Role of nurses in medication management at the end of life: a qualitative interview study

Autor: Karolina M. Szadek, Agnes van der Heide, Bregje A. A. Huisman, Noralie N Schonewille, Marianne Dees, Eric C T Geijteman, Margriet Wieles, Lia van Zuylen
Přispěvatelé: Anesthesiology, Obstetrics and gynaecology, APH - Quality of Care, APH - Health Behaviors & Chronic Diseases, Medical Oncology, Public Health
Rok vydání: 2020
Předmět:
Adult
Male
Palliative care
Attitude of Health Personnel
Pain medicine
lcsh:Special situations and conditions
Nursing
Nurse's Role
Grounded theory
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
Interviews as Topic
03 medical and health sciences
All institutes and research themes of the Radboud University Medical Center
0302 clinical medicine
Pharmacotherapy
Health care
Medication therapy management
Medicine
Humans
030212 general & internal medicine
Interview
Qualitative Research
Aged
Polypharmacy
Aged
80 and over
030504 nursing
business.industry
lcsh:RC952-1245
Palliative Care
General Medicine
Middle Aged
Death
End-of-life care
Female
Drug therapy
Interdisciplinary communication
0305 other medical science
business
Medication Systems
Decision making
Research Article
Zdroj: BMC Palliative Care
Huisman, B A A, Geijteman, E C T, Dees, M K, Schonewille, N N, Wieles, M, van Zuylen, L, Szadek, K M & van der Heide, A 2020, ' Role of nurses in medication management at the end of life : a qualitative interview study ', BMC Palliative Care, vol. 19, no. 1, 68, pp. 68 . https://doi.org/10.1186/s12904-020-00574-5
BMC Palliative Care, 19
BMC Palliative Care, Vol 19, Iss 1, Pp 1-11 (2020)
BMC Palliative Care, 19(1):68. BioMed Central
BMC Palliative Care, 19(1):68. BioMed Central Ltd.
BMC Palliative Care, 19, 1
ISSN: 1472-684X
Popis: BackgroundPatients in the last phase of their lives often use many medications. Physicians tend to lack awareness that reviewing the usefulness of medication at the end of patients’ lives is important. The aim of this study is to gain insight into the perspectives of patients, informal caregivers, nurses and physicians on the role of nurses in medication management at the end of life.MethodsSemi-structured interviews were conducted with patients in the last phase of their lives, in hospitals, hospices and at home; and with their informal caregivers, nurses and physicians. Data were qualitatively analyzed using the constant comparative method.ResultsSeventy-six interviews were conducted, with 17 patients, 12 informal caregivers, 15 nurses, 20 (trainee) medical specialists and 12 family physicians. Participants agreed that the role of the nurse in medication management includes: 1) informing, 2) supporting, 3) representing and 4) involving the patient, their informal caregivers and physicians in medication management. Nurses have a particular role in continuity of care and proximity to the patient. They are expected to contribute to a multidimensional assessment and approach, which is important for promoting patients’ interest in medication management at the end of life.ConclusionsWe found that nurses can and should play an important role in medication management at the end of life by informing, supporting, representing and involving all relevant parties. Physicians should appreciate nurses’ input to optimize medication management in patients at the end of life. Health care professionals should recognize the role the nurses can have in promoting patients’ interest in medication management at the end of life. Nurses should be reinforced by education and training to take up this role.
Databáze: OpenAIRE
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