6/10 for all four aspects of PC.
Conclusions ME, MMA, PEI and prescribing are part of nurses’ activities, and most healthcare professionals felt their involvement should be extended. Collaboration between nurses and physicians on PC is limited and between nurses and pharmacists even more.
| Item Type: | Article |
|---|---|
| Subjects: | Scientific Fields (Frascati) > Medical and Health Sciences > Other medical sciences |
| Divisions: | Higher Medical School |
| Depositing User: | Vms Eprints |
| Date Deposited: | 04 Jun 2020 20:36 |
| Last Modified: | 04 Jun 2020 20:36 |
| URI: | https://eprints.uklo.edu.mk/id/eprint/5396 |
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