-
ORIGINAL ARTICLE
Drug scheduling by nurses and drug interactions in patients with cardiovascular diseases
Revista Brasileira de Enfermagem. 2020;73(5):e20190307
07-06-2020
Abstract
ORIGINAL ARTICLEDrug scheduling by nurses and drug interactions in patients with cardiovascular diseases
Revista Brasileira de Enfermagem. 2020;73(5):e20190307
07-06-2020DOI 10.1590/0034-7167-2019-0307
Views0See moreABSTRACT
Objectives:
to identify and characterize the potential serious drug interactions in patients hospitalized with cardiovascular diseases, relating them to the schedules established for drug administration by nurses.
Methods:
a documentary, quantitative and sectional research. Ninety-nine prescriptions from patients admitted to the cardiology ward of a hospital in Rio de Janeiro for more than 48 hours were analyzed. Drug interaction was assessed using the Micromedex® software. The data were analyzed using descriptive and inferential statistics.
Results:
serious interactions were evidenced in 22 drug pairs, most frequently at 6 p.m. and 6 a.m., times with higher dose scheduling performed by nurses. The most recurrent drug pairs involved in serious interactions were simvastatin + amlodipine and enoxaparin + clopidogrel.
Conclusions:
drug scheduling by nurses requires a review of the criteria for proposing schedules for drugs in order to ensure patient safety.
-
Nurses’ performance on primary care in the National Health Service in England
Revista Brasileira de Enfermagem. 2016;69(1):182-191
01-01-2016
Abstract
Nurses’ performance on primary care in the National Health Service in England
Revista Brasileira de Enfermagem. 2016;69(1):182-191
01-01-2016DOI 10.1590/0034-7167.2016690124i
Views0See moreABSTRACT
Objective:
To analyze the expansion of nursing roles in primary care in the English National Health Service and the implications for professional practice.
Method:
qualitative research in case study format, held in London, England, in six primary care units. Data were obtained through interviews with nine nurses. After the thematic data analysis, two units emerged: the nurses' performance characteristics and effects of the expansion of nursing roles.
Results:
expansion of nurses' roles: consultation, diagnosis and drug therapy, case management and monitoring of chronic conditions. Repercussions: for the user, there was improved access, communication and comprehensive care, increased duration of consultations, resulting in greater adherence; for nurses, there was the expansion of professional skills, knowledge and professional recognition; to the health care system, it resulted in cost savings.
Conclusion:
benefits in expanding nursing roles, were visible, contributing to primary care quality.