Delegering av läkemedels-hantering i öppen vård

Abstract

The aim of this study was to investigate by means of questionnaires the opinions and experiences of medical-management staff in non-institutional care (home care). Questionnaires were sent to district nurses and assistant nurses employed by the County Council and home helpers, assistant nurses and nurses with medical responsibilities employed by the local authority. The district nurses spent a lot of time on medical management and experienced difficulties in getting to know the personnel in the local authority, which is very important in the delegation of medical management. Delegation or direction was experienced by many of the staff as good when it elucidated the responsibility and made medical management safer. There was a need for increased information, education and the examination of different concepts and current laws. There was also a need for improved cooperation and communication between the County Council and the local authority, especially in reporting changes, for example medicine changes or if the patient did not want to take or had not received his or her medicine. Regular meetings with the district nurses and more knowledge of medical preparations and their side-effects were asked for by the home helpers and assisstant nurses employed by the local authority. Thirty-six district nurses (97,3%) considered that there was a need for information and educational material regarding delegation and direction matters in non-institutional care (home care).