SwePub
Sök i LIBRIS databas

  Extended search

WFRF:(Johansson Pajala Rose Marie)
 

Search: WFRF:(Johansson Pajala Rose Marie) > (2018) > Registered nurses’ ...

  • 1 of 1
  • Previous record
  • Next record
  •    To hitlist

Registered nurses’ use of computerised decision support in medication reviews : Implications in Swedish nursing homes

Johansson-Pajala, Rose-Marie (author)
Mälardalens högskola,Hälsa och välfärd
Martin, Lene, 1953- (author)
Mälardalens högskola,Hälsa och välfärd
Jorsäter Blomgren, Kerstin (author)
Mälardalens högskola,Hälsa och välfärd
 (creator_code:org_t)
Emerald Group Publishing Ltd. 2018
2018
English.
In: International Journal of Health Care Quality Assurance. - : Emerald Group Publishing Ltd.. - 0952-6862 .- 1758-6542. ; 31:6, s. 531-544
  • Journal article (peer-reviewed)
Abstract Subject headings
Close  
  • Purpose: The purpose of this paper is to explore the implications of registered nurses’ (RNs) use of a computerized decision support system (CDSS) in medication reviews. Design/methodology/approach: The paper employs a quasi-experimental, one-group pre-test/post-test design with three- and six-month follow-ups subsequent to the introduction of a CDSS. In total, 11 RNs initiated and prepared a total of 54 medication reviews. The outcome measures were the number of drug-related problems (DRPs) as reported by the CDSS and the RNs, respectively, the RNs’ views on the CDSS, and changes in the quality of drug treatment. Findings: The CDSS significantly indicated more DRPs than the RNs did, such as potential adverse drug reactions (ADRs). The RNs detected additional problems, outside the scope of the CDSS, such as lack of adherence. They considered the CDSS beneficial and wanted to continue using it. Only minor changes were found in the quality of drug treatments, with no significant changes in the drug-specific quality indicators (e.g. inappropriate drugs). However, the use of renally excreted drugs in reduced renal function decreased. Practical implications: The RNs’ use of a CDSS in medication reviews is of value in detecting potential ADRs and interactions. Yet, in order to have an impact on outcomes in the quality of drug treatment, further measures are needed. These may involve development of inter-professional collaboration, such as established procedures for the implementation of medication reviews, including the use of CDSS. Originality/value: This is, to the best of the authors’ knowledge, the first study to explore the implications of medication reviews, initiated and prepared by RNs who use a CDSS. The paper adds further insight into the RNs’ role in relation to quality of drug treatments.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Keyword

Computerized decision support systems
Drug-related problem
Medication review
Nurse
Nursing home
Pharmacovigilance

Publication and Content Type

ref (subject category)
art (subject category)

Find in a library

To the university's database

  • 1 of 1
  • Previous record
  • Next record
  •    To hitlist

Find more in SwePub

By the author/editor
Johansson-Pajala ...
Martin, Lene, 19 ...
Jorsäter Blomgre ...
About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Health Sciences
Articles in the publication
International Jo ...
By the university
Mälardalen University

Search outside SwePub

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Close

Copy and save the link in order to return to this view