关键词: home nursing care interprofessional collaboration nurses’ role nursing home pharmaceutical care primary healthcare qualitative study

来  源:   DOI:10.3390/healthcare12111100   PDF(Pubmed)

Abstract:
Implementation of pharmaceutical care for the benefit of patients and health services has been highlighted worldwide. Interprofessional collaboration between nurses, pharmacists, and physicians may contribute to raising awareness of pharmacological challenges, increasing quality, and minimising errors in pharmaceutical care. This study aimed to investigate how nurses, pharmacists, and physicians experience interprofessional collaboration in pharmaceutical care within community healthcare in Norway. The study had an explorative and descriptive design with a qualitative approach. Individual interviews were conducted with 12 healthcare personnel with key roles in pharmaceutical care within community healthcare services. The data were analysed using systematic text condensation. The results revealed three categories and four subcategories: The category \"Professional challenges\" contained the subcategories \"Blurred responsibilities\" and \"The importance of trust and continuity\". The category \"Organisational barriers\" contained the subcategories \"Lack of information exchange and suitable communications channels\" and \"Lack of time and meeting places\". The third category was \"Nurses-the important link\". This study reveals challenges to and factors of success in increasing high-quality and safe pharmaceutical care, knowledge that can be used in quality work in the community health services and as input in curriculum development for the three professions.
摘要:
为患者和卫生服务的利益而实施的药学服务已在世界范围内得到强调。护士之间的跨专业合作,药剂师,医生可能有助于提高人们对药理学挑战的认识,提高质量,并最大限度地减少药物护理中的错误。这项研究旨在调查护士如何,药剂师,和医生在挪威的社区医疗保健中经历了药学服务的跨专业合作。该研究采用定性方法进行了探索性和描述性设计。对12名医护人员进行了个人访谈,这些医护人员在社区医疗保健服务中的药学服务中起着关键作用。使用系统的文本凝聚对数据进行分析。结果显示了三个类别和四个子类别:“专业挑战”类别包含“职责模糊”和“信任和连续性的重要性”子类别。“组织障碍”类别包含“缺乏信息交换和适当的沟通渠道”和“缺乏时间和会议地点”子类别。第三类是“护士-重要环节”。这项研究揭示了在增加高质量和安全的药学服务方面面临的挑战和成功的因素。可用于社区卫生服务高质量工作的知识,以及作为三个专业课程开发的投入。
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