Community Pharmacy, School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, Switzerland; Community Pharmacy, Department of Ambulatory Care & Community Medicine, University of Lausanne, Switzerland.
Department of Ambulatory Care and Community Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Patient Educ Couns. 2018 Jul;101(7):1175-1192. doi: 10.1016/j.pec.2018.01.022. Epub 2018 Feb 9.
Healthcare providers play an important role in addressing medication adherence. Pharmacists and nurses are qualified in this field even though they have different expertise. They both claim their role at the patient's side in collaboration with physicians. To avoid care duplication, such interprofessional collaborations must be carefully defined. The objectives of our review were to: 1) identify medication adherence-enhancing interventions involving pharmacists and nurses; 2) describe their respective roles.
Literature searches were conducted in PubMed/Medline, Embase, Cochrane Library. Screening criteria were: medication adherence-enhancing interventions, at least a pharmacist and nurse collaborating with/without other healthcare professionals, role description, outpatient settings, at least one oral treatment, adult patients.
After screening, 21 references fulfilled the inclusion criteria. Pharmacists and nurses were both in a strategic position to identify eligible patients for adherence interventions, to assess and promote adherence. Pharmacists specifically ensured treatment efficacy, security and access, they provided information on the medication and related lifestyle advice. Nurses clinically co-managed patients with physicians; they also provided patients with information on their disease.
Pharmacist-nurse medication adherence-enhancing interventions are rare and often in a nascent phase.
The results of our review should help in designing new pharmacist-nurse medication adherence-enhancing interventions.
医疗保健提供者在解决药物依从性方面发挥着重要作用。药剂师和护士在这一领域具有专业知识，尽管他们的专长不同。他们都声称自己在与医生合作的患者身边发挥作用。为了避免护理重复，必须仔细定义这种跨专业合作。我们的综述目的是：1）确定涉及药剂师和护士的药物依从性增强干预措施；2）描述他们各自的角色。
在 PubMed/Medline、Embase 和 Cochrane Library 中进行文献检索。筛选标准为：药物依从性增强干预措施，至少有一名药剂师和护士与/或没有其他医疗保健专业人员合作，角色描述，门诊环境，至少一种口服治疗，成年患者。
经过筛选，21 篇参考文献符合纳入标准。药剂师和护士都处于识别适合药物依从性干预的合格患者、评估和促进依从性的战略位置。药剂师专门确保治疗的疗效、安全性和可及性，他们提供有关药物和相关生活方式建议的信息。护士与医生共同管理患者的临床情况；他们还向患者提供有关其疾病的信息。
药剂师-护士药物依从性增强干预措施很少见，且通常处于起步阶段。
我们的综述结果应有助于设计新的药剂师-护士药物依从性增强干预措施。
