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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...

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Autores principales: Lagerin, Annica, Törnkvist, Lena, Fastbom, Johan, Lundh, Lena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2021
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.
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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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