Pharmaceutical Care in Primary Healthcare—A Study of Nurses’, Pharmacists’, and Physicians’ Experiences of Interprofessional Collaboration

Author:

Helgesen Ann Karin1ORCID,Nome Carina Marie2,Stenbjerg Julie Kjølhede3,Arnesen Marie Helen4,Aardalen Tina Reinertsen5,Dilles Tinne6ORCID,Grøndahl Vigdis Abrahamsen1ORCID

Affiliation:

1. Faculty of Health, Welfare, and Organisation, Østfold University College, P.O. Box 700, NO-1757 Halden, Østfold, Norway

2. Haugvoll Nursing Home, Sarpsborg Kommune, Myrvollveien 25, NO-1743 Klavestadhaugen, Sarpsborg, Norway

3. Emergency Room, Fredrikstad Kommune, Jens Wilhelmsens Gate 1, NO-1671 Kråkerøy, Fredrikstad, Norway

4. Home Nursing Care Centre, Fredrikstad Kommune, Faunsvei 3-6, NO-1654 Sellebakk, Fredrikstad, Norway

5. Intensive Care Unit, Østfold Hospital Trust, Kalnesveien 300, NO-1714 Grålum, Sarpsborg, Norway

6. Centre for Research and Innovation in Care, Nurse and Pharmaceutical Care, University of Antwerp, Prinsstraat 13, 2000 Antwerp, Belgium

Abstract

Implementation of pharmaceutical care for the benefit of patients and health services has been highlighted worldwide. Interprofessional collaboration between nurses, pharmacists, and physicians may contribute to raising awareness of pharmacological challenges, increasing quality, and minimising errors in pharmaceutical care. This study aimed to investigate how nurses, pharmacists, and physicians experience interprofessional collaboration in pharmaceutical care within community healthcare in Norway. The study had an explorative and descriptive design with a qualitative approach. Individual interviews were conducted with 12 healthcare personnel with key roles in pharmaceutical care within community healthcare services. The data were analysed using systematic text condensation. The results revealed three categories and four subcategories: The category “Professional challenges” contained the subcategories “Blurred responsibilities” and “The importance of trust and continuity”. The category “Organisational barriers” contained the subcategories “Lack of information exchange and suitable communications channels” and “Lack of time and meeting places”. The third category was “Nurses—the important link”. This study reveals challenges to and factors of success in increasing high-quality and safe pharmaceutical care, knowledge that can be used in quality work in the community health services and as input in curriculum development for the three professions.

Funder

European Union

Publisher

MDPI AG

Reference33 articles.

1. Council of Europe Committee of Ministers (2020). Resolution CM/Res(2020)3 on the Implementation of Pharmaceutical Care for the Benefit of Patients and Health Services, Council of Europe. Available online: https://go.edqm.eu/CMRes20203.

2. Opportunities and responsibilities in pharmaceutical care;Hepler;Am. J. Hosp. Pharm.,1990

3. Pharmaceutical care: The PCNE definition 2013;Allemann;Int. J. Clin. Pharm.,2014

4. Dilles, T., Heczkova, J., Tziaferi, S., Helgesen, A.K., Grøndahl, V.A., Van Rompaey, B., Sino, C.G., and Jordan, S. (2021). Nurses and Pharmaceutical Care: Interprofessional, Evidence-Based Working to Improve Patient Care and Outcomes. Int. J. Environ. Res. Public Health, 18.

5. Gomis-Jimeno, F.J., and Lillo-Crespo, M. (2023). Identifying the Enablers and Barriers to Advance Nurse Prescribing of Medication in Spain According to Experts’ Views: A Delphi Study. Int. J. Environ. Res. Public Health, 20.

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