Nurse-pharmacist collaborations for promoting medication safety among community-dwelling adults: A scoping review

Ravi, Padma; Pfaff, Kathryn; Ralph, Jody L.; Cruz, Edward Venzon; Bellaire, Mackenzie; Fontanin, Gemma

doi:10.1016/j.ijnsa.2022.100079

Cited by 11 publications

(10 citation statements)

References 48 publications

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“…Different issues that pertain to the patient, provider or system related factors can be addressed through strong collaboration. Collaborative efforts facilitate the assessment and resolution of problems that include inappropriate medicine prescription, patient adherence and education as well as overall lifestyle management (Ravi et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

Assessment of community pharmacies readiness to dispense antiretroviral medicines in Rwanda

Musafiri,

Nyandwi,

Hahirwa

2023

Journal of Pharmaceutical Policy and Practice

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Background: Since the introduction of the ‘Test and treat’ approach in the Human Immunodeficiency Virus (HIV) management, various strategies have been devised and implemented by countries to relieve public health facilities of the large numbers of people coming for medicine refills and clinical follow-up. One of the strategies is the dispensing of antiretroviral medicines through community pharmacies. In Rwanda, community pharmacies are not yet involved in antiretrovirals (ARVs) dispensing, and no study has assessed their readiness to provide this service. This study aimed to assess the readiness of community pharmacy staff and infrastructure to implement a decentralised model of antiretroviral medicines dispensing. Methods: This cross-sectional study included data from 262 community pharmacies sampled across all districts of Rwanda. Primary data were collected using a structured questionnaire, from February to March 2023. Responses were received for 262 community pharmacies, representing the total sample size. Data analysis was done using quantitative descriptive and inferential statistical approaches. Frequency tables and graphs were produced using STATA15 and the outputs were exported to MS Excel as well as MS Word to allow document framing and designing. Results: The research has shown a high proportion of community pharmacy staff trained in HIV prevention (82.4% trained on HIV testing), but a low level of training in treatment (30.5%) and psychosocial support of people living with HIV (29.8%). Infrastructure and storage conditions were found to be adequate, with 99.6% of surveyed Pharmacies having sufficient storage space. Majority (93.9%) expressed their willingness to dispense ARVs in the pharmacy premises. A large number of respondents (92.4%) felt that dispensing of antiretroviral medicines through community pharmacies would lead to an increase in sales of over the counter and other non-HIV related medicines. The main anticipated challenge that should be addressed to ensure effective implementation is the lack of interoperability between reporting systems used by community pharmacies and those used by health facilities providing HIV services (76.7% of respondents). Conclusion: Community pharmacies in Rwanda have majority of staff trained in various areas of HIV prevention, but a small proportion have been trained in HIV care and treatment. Community pharmacies have the necessary infrastructure to dispense ARVs, and those with shortcomings, such as the lack of a separate room for individual patient counselling, are willing to obtain such a room if they are authorised to dispense ARVs. Staffs are willing to dispense ARVs in community pharmacies if the model is recommended by policymakers. The model could have several benefits for community pharmacies and the public health system in general, but there are also challenges that should be mitigated to ensure effective implementation. The...

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Section: Discussionmentioning

confidence: 99%

Assessment of community pharmacies readiness to dispense antiretroviral medicines in Rwanda

Musafiri,

Nyandwi,

Hahirwa

2023

Journal of Pharmaceutical Policy and Practice

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“…This study explored the effects of job stress and self-achievement on job adaptation from a psychological perspective 21 . Nursing students are overwhelmed when confronted with work emergencies due to a lack of adequate clinical experience.…”

