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District nurses’ experiences of using a clinical decision support system and an assessment tool at elderly care units in primary health care: a qualitative study
AIM: The present study aimed to describe the experience of district nurses (DNs) in using a clinical decision support system (CDSS) and the safe medication assessment (SMA) tool during patient visits to elderly care units at primary health care centres. BACKGROUND: In Swedish primary health care, ge...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Cambridge University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8444460/ https://www.ncbi.nlm.nih.gov/pubmed/34521503 http://dx.doi.org/10.1017/S1463423621000530 |
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author | Lagerin, Annica Törnkvist, Lena Fastbom, Johan Lundh, Lena |
author_facet | Lagerin, Annica Törnkvist, Lena Fastbom, Johan Lundh, Lena |
author_sort | Lagerin, Annica |
collection | PubMed |
description | AIM: The present study aimed to describe the experience of district nurses (DNs) in using a clinical decision support system (CDSS) and the safe medication assessment (SMA) tool during patient visits to elderly care units at primary health care centres. BACKGROUND: In Swedish primary health care, general practitioners (GPs) prescribe and have the responsibility to regularly review older adults’ medications, while DN (nurses specialised in primary health care) play an important role in assessing older adults’ ability to manage their medications, detecting potential drug-related problems and communicating with patients and GPs about such problems. In a previous feasibility study, we found that DNs who use a combination of a CDSS and the SMA tool identified numerous potentially harmful or dangerous factors and took a number of nursing care actions to improve the safety and quality of patients’ medication use. In telephone interviews, patients indicated that they were positive towards the assessment and interventions. METHODS: Individual interviews with seven DNs who worked at six different primary health care centres in Region Stockholm were carried out in 2018. In 2019, an additional group interview was conducted with two of the seven DNs so they could discuss and comment on preliminary findings. Qualitative content analysis was used to analyse the interview transcripts. Findings: Using the tools, the DNs could have a natural conversation about medication use with older adults. They could get a clear picture of the older adults’ medication use and thus obtain information that could facilitate collaboration with GPs about this important component of health care for older adults. However, for the tools to be used in clinical practice, some barriers would have to be overcome, such as the time-consuming nature of using the tools and the lack of established routines for interprofessional collaboration regarding medication discussions. |
format | Online Article Text |
id | pubmed-8444460 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-84444602021-09-24 District nurses’ experiences of using a clinical decision support system and an assessment tool at elderly care units in primary health care: a qualitative study Lagerin, Annica Törnkvist, Lena Fastbom, Johan Lundh, Lena Prim Health Care Res Dev Research Article AIM: The present study aimed to describe the experience of district nurses (DNs) in using a clinical decision support system (CDSS) and the safe medication assessment (SMA) tool during patient visits to elderly care units at primary health care centres. BACKGROUND: In Swedish primary health care, general practitioners (GPs) prescribe and have the responsibility to regularly review older adults’ medications, while DN (nurses specialised in primary health care) play an important role in assessing older adults’ ability to manage their medications, detecting potential drug-related problems and communicating with patients and GPs about such problems. In a previous feasibility study, we found that DNs who use a combination of a CDSS and the SMA tool identified numerous potentially harmful or dangerous factors and took a number of nursing care actions to improve the safety and quality of patients’ medication use. In telephone interviews, patients indicated that they were positive towards the assessment and interventions. METHODS: Individual interviews with seven DNs who worked at six different primary health care centres in Region Stockholm were carried out in 2018. In 2019, an additional group interview was conducted with two of the seven DNs so they could discuss and comment on preliminary findings. Qualitative content analysis was used to analyse the interview transcripts. Findings: Using the tools, the DNs could have a natural conversation about medication use with older adults. They could get a clear picture of the older adults’ medication use and thus obtain information that could facilitate collaboration with GPs about this important component of health care for older adults. However, for the tools to be used in clinical practice, some barriers would have to be overcome, such as the time-consuming nature of using the tools and the lack of established routines for interprofessional collaboration regarding medication discussions. Cambridge University Press 2021-09-15 /pmc/articles/PMC8444460/ /pubmed/34521503 http://dx.doi.org/10.1017/S1463423621000530 Text en © Cambridge University Press 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Lagerin, Annica Törnkvist, Lena Fastbom, Johan Lundh, Lena District nurses’ experiences of using a clinical decision support system and an assessment tool at elderly care units in primary health care: a qualitative study |
title | District nurses’ experiences of using a clinical decision support system and an assessment tool at elderly care units in primary health care: a qualitative study |
title_full | District nurses’ experiences of using a clinical decision support system and an assessment tool at elderly care units in primary health care: a qualitative study |
title_fullStr | District nurses’ experiences of using a clinical decision support system and an assessment tool at elderly care units in primary health care: a qualitative study |
title_full_unstemmed | District nurses’ experiences of using a clinical decision support system and an assessment tool at elderly care units in primary health care: a qualitative study |
title_short | District nurses’ experiences of using a clinical decision support system and an assessment tool at elderly care units in primary health care: a qualitative study |
title_sort | district nurses’ experiences of using a clinical decision support system and an assessment tool at elderly care units in primary health care: a qualitative study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8444460/ https://www.ncbi.nlm.nih.gov/pubmed/34521503 http://dx.doi.org/10.1017/S1463423621000530 |
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