Wat weten de patiënt en zijn hulpverlener: de meerwaarde van een huisbezoek door de praktijkondersteuner bij de medicatiebeoordelingen van patiënten met polyfarmacie in de eerste lijn

Bosch-Lenders, Donna; Akker, Marjan van den; Stoffers, Jelle; Kuy, H. van der; Schols, Jos M. G. A.; Knottnerus, J. André

doi:10.1007/s12439-013-0015-7

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…However, an overview of actual medication use is essential for medication reviews. It is known that GPs’ and pharmacists’ medication records and actual intake often mismatch [ 24 , 25 ]. Results from an Australian study showed that medication use obtained by means of a telephone interview had good agreement with those obtained by means of an interview [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Information on actual medication use and drug-related problems in older patients: questionnaire or interview?

et al. 2016

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Background Information on medication use and drug-related problems is important in the preparation of clinical medication reviews. Critical information can only be provided by patients themselves, but interviewing patients is time-consuming. Alternatively, patient information could be obtained with a questionnaire. Objective In this study the agreement between patient information on medication use and drug-related problems in older patients obtained with a questionnaire was compared with information obtained during an interview. Setting General practice in The Netherlands. Method A questionnaire was developed to obtain information on actual medication use and drug-related problems. Two patient groups C65 years were selected based on general practitioner electronic medical records in nine practices; I. polypharmacy and II. C1 predefined general geriatric problems. Eligible patients were asked to complete the questionnaire and were interviewed afterwards. Main outcome measure Agreement on information on medication use and drug-related problems collected with the questionnaire and interview was calculated. Results Ninety-seven patients participated. Of all medications used, 87.6 % (95 % CI 84.7-90.5) was reported identically in the questionnaire and interview. Agreement for the complete medication list was found for 45.4 % (95 % CI 35.8-55.3) of the patients. On drug-related problem level, agreement between questionnaire and interview was 75 %. Agreement tended to be lower in vulnerable patients characterized by C4 chronic diseases, C10 medications used and low health literacy. Conclusion Information from a questionnaire showed reasonable agreement compared with interviewing. The patients reported more medications and drug-related problems in the interview than the questionnaire. Taking the limitations into account, a questionnaire seems a suitable tool for medication reviews that may replace an interview for most patients.

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Section: Discussionmentioning

confidence: 99%

Information on actual medication use and drug-related problems in older patients: questionnaire or interview?

et al. 2016

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“…The proper approach to using medication is to prescribe it with the patient’s consent to reduce drug-related problems and the use of needless medications. Nurse practitioners are largely responsible for organizing and facilitating communication between physicians or pharmacists and patients, as well as informing patients about their prescriptions and teaching them its management 19 ) .…”

Section: Introductionmentioning

confidence: 99%

Applicability of the Self-Evaluation Scale of nursing practices for improving sleep quality among patients with dementia taking sleeping pills to general nurses

Iwamoto,

Fujino,

Furuno

et al. 2024

J Rural Med

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Objective: Many patients with dementia experience sleep-related problems. However, there is a lack of clarity regarding nursing practices that can address these issues. Thus, we developed a self-assessment scale for nursing practices to improve sleep quality among patients with dementia taking sleep medication and confirmed its validity and reliability. This study aimed to test the validity and reliability of this scale for adaptability to general nurses and test its applicability. Participants and Methods:The survey included basic attributes and questionnaire items related to nursing practices to improve sleep quality in patients with dementia taking sleeping pills. Data from 477 participants with no missing values in the survey items were used in the analysis. The self-evaluation scale of nursing practices for improving sleep quality among patients with dementia taking sleeping pills was based on a three-factor model, and confirmatory factor analysis was performed using structural equation modeling.Results: Goodness-of-fit indices were satisfactory, supporting the construct validity of the scale. Cronbach's α coefficients for the total score and the three factors of the self-evaluation scale of nursing practices for improving sleep quality among patients with dementia taking sleeping pills exceeded 0.7. Conclusion:The development of this scale can improve the quality of nursing practice for patients with dementia who take sleeping pills. Moreover, it can serve as evidence for general nurses to participate in drug treatment and can be considered as basic research for appropriate drug treatment in nursing practice.

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Wat weten de patiënt en zijn hulpverlener: de meerwaarde van een huisbezoek door de praktijkondersteuner bij de medicatiebeoordelingen van patiënten met polyfarmacie in de eerste lijn

Abstract: Home visits by the nurse practitioner to make an inventory of the medication as reported by the patient seem to have an added value.

Cited by 2 publications

References 4 publications

Information on actual medication use and drug-related problems in older patients: questionnaire or interview?

Information on actual medication use and drug-related problems in older patients: questionnaire or interview?

Applicability of the Self-Evaluation Scale of nursing practices for improving sleep quality among patients with dementia taking sleeping pills to general nurses

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