Medicines' management: a public health problem on nursing's agenda

Jordan, Sue; Kyriacos, Una

doi:10.1111/jonm.12238

Cited by 8 publications

(8 citation statements)

References 26 publications

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“…For these reasons, an ‘ADR reporting culture’ should be promoted in health‐care organisations with integration of organisational changes and educational programmes. Medicine management is a public health problem with an impact on the nursing agenda (Jordan & Kyriacos ): recognition and reporting of ADRs must become an integral part of the health‐care culture, in which knowledge and responsibility cannot be marginal or casual.…”

Section: Discussionmentioning

confidence: 99%

Factors that condition the spontaneous reporting of adverse drug reactions among nurses: an integrative review

Angelis

Colaceci

Giusti³

et al. 2015

J Nurs Manag

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Section: Discussionmentioning

confidence: 99%

Factors that condition the spontaneous reporting of adverse drug reactions among nurses: an integrative review

Angelis

Colaceci

Giusti³

et al. 2015

J Nurs Manag

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“…The adverse effects of prescribed medicines are a public health problem, in the UK[ 1 – 4 ], and worldwide[ 5 , 6 ]. Adverse drug reactions (ADRs)7 are responsible for: 20.8% (60/290) of preventable emergency re-admissions within one year of discharge[ 8 ]; 4–6% of UK hospital bed occupancy[ 9 ]; 10% (68/678) hospitalisations in US Veterans’ Affairs Medical Centres[ 10 ]; 3.7% hospital admissions globally[ 11 ]; an increasing number of UK hospital admissions[ 12 ]; £1–2.5bn NHS costs annually[ 13 ] and ~$30bn expenditure each year in the USA[ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Nurse-Led Medicines' Monitoring for Patients with Dementia in Care Homes: A Pragmatic Cohort Stepped Wedge Cluster Randomised Trial

et al. 2015

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BackgroundPeople with dementia are susceptible to adverse drug reactions (ADRs). However, they are not always closely monitored for potential problems relating to their medicines: structured nurse-led ADR Profiles have the potential to address this care gap. We aimed to assess the number and nature of clinical problems identified and addressed and changes in prescribing following introduction of nurse-led medicines’ monitoring.DesignPragmatic cohort stepped-wedge cluster Randomised Controlled Trial (RCT) of structured nurse-led medicines’ monitoring versus usual care.SettingFive UK private sector care homesParticipants41 service users, taking at least one antipsychotic, antidepressant or anti-epileptic medicine.InterventionNurses completed the West Wales ADR (WWADR) Profile for Mental Health Medicines with each participant according to trial step.OutcomesProblems addressed and changes in medicines prescribed.Data Collection and AnalysisInformation was collected from participants’ notes before randomisation and after each of five monthly trial steps. The impact of the Profile on problems found, actions taken and reduction in mental health medicines was explored in multivariate analyses, accounting for data collection step and site.ResultsFive of 10 sites and 43 of 49 service users approached participated. Profile administration increased the number of problems addressed from a mean of 6.02 [SD 2.92] to 9.86 [4.48], effect size 3.84, 95% CI 2.57–4.11, P <0.001. For example, pain was more likely to be treated (adjusted Odds Ratio [aOR] 3.84, 1.78–8.30), and more patients attended dentists and opticians (aOR 52.76 [11.80–235.90] and 5.12 [1.45–18.03] respectively). Profile use was associated with reduction in mental health medicines (aOR 4.45, 1.15–17.22).ConclusionThe WWADR Profile for Mental Health Medicines can improve the quality and safety of care, and warrants further investigation as a strategy to mitigate the known adverse effects of prescribed medicines.Trial Registration ISRCTN 48133332

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“…The results of our study show that the organisational practices that empower nurses to report ADRs were strongly associated with the predictor of intention to report ADRs. Several studies have highlighted the important role of the organisational context in this domain (Jordan & Kyriacos , De Angelis et al . ).…”

Section: Discussionmentioning

confidence: 99%

Testing an explanatory model of nurses’ intention to report adverse drug reactions in hospital settings

et al. 2017

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Medicines' management: a public health problem on nursing's agenda

Cited by 8 publications

References 26 publications

Factors that condition the spontaneous reporting of adverse drug reactions among nurses: an integrative review

Factors that condition the spontaneous reporting of adverse drug reactions among nurses: an integrative review

Nurse-Led Medicines' Monitoring for Patients with Dementia in Care Homes: A Pragmatic Cohort Stepped Wedge Cluster Randomised Trial

Testing an explanatory model of nurses’ intention to report adverse drug reactions in hospital settings

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