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'Working outside the box'-an interview study regarding manipulation of medicines with registered nurses and pharmacists at a Swedish paediatric hospital
Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm; Karolinska Institutet, Stockholm.
Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm; Karolinska Institutet, Stockholm.
Uppsala University, Uppsala.
Uppsala University, Uppsala.
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2023 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 112, no 12, p. 2551-2559Article in journal (Refereed) Published
Abstract [en]

AIM: Studies on frequencies of manipulated medicines in paediatric care are common, but there is little knowledge of experiences of pharmacists and registered nurses in this area. The aim of this study was to explore registered nurses' and pharmacists' reasoning in the manipulation of medicines to paediatric inpatients.

METHODS: Semistructured interviews with twelve registered nurses and seven pharmacists were performed at a Swedish paediatric university hospital. The interviews were transcribed verbatim and analysed using content analysis.

RESULTS: Four major categories emerged from the analysis of the interviews: medicines management, knowledge, consulting others and organisation. Medicines management involved the process of drug handling, which is prescribing, reconstitution or manipulation and administration. Knowledge concerned both the knowledge base and how healthcare personnel seek information. Consulting others involved colleagues, registered nurses and pharmacists, between registered nurses, pharmacists and physicians and between registered nurses, pharmacists and caregivers. Organisation covered documentation, time and working environment.

CONCLUSION: Both pharmacists and registered nurses stated that manipulation of medicines to paediatric patients was often necessary but felt unsafe due to lack of supporting guidelines. Pharmacists were natural members of the ward team, contributing with specific knowledge about medicines and formulations.

Place, publisher, year, edition, pages
2023. Vol. 112, no 12, p. 2551-2559
Keywords [en]
alteration of dosage form, medicines, paediatric care, pharmacists, registered nurses
National Category
Social and Clinical Pharmacy
Identifiers
URN: urn:nbn:se:du-46938DOI: 10.1111/apa.16967ISI: 001063891500001PubMedID: 37680138Scopus ID: 2-s2.0-85170079711OAI: oai:DiVA.org:du-46938DiVA, id: diva2:1796538
Available from: 2023-09-12 Created: 2023-09-12 Last updated: 2023-11-13Bibliographically approved

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Förberg, Ulrika

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
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  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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