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- Johansson-Pajala, Rose-MarieMälardalens högskola,Hälsa och välfärd (author)
Nurses in municipal care of the elderly act as pharmacovigilant intermediaries : a qualitative study of medication management
- Article/chapterEnglish2016
Publisher, publication year, extent ...
- 2016-02-04
- Informa UK Limited,2016
- printrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:su-129091
- https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-129091URI
- https://doi.org/10.3109/02813432.2015.1132891DOI
- https://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-31348URI
- http://kipublications.ki.se/Default.aspx?queryparsed=id:133185900URI
Supplementary language notes
- Language:English
- Summary in:English
Part of subdatabase
- SwePubSwePub
Classification
Notes
- Objective: To explore registered nurses' experience of medication management in municipal care of the elderly in Sweden, with a focus on their pharmacovigilant activities. Design: A qualitative approach using focus-group discussions was chosen in order to provide in-depth information. Data were analysed by qualitative content analysis. Setting: Five focus groups in five different long-term care settings in two regions in Sweden. Subject: A total of 21 registered nurses (RNs), four men and 17 women, aged 27-65 years, with 4-34 years of nursing experience. Results: The findings reveal that RNs in municipal long-term care settings can be regarded as vigilant intermediaries in the patients' drug treatments. They continuously control the work of staff and physicians and mediate between them, and also compensate for existing shortcomings, both organizational and in the work of health care professionals. RNs depend on other health care professionals to be able to monitor drug treatments and ensure medication safety. They assume expanded responsibilities, sometimes exceeding their formal competence, and try to cover for deficiencies in competence, experience, accessibility, and responsibility-taking. Conclusion: The RNs play a central but also complex role as vigilant intermediaries in the medication monitoring process, including the issue of responsibility. Improving RNs' possibility to monitor their patients' drug treatments would enable them to prevent adverse drug events in their daily practice. New strategies are justified to facilitate RNs' pharmacovigilant activities.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
- MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
- MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
- MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
- MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
- MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
- Adverse drug event
- drug monitoring
- elderly
- general practice
- nurse's role
- patient safety
- pharmacovigilance
- qualitative research
- Sweden
Added entries (persons, corporate bodies, meetings, titles ...)
- Jorsäter Blomgren, KerstinMälardalens högskola,Hälsa och välfärd(Swepub:mdh)kjn02 (author)
- Bastholm-Rahmner, PiaKarolinska Institutet (author)
- Fastbom, JohanStockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),Karolinska Institutet, Stockholm (author)
- Martin, LeneMälardalens högskola,Hälsa och välfärd,City University London, United Kingdom(Swepub:mdh)lmn01 (author)
- Mälardalens högskolaHälsa och välfärd (creator_code:org_t)
Related titles
- In:Scandinavian Journal of Primary Health Care: Informa UK Limited34:1, s. 37-450281-34321502-7724
Internet link
- https://doi.org/10.3109/02813432.2015.1132891Fulltext
- https://www.tandfonline.com/doi/pdf/10.3109/02813432.2015.1132891?needAccess=true
- https://mdh.diva-portal.org/smash/get/diva2:914591/FULLTEXT01.pdffulltext:print
- https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-129091
- https://doi.org/10.3109/02813432.2015.1132891
- https://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-31348
- http://kipublications.ki.se/Default.aspx?queryparsed=id:133185900
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