ObjectivesSafe pharmaceutical care (PC) requires an interprofessional team approach, involving physicians, nurses and pharmacists. Nurses’ roles however, are not always explicit and clear, complicating interprofessional collaboration. The aim of this study is to describe nurses’ practice and interprofessional collaboration in PC, from the viewpoint of nurses, physicians and pharmacists.DesignA cross-sectional survey.SettingThe study was conducted in 17 European countries, each with their own health systems.ParticipantsPharmacists, physicians and nurses with an active role in PC were surveyed.Main outcome measuresNurses’ involvement in PC, experiences of interprofessional collaboration and communication and views on nurses’ competences.ResultsA total of 4888 nurses, 974 physicians and 857 pharmacists from 17 European countries responded. Providing patient education and information (PEI), monitoring medicines adherence (MMA), monitoring adverse/therapeutic effects (ME) and prescribing medicines were considered integral to nursing practice by 78%, 73%, 69% and 15% of nurses, respectively. Most respondents were convinced that quality of PC would be improved by increasing nurses’ involvement in ME (95%), MMA (95%), PEI (91%) and prescribing (53%). Mean scores for the reported quality of collaboration between nurses and physicians, collaboration between nurses and pharmacists and interprofessional communication were respectively <7/10, ≤4/10, <6/10 for all four aspects of PC.ConclusionsME, MMA, PEI and prescribing are part of nurses’ activities, and most healthcare professionals felt their involvement should be extended. Collaboration between nurses and physicians on PC is limited and between nurses and pharmacists even more.

Objectives To understand healthcare professionals’ experiences and perceptions of nurses’ potential or ideal roles in pharmaceutical care (PC). Design Qualitative study conducted through semi-structured in-depth interviews. Setting Between December 2018 and October 2019, interviews were conducted with healthcare professionals of 14 European countries in four healthcare settings: hospitals, community care, mental health and long-term residential care. Participants In each country, pharmacists, physicians and nurses in each of the four settings were interviewed. Participants were selected on the basis that they were key informants with broad knowledge and experience of PC. Data collection and analysis All interviews were conducted face to face. Each country conducted an initial thematic analysis. Consensus was reached through a face-to-face discussion of all 14 national leads. Results 340 interviews were completed. Several tasks were described within four potential nursing responsibilities, that came up as the analysis themes, being: 1) monitoring therapeutic/adverse effects of medicines, 2) monitoring medicines adherence, 3) decision making on medicines, including prescribing 4) providing patient education/information. Nurses’ autonomy varied across Europe, from none to limited to a few tasks and emergencies to a broad range of tasks and responsibilities. Intended level of autonomy depended on medicine types and level of education. Some changes are needed before nursing roles can be optimised and implemented in practice. Lack of time, shortage of nurses, absence of legal frameworks and limited education and knowledge are main threats to European nurses actualising their ideal role in PC. Conclusions European nurses have an active role in PC. Respondents reported positive impacts on care quality and patient outcomes when nurses assumed PC responsibilities. Healthcare professionals expect nurses to report observations and assessments. This key patient information should be shared and addressed by the interprofessional team. The study evidences the need of a unique and consensus-based PC framework across Europe.

Aim To explore how levels of managerial support discriminate paediatric nurses' burnout, quality of life, intent to leave and adverse patient events. Design A quantitative correlational study. Methods A total of 225 paediatric nurses were selected from nine major hospitals across Jordan. The main measures used were the Copenhagen Burnout Inventory and the brief version of World Health Organization‐Quality of Life Instrument. The study methods were compliant with the STROBE checklist. Results Nurse manager support was negatively associated with adverse patient events, work‐related burnout, client‐related burnout, and intent to leave; and positively with physical and psychological quality of life. Frequency of nosocomial infections characterized low manager support, whereas medication errors described high support. Greater nurse manager support decreased the likelihood of adverse patient outcomes.

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A szerzők cikküket a Pécsi Tudományegyetem alapításának 650. évfordulója tiszteletére közlik.Bevezetés: Az alvásminőséget számos tényező befolyásolhatja, az insomnia pedig hatással van az egészségi állapotra. Célkitűzés: Kutatásunk célja felmérni az insomnia gyakoriságát és hatásait, az alvást befolyásoló tényezőket és az elalvást segítő szokásokat felnőttek körében. Módszer: Az adatfelvétel országosan online és a dél-dunántúli régióban papíron történt, 455 felnőtt töltötte ki a kérdőívet, amelynek része az Athén Insomnia Skála. Eredmények: A vizsgálat-ban részt vevők 13,4%-a insomniás. Az insomniát (átlagpont: 5,08) befolyásolja a táplálkozás minősége (p<0,001), a kávéfogyasztás (p = 0,045) és a sport (p = 0,011), továbbá összefüggésben van a krónikus betegségek (p = 0,001) és a pszichoszomatikus panaszok gyakoriságával (p<0,001). Az alvászavar leggyakoribb okai: munkahelyi stressz (35,6%), magánéleti stressz (35,4%) és fájdalom (24,2%). Akik a magánéleti stresszt (p = 0,001) és fájdalmat (p = 0,033) jelölték oknak, rosszabbul alszanak. Elalvási problémák esetén alkalmazott leggyakoribb szokások a tévé-nézés, az olvasás; a válaszadók 7,5%-a alkalmaz altatószert és 11,4%-a gyógyteát. Következtetések: Kutatásunkkal felhívjuk a figyelmet az insomnia gyakoriságára, hatásaira és az elalvást segítő lehetőségekre. Orv. Hetil., 2016Hetil., , 157(49), 1955Hetil., -1959. Kulcsszavak: insomnia, egészségi állapot Insomnia and habits to help to fall asleep among adultsIntroduction: The quality of sleep can be influenced by several factors, insomnia in turn has an effect on the state of health. Aim: The aim of our survey is to measure the effects of insomnia, furthermore, the sleep affecting agents and habits to help to fall asleep among adults. Method: We collected the online nationwide and the written datas from the South-Transdanubia region, 455 adults filled the questionnaire which contains the Athens Insomnia Scale. Results: 13.4% of participants has insomnia, it is influenced by the quality of diet (p<0.001), comsumption of coffee (p = 0.045) and the physical activity (p = 0.011), what is more in correlation with the prevalency of chronic deseases (p = 0.001) and psychosomatic symptoms (p<0.001). The most frequent causes of sleep disorders are: work-related stress (35.6%), personal-life stress (35.4%) and pain (24.2%). In case of dormition problems most of the participants watch television (52.1%) and read (33%); 7.5% and 11.4% of the responders use sleeping pills and tisane. Conclusions: We attract attention to the prevalency and effects of insomnia, and the habits to help to fall asleep.