METHODS: This study has a descriptive qualitative study design using semi-structured interviews and qualitative content analysis. The study was conducted in a southern Swedish special housing and included nurses, assistant nurses, general practitioners (GPs), and a pharmacist. Due to the COVID-19 pandemic, interviews were conducted over the phone. The Swedish Ethical Review Authority approved the study.
RESULTS: The analysis revealed three main categories, and eleven subcategories.: (1) Integrating multidisciplinary approaches for holistic dementia care, (2) Strengthening dementia care through effective medication management and (3) Advancing dementia care through pharmacist integration and role expansion. Nurses focused on non-pharmacological treatments, while GPs emphasized the importance of medication reviews in assessing the benefits and side-effects of prescribed medication. Pharmacists were valued for their reliable medication expertise, appreciated by GPs for saving time and providing recommendations prior to consultations with individuals with dementia and their next-of-kin. Although medication reviews were considered beneficial, there was skepticism about their ability to solve all medication-related problems associated with dementia care.
CONCLUSIONS: This study highlights the critical role pharmacists play in enhancing medication safety and patient care efficiency in special housing for individuals with dementia. Despite the value of their contributions, communication barriers within healthcare teams pose significant challenges. Recognising potential pharmacist role expansion is essential to alleviate the workload of GPs and ensure effective collaborative practices for better patient outcomes.
方法:本研究采用半结构化访谈和定性内容分析的描述性定性研究设计。这项研究是在瑞典南部的一个特殊住房中进行的,包括护士,助理护士,全科医生(GP),还有药剂师.由于COVID-19大流行,采访是通过电话进行的。瑞典伦理审查机构批准了这项研究。
结果:分析揭示了三个主要类别,和11个子类别。:(1)整合多学科方法进行整体痴呆症护理,(2)通过有效的药物管理加强痴呆护理;(3)通过药师整合和角色拓展推进痴呆护理。护士专注于非药物治疗,虽然全科医生强调药物审查在评估处方药的益处和副作用方面的重要性。药剂师因其可靠的药物专业知识而受到重视,全科医生感谢在与痴呆症患者及其近亲进行咨询之前节省时间并提供建议。虽然药物审查被认为是有益的,对于他们解决与痴呆治疗相关的所有药物相关问题的能力持怀疑态度.
结论:本研究强调了药师在提高痴呆症患者特殊住房的用药安全性和患者护理效率方面发挥的关键作用。尽管他们的贡献很有价值,医疗团队内部的沟通障碍构成了重大挑战。认识到潜在的药剂师角色扩展对于减轻全科医生的工作量并确保有效的协作实践以获得更好的患者结果至关重要。