The Role of the Registered Nurse Managing Pro Re Nata (PRN) Medicines in the Care Home (Nursing): a Case Study of Decision-Making, Medication Management and Resident Involvement

Murray, Lorraine

doi:10.18745/th.17989

Cited by 3 publications

(2 citation statements)

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“…Nurses working in sheltered housing describe numerous human factors affecting their management of PRNM and that impact the residents' health and safety (Nilsen et al, 2020;Vaismoradi et al, 2020). Studies have demonstrated that nurses play a vital role in decision-making processes regarding PRNMs (Murray, 2017;Sulosaari et al, 2011). Decisions regarding PRNM might be challenging due to the complex nature of the procedure, the many influencing factors, the varying underlying health conditions and needs of the residents, and the variety in PRNM therapies (Nilsen et al, 2020;Stasinopoulos et al, 2018;Vaismoradi et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, all Norwegian citizens have the right to receive information and be involved in the treatment of their health conditions (Pasient-og brukerrettighetsloven [Patient and User Rights Act], 1999). There are different levels of user involvement (Arnstein, 1969), and studies indicate that several models for shared decision-making focus on the healthcare providers rather than the healthcare services users (Aerts et al, 2019;Bomhof-Roordink et al, 2019;Murray, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Older Adults Living in Sheltered Housing’s Experiences of Involvement in Pro Re Nata Decisions. A Narrative Positioning Analysis

Nilsen

Blix

Sletvold

et al. 2021

Global Qualitative Nursing Research

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Decisions regarding pro re nata medications might be challenging due to the complex nature of the practice. The aim of this study was to expand our understanding of the experiences of older people living in sheltered housings with regard to shared decision-making concerning pro re nata medications. In this study, we conducted in-depth interviews with residents living in Norwegian sheltered housings. The analysis was inductive, based on a narrative positioning analysis. Twelve residents were interviewed, and three narratives representing participants’ variation are presented. People take different positions in shared decision-making of pro re nata medication, and they position themselves variously at different levels and situations. Prevailing master narratives affect the residents’ positions in shared decision-making. Contrasts in older adults’ experiences indicate that shared decision-making is not straightforward and is highly reliant on the context. Seemingly, they wish to be involved and not involved at the same time, a contradiction that healthcare providers need to consider.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Older Adults Living in Sheltered Housing’s Experiences of Involvement in Pro Re Nata Decisions. A Narrative Positioning Analysis

Nilsen

Blix

Sletvold

et al. 2021

Global Qualitative Nursing Research

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Design and Implementation of an Analgesia, Sedation, and Paralysis Order Set to Enhance Compliance of pro re nata Medication Orders with Joint Commission Medication Management Standards in a Pediatric ICU

Procaccini¹,

Rapaport²,

Petty³

et al. 2020

The Joint Commission Journal on Quality and Patient Safety

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‘To give or not to give medication, that is the question.’ Healthcare personnel’s perceptions of factors affecting pro re nata medication in sheltered housing for older adults — a focus-group interview study

Nilsen

Sletvold

Olsen

2020

BMC Health Serv Res

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Background: Residents living in sheltered housing depend on help from healthcare personnel (HCP) with medication management, regarding regular long-term and pro re nata (PRN) medication. The HCP assess the need for PRN medication prior to administration to the residents. The purpose of this study was to describe HCP's perceptions of factors affecting PRN medication management in sheltered housing for older adults. Method: This was a qualitative study with five focus-group interviews with 22 HCP working in sheltered housing for older adults. The HCP were heterogenous regarding scholarly education and experiences, working in four different municipalities in mid-Norway, representing urban, suburban and rural districts. The analysis was inductive, based on qualitative, manifest, content analysis. The main outcome was HCP perceptions of the factors affecting PRN medication management in sheltered housing. Results: Four main factors affecting the PRN medication management were identified in the data and were related to either: 1) the medication; 2) the resident; 3) the HCP; or 4) the organisation. These categories included 14 subcategories. Overall, the HCP described the management of PRN medication as a complex process, where the above factors all have impact on the residents' health and safety. Conclusion: HCP working in sheltered housing describe that PRN medication management is affected by numerous human factors, that consequently may affect patient outcomes and safety. HCP involved in PRN medication management should be aware of factors that affect their decision-making, and safe management requires a professional practice built on medicines competence, practical skills and experience.

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The Role of the Registered Nurse Managing Pro Re Nata (PRN) Medicines in the Care Home (Nursing): a Case Study of Decision-Making, Medication Management and Resident Involvement

Cited by 3 publications

References 0 publications

Older Adults Living in Sheltered Housing’s Experiences of Involvement in Pro Re Nata Decisions. A Narrative Positioning Analysis

Older Adults Living in Sheltered Housing’s Experiences of Involvement in Pro Re Nata Decisions. A Narrative Positioning Analysis

Design and Implementation of an Analgesia, Sedation, and Paralysis Order Set to Enhance Compliance of pro re nata Medication Orders with Joint Commission Medication Management Standards in a Pediatric ICU

‘To give or not to give medication, that is the question.’ Healthcare personnel’s perceptions of factors affecting pro re nata medication in sheltered housing for older adults — a focus-group interview study

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