SPECIFICATION OF DRUG ADMINISTRATION IN GERIATRIC PATIENTS WITHIN THE COMPETENCES OF THE NURSE
DOI:
https://doi.org/10.24144/2077-6594.2.2020.202364Keywords:
geriatric patient, pharmacotherapy, education, nurses, safety patientsAbstract
Aim. The study´s objective was to obtain the views of nurses on the application of competencies in the field of pharmacotherapy in geriatric patients in clinical practice. Subsequently, it attempted to identify the most common problems that nurses encounter in relation to pharmacotherapy and safety of geriatric patients.
Material and methods. The group consisted of 48 nurses working in a facility providing care for geriatric patients. A non-standardized questionnaire was used for data collection, which included two areas: the area of intervention of nurses in pharmacotherapy and the area of problems related to pharmacotherapy.
Results. Nurses apply their competencies focused on pharmacotherapy, especially in the preparation and administration of drugs. The answers of nurses in the field of education (62%) and communication (58%) related to pharmacotherapy in the elderly can be considered insufficient. The most common problems that nurses encounter in clinical practice are non-cooperation of seniors, their distrust and negative attitude towards treatment. Nurses identified incorrect dosing and drug substitution as potential errors that could compromise the safety of the geriatric patient.
Conclusions. Based on the results of our research, we can state that nurses actively apply their competencies in pharmacotherapy, taking into account the specifics of geriatric patient care. The shortcomings we have identified in the field of education and communication related to pharmacotherapy indicate the need to support the education and practical training of nurses’ skills. Further attention needs to be paid to the safety of the patient in pharmacotherapy.
References
Lee, J.K., Alshehri, S., Kutbi, H., Martin, J.R. Optimizing pharmacotherapy in elderly patients: the role of pharmacists. Integr Pharm Res Pract., 2015; 4:101-111. doi: 10.2147/IPRP.S70404.
WHO. Ageing and life course. [online] 2018. Available at: https://www.who.int/ageing/primary_health_care/en/
Belovičová, M., Vansáč, P. Selected aspects of medical and social care for long-term ill persons. Towarzystwo Slowaków w Polsce, Kraków, 2019, 153 p. ISBN 978-83-811110-9-6.
Mauk, K.L. Gerontological nursing competencies for care. 4th ed. Burlington, MA: Jones & Barlett Learning 2017.
Grešš Halász, B., Hudáková, A., Kaščáková, M. Gerontological advanced nurse practitioners in senior care. General Practicioner, 2019; 99(5):210-214.
Dimunová, L., Mohnyánszki, F., Raková, J. Pracovná záťaž sestry. Praha: powerptint. 2018. s. 75. ISBN 978-80-7568-097-6.
Pilotto, F., Martin, F. Comprehensive geriatric assessment. E-book. Springer nature publishing company, 1st ed., 2018; p. 182. Available at: http://www.twirpx.com.file.
Zrubáková, K., Krajčík, Š., et al. Pharmacotherapy in geriatrics. Grada publishing, a.s., 2016. 224 p. ISBN 978-80-247-5229-7.
Steinman, M.A., Low, M., Balicer, R.D., Shadmi E. Impact of a nurses-based intervention on medication outcomes in ulnerable older adults. BMC Geriatr. 2018; 18(1):207. doi: 10.1186/s12877-018-0905-1.
Mohamed, N.A., Hafez, S.H., Shrief, S.E. Nursing based intervention to optimize knowledge and practices of old age patients about polypharmacy. IOSR-JNHS, 2019; 8(1):29-37.
Hegyi, L. Long-term or health-social care? Geriatria, 2015; 1:7-13. ISSN 1335-1850.
Petrovič, M., Sommers, A., Onder, G. Optimisation of geriatric pharmacotherapy: role of multifaceted cooperation in the hospital setting. Drugs Aging. 2016. doi:10.1007/s40266-016-0352-7.
Bednarek, A., Zarzycka, D. Trends in vaccinology education of nurses in Poland. Medical and Biological Sciences, 2015.29(1):5-11. doi: http://dx.doi.org/10.12775/MBS.2015.001.
Zrubáková, K., Magerčiaková, M., Teperová, M. New trends in the education and practice of health professionals. "Pharmacotherapy of seniors and its problems in Slovakia and the Czech Republic" Prohuman [online]. Available at https://www.prohuman.sk/files/Nove-trendy-vo-vzdelavani-a-praxi-zdrav-prac-2014.pdf.
Zanovitová, M., Kurucová, R., Tomagová, M., Boriková, I., Miertová, M. Selected aspects of health care for the elderly. Martin: UK JLF, 2015. 83 s. ISBN: 978-80-89544-93-6.
Dilles, T., Stichele R.V., van Rompaey, B., van Bortel, L., Elseviers, M. Nurses’ practices in pharmacotherapy and their association with educational level. Journal of Advanced Nursing, 2010. 66(5):1072–1079. doi.org/10.1111/j.1365-2648.2010.05268.x.
Popovičová М., Belovičová М. eHealth healthcare electronization in Slovakia. ISSN 2077-6594. Ukraine. Nation’s Health. 2020.1 (58): 23-27. doi 10.24144/2077-6594.1.2020.197015.
Dingová, M., Jakubcová, T. Health Literacy – New Concept for Nursing Practice. Ošetrovateľstvo: teória, výskum, vzdelávanie, 2011;1(1):34–41.
Tóth, M. Monitoring system for drug delivery suitable for elderly people who have been using medicines for long periods in social care facility and at home environment [online]. Prohuman, 2020. Available at: https://www.prohuman.sk/socialne-sluzby/monitorovaci-system-davkovania-liekov-msdl.