Section: Variablesmentioning

confidence: 99%

Nursing Students' Perceptions of Job Adaptation: A qualitative Study

Qian

2022

Preprint

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Aims The objective of this study was to explore the perspectives of nursing students on clinical job adaptation to identify and understand their professional development needs. Background The process of job adaptation is a major challenge for nursing students. While clinical experience can stimulate their work stamina, they may also lose confidence in solving problems and overcoming obstacles in the workplace. Although they have received relevant training from the hospital, it is still worth exploring how to enhance job adaptation and make significant progress in their profession. Design: A qualitative research design was used. Methods Semi-structured interviews were conducted from February to May 2022 to understand their views on job adaptation. The manuscript was transcribed verbatim and imported into NVivo12.0plus software for encoding analysis and topic extraction. All methods were conducted in accordance with the ethical standards of the Helsinki Declaration and Consolidated criteria for reporting qualitative research (COREQ). Results This study extracted two themes regarding job adaptation for nursing students (a) personality difference, psychological distress, and competence are internal requirements for job adaptation; (b) the departmental atmosphere, interpersonal relationships, and management style are external manifestations of job adaptation. Conclusions In the absence of effective strategies and under great pressure, nursing students can easily switch careers. Admittedly, job adaptation is an indicator for assessing career development. This study discusses factors affecting job adaptation from an individual and environmental perspective. Based on this, nursing students should actively seek feedback to improve their coping and clinical communication skills. Managers should focus on coaching nursing students to face changes in the work environment. Additionally, clinical instructors should serve as role models and provide support to nursing students.

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“…13 They are responsible for communicating and collaborating with other stakeholders involved in reporting MEs, as well as actively participating in the analysis of underlying error reasons. 14 In medical institutions, nursing staff is more relied upon than other healthcare providers to recognize and report MEs. However, the decision to report MEs is ultimately influenced by a variety of factors, including their attitudes towards reporting and the barriers to ME reporting.…”

Section: Introductionmentioning

confidence: 99%

Estimating Proportion and Barriers of Medication Error Reporting Among Nurses in Hail City, Saudi Arabia: Implications for Improving Patient Safety

Alrasheeday,

Alkubati,

Alrubaiee

et al. 2024

JMDH

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Background: Determining the proportion of nurses reporting medication errors (MEs) and identifying the barriers they perceive in ME reporting are crucial to encourage nurses to actively report MEs.Objective: This study aimed to determine the proportion of nurses experiencing and reporting MEs, perceived barriers to reporting MEs and their association with nurses' sociodemographic and work-related characteristics. Methods: A cross-sectional study was conducted among 350 nurses from June to November 2023. Data about sociodemographic and work-related characteristics, and ME reporting, were collected using a validated self-administered questionnaire. Results:The study found that 34.3% of nurses reported MEs, while 11.1% reported experiencing MEs during their practice. ME reporting was higher proportion among nurses who were older than 40 years (52.1%), males (41.4%), held a master's degree (58.7%), Saudi nationals (37.8%), experienced for more than 10 years (43.1%), working in intensive care units (44.3%), working for 48 hours or more per week (39.7%), working in hospitals with a nurse-to-patient ratio of 1:3 (44.9%) and having a system for incident reporting (37.7%) and with no training on patient safety (44.6%) compared to their counterparts. The rate of experiencing MEs was higher proportion among nurses who were older than 40 years (16.7%), males (17.3%), married (14.8%), Saudi nationals (13.4%), experienced for more than 10 years (15.6%) and with no training on patient safety (15.3%) compared to their counterparts. Lack of knowledge of the person responsible for reporting MEs was the most frequent perceived barrier to ME reporting (66.6%), followed by fears of blame (65.4%). Conclusion:In this study, nurses reported and experienced MEs during their practice. Most nurses perceive the lack of knowledge and fear of blame or disciplinary actions as barriers to reporting. Healthcare administrators should implement educational programs and workshops to increase nurses' awareness of ME reporting.

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Nurse-pharmacist collaborations for promoting medication safety among community-dwelling adults: A scoping review

Cited by 11 publications

References 48 publications

Assessment of community pharmacies readiness to dispense antiretroviral medicines in Rwanda

Assessment of community pharmacies readiness to dispense antiretroviral medicines in Rwanda

Nursing Students' Perceptions of Job Adaptation: A qualitative Study

Estimating Proportion and Barriers of Medication Error Reporting Among Nurses in Hail City, Saudi Arabia: Implications for Improving Patient Safety

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