‘Sometimes we just have to trust our gut feeling and hope the reporting is good’.

Nilsen, Marianne Kollerøs; Sletvold, Hege; Olsen, Rose Mari

doi:10.18261/issn.2387-5984-2021-03-01

Cited by 8 publications

(1 citation statement)

References 31 publications

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“…This chapter is based on a secondary analysis of qualitative data (Heaton, 2008;. Data were collected from two studies focusing on pro re nata decision making, by using focus groups or individual in-depth interviews, respectively (Nilsen et al, 2020(Nilsen et al, , 2021. The first author conducted the two primary studies, and is well acquainted with the data material and the data gathering context.…”

Section: Methodsmentioning

confidence: 99%

Medication Safety in Municipal Health and Care Services

2022

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Section: Methodsmentioning

confidence: 99%

Medication Safety in Municipal Health and Care Services

2022

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Patient-Centered Communication and Counseling to Ensure Patient Safety Through Correct Use of Medicines: Experiences and Challenges

Krogstad¹,

Larsen²,

Holm³

et al. 2022

Medication Safety in Municipal Health and Care Services

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In this chapter we discuss experiences and challenges regarding patient safety and correct use of medicines. Patient-centered communication and counseling are essential in order to achieve this. Incorrect use of medicines endangers patient safety, and can lead to medication-related problems, which again may have serious consequences for both the patient and society. Some of the most prominent pharmaceutical factors compromising patient safety are: communication challenges, language barriers, variety in health literacy, and self-care without guidance from a healthcare provider. The common theme for most barriers connected to incorrect use of medicines seems to be communication. It is therefore essential for healthcare providers to have good communication skills and be able to provide patient-centered communication and counseling of high quality. This may be the path towards optimizing use of medicines and ensuring patient safety. To improve patient-centered communication and counseling, teaching communication, as well as training courses, should be included in the curricula for healthcare providers, in addition to postgraduate training.

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Challenges in Obtaining and Sharing Core Patient Information in Norwegian Nursing Homes and Home Care Services: A Qualitative Study of Nurses’ and Doctors’ Experiences

Manskow¹,

Kristiansen²

2022

Medication Safety in Municipal Health and Care Services

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In Norwegian nursing homes and home care services, medication information and other core patient information (CPI) is usually registered and stored in separate digital systems not connected to each other. This may pose a threat to medication safety and quality of care in municipal health and care services. This study explores how nurses and doctors in Norwegian nursing homes and home care services experience access to and exchange of CPI before two new national solutions, the Shared Medication List and the Summary Care Record, are implemented in Norway. We used a qualitative research design with semi-structured individual interviews with nurses (n = 17) and medical doctors (n = 6) from home care services and nursing homes in six Norwegian municipalities. Data were coded and analyzed following an approach based on grounded theory. Our participants reported having extensive experience of various challenges related to accessing and sharing CPI. Five main challenges emerged from our data: 1) excessive time consumption; 2) frustration; 3) uncertainty; 4) dependence; and 5) complexity and risk. Our participants thought that these challenges posed a risk to patient safety and quality of care, and they were especially concerned about medication information in patient transitions between levels of care. Our study shows that nurses and medical doctors face substantial challenges, because they lack seamless, up-to-date digital solutions able to share CPI across healthcare services. The ongoing national implementation of the SML and SCR should address these challenges directly, and closely evaluate their impact on patient safety and quality of care.

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‘Sometimes we just have to trust our gut feeling and hope the reporting is good’.

Abstract: Vitenskapelig publikasjon'Sometimes we just have to trust our gut feeling and hope the reporting is good'.Healthcare providers' experiences of pro re nata medication decision-making in sheltered housing

Cited by 8 publications

References 31 publications

Medication Safety in Municipal Health and Care Services

Medication Safety in Municipal Health and Care Services

Patient-Centered Communication and Counseling to Ensure Patient Safety Through Correct Use of Medicines: Experiences and Challenges

Challenges in Obtaining and Sharing Core Patient Information in Norwegian Nursing Homes and Home Care Services: A Qualitative Study of Nurses’ and Doctors’ Experiences

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