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Prescribers’ views and experiences of assessing the appropriateness of prescribed medications in a specialist addiction service
Background Mental and physical health problems are common in people with substance misuse problems and medications are often required in their management. Given the extent of prescribing for service users who attend specialist addiction services, it is important to consider how prescribers in this s...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer International Publishing
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5694531/ https://www.ncbi.nlm.nih.gov/pubmed/29076012 http://dx.doi.org/10.1007/s11096-017-0541-4 |
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author | Oluyase, Adejoke Obirenjeyi Raistrick, Duncan Hughes, Elizabeth Lloyd, Charlie |
author_facet | Oluyase, Adejoke Obirenjeyi Raistrick, Duncan Hughes, Elizabeth Lloyd, Charlie |
author_sort | Oluyase, Adejoke Obirenjeyi |
collection | PubMed |
description | Background Mental and physical health problems are common in people with substance misuse problems and medications are often required in their management. Given the extent of prescribing for service users who attend specialist addiction services, it is important to consider how prescribers in this setting assess the appropriateness of service users’ prescribed medications. Objective To explore prescribers’ views and experiences of assessing the appropriateness of medications prescribed for service users coming in for treatment as well as the differences between prescribers. Setting A specialist addiction service in the North of England. Method A phenomenological approach was adopted. Semi-structured interviews were conducted with four nurse prescribers and eight doctors. Data were analysed using thematic framework analysis. Main outcome measure Prescribers’ views and experiences of assessing the appropriateness of prescribed medications. Results Assessment of the appropriateness of prescribed medications involved reviewing medications, assessing risk, history-taking, involvement of service users, and comparing guideline adherence and ‘successful’ prescribing. Doctors and nurse prescribers assessed the appropriateness of medications they considered to be within their competency. Doctors provided support to nurse prescribers and general practitioners (GPs) when dealing with issues around prescribing. Conclusion Assessment of the appropriateness of prescribed medications is complex. The recent reduction in medical expertise in specialist addiction services may negatively impact on the clinical management of service users. It appears that there is a need for further training of nurse prescribers and GPs so they can provide optimal care to service users. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s11096-017-0541-4) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5694531 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-56945312017-11-30 Prescribers’ views and experiences of assessing the appropriateness of prescribed medications in a specialist addiction service Oluyase, Adejoke Obirenjeyi Raistrick, Duncan Hughes, Elizabeth Lloyd, Charlie Int J Clin Pharm Research Article Background Mental and physical health problems are common in people with substance misuse problems and medications are often required in their management. Given the extent of prescribing for service users who attend specialist addiction services, it is important to consider how prescribers in this setting assess the appropriateness of service users’ prescribed medications. Objective To explore prescribers’ views and experiences of assessing the appropriateness of medications prescribed for service users coming in for treatment as well as the differences between prescribers. Setting A specialist addiction service in the North of England. Method A phenomenological approach was adopted. Semi-structured interviews were conducted with four nurse prescribers and eight doctors. Data were analysed using thematic framework analysis. Main outcome measure Prescribers’ views and experiences of assessing the appropriateness of prescribed medications. Results Assessment of the appropriateness of prescribed medications involved reviewing medications, assessing risk, history-taking, involvement of service users, and comparing guideline adherence and ‘successful’ prescribing. Doctors and nurse prescribers assessed the appropriateness of medications they considered to be within their competency. Doctors provided support to nurse prescribers and general practitioners (GPs) when dealing with issues around prescribing. Conclusion Assessment of the appropriateness of prescribed medications is complex. The recent reduction in medical expertise in specialist addiction services may negatively impact on the clinical management of service users. It appears that there is a need for further training of nurse prescribers and GPs so they can provide optimal care to service users. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s11096-017-0541-4) contains supplementary material, which is available to authorized users. Springer International Publishing 2017-10-26 2017 /pmc/articles/PMC5694531/ /pubmed/29076012 http://dx.doi.org/10.1007/s11096-017-0541-4 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Research Article Oluyase, Adejoke Obirenjeyi Raistrick, Duncan Hughes, Elizabeth Lloyd, Charlie Prescribers’ views and experiences of assessing the appropriateness of prescribed medications in a specialist addiction service |
title | Prescribers’ views and experiences of assessing the appropriateness of prescribed medications in a specialist addiction service |
title_full | Prescribers’ views and experiences of assessing the appropriateness of prescribed medications in a specialist addiction service |
title_fullStr | Prescribers’ views and experiences of assessing the appropriateness of prescribed medications in a specialist addiction service |
title_full_unstemmed | Prescribers’ views and experiences of assessing the appropriateness of prescribed medications in a specialist addiction service |
title_short | Prescribers’ views and experiences of assessing the appropriateness of prescribed medications in a specialist addiction service |
title_sort | prescribers’ views and experiences of assessing the appropriateness of prescribed medications in a specialist addiction service |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5694531/ https://www.ncbi.nlm.nih.gov/pubmed/29076012 http://dx.doi.org/10.1007/s11096-017-0541-4 |
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