Feasibility of a practical nurse administered risk assessment tool for drug-related problems in home care

• Published in: Scandinavian journal of public health 2015-11, Vol.43 (7), p.761-769
• Main Authors: DIMITROW, MAARIT S, LEIKOLA, SAIJA N, KIVELÄ, SIRKKA-LIISA, PASSI, SANNA, LUKKARI, PIRJO, AIRAKSINEN, MARJA SA
• Format: Article
• Language: English
• Subjects: Aged; Attitude of Health Personnel; Clinical Competence; Drug-Related Side Effects and Adverse Reactions - prevention & control; Drugs and tobacco; Feasibility Studies; Home Care Services; Humans; Inservice Training; Nursing Evaluation Research; Nursing, Practical; Qualitative Research; Reproducibility of Results; Risk Assessment - methods
• ISSN: 1403-4948; 1651-1905
• DOI: 10.1177/1403494815591719

Aim: To evaluate feasibility of a practical nurse-administered Drug-related Problem Risk Assessment Tool among home care clients ⩾65 years. Methods: Altogether, 36 practical nurses participated in the study. They were trained about the purpose and use of the tool. The training consisted of a day long interactive workshop and involved reviewing four self-selected clients' medications using the tool (one as a pre-assignment before and three as post-assignments after the workshop). The data of this study were collected during the training. Triangulation, i.e. combination of methods and data, was used to evaluate the feasibility of the tool. Quantitative data were gathered from returned post-assignment tools and qualitative data from face-to-face discussions and open questions in feedback forms the practical nurses returned after the training. Results: Practical nurses spent 10-45 minutes reviewing one client's medication using the tool (mean 20±8).They identified reliably 88% of the risk medicines used by the clients listed in the tool. Of the respondents (n=23) of the feedback forms, 43% reported that they felt it easy or quite easy to answer the questions of the tool. Generic names of medicines, time constraints, home-care workers'/client's lack of interest to client's pharmacotherapy and short client contacts were the most common barriers to use the tool. Conclusions: The Drug-Related Problem Risk Assessment Tool turned out to be feasible among practical nurses. The brief training on the content and use of the tool seems to be sufficient for ensuring reliable use of the tool.