Community nurse requests for home medicines review referral - systems development and barrier identification

Kyle, Gregory John (2005). Community nurse requests for home medicines review referral - systems development and barrier identification Master's Thesis, School of Pharmacy, The University of Queensland.

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Author Kyle, Gregory John
Thesis Title Community nurse requests for home medicines review referral - systems development and barrier identification
School, Centre or Institute School of Pharmacy
Institution The University of Queensland
Publication date 2005-01
Thesis type Master's Thesis
Supervisor Lisa Nissen
Total pages 86
Total colour pages 2
Total black and white pages 84
Language eng
Subjects 111503 Clinical Pharmacy and Pharmacy Practice
Formatted abstract Aim
To develop a systems based approach for community nurse requests for home medicines review (HMR) referral, measure the degree of uptake of these requests for HMR, and identify barriers to uptake of HMR referrals as part of the developed system.

Method
An area of southern Brisbane suburbs was selected encompassing three Divisions of General Practice and three Blue Care nursing centres. Stakeholder meetings involving interested parties were convened to determine process issues. Patients identified as having potential medication related problems were recruited by Blue Care nurses and tracked through the normal HMR process. Focus groups were conducted with each professional group involved in the project (pharmacists, general practitioners (GPs) and Blue Care nurses) to discuss and identify barriers in the project and also general barriers to HMR uptake in the community.

Results
Five requests for HMR referral were completed and sent to the GP during the seven months of this study. Of these, three (60%) HMR referrals were generated by the GP and sent to the pharmacy. One referral was withdrawn by the GP and two referrals (40%) resulted in a completed HMR. Two focus groups each were conducted with Blue Care nurses and GPs and one with pharmacists.

Conclusion
The HMR program remains in its infancy with much untapped potential. Patient and health professional acceptance of the program remain key barriers to its continued uptake and success.
Keyword Community nurses
Home medicines

 
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Created: Fri, 24 Aug 2012, 13:53:54 EST by Vanessa Lee King on behalf of School of Pharmacy