Content Validation of a Tool for Assessing Risks for Drug-Related Problems to be Used by Practical Nurses Caring for Home-Dwelling Clients Aged ≥65 years: a Delphi Survey

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dc.contributor.authorDimitrow, Maarit S.
dc.contributor.authorMykkänen, Sanna I.
dc.contributor.authorSaija N. S., Leikola
dc.contributor.authorKivelä, Sirkka-Liisa
dc.contributor.authorLyles, Alan
dc.contributor.authorAiraksinen, Marja S. A.
dc.date.accessioned2018-04-03T17:21:44Z
dc.date.available2018-04-03T17:21:44Z
dc.date.issued2014-05-14
dc.description.abstractAbstract Purpose Home care services are becoming a critically important part of health care delivery as populations are aging. Those using home care services are increasingly older, more frail than previously, and use multiple medications, making them vulnerable to drug-related problems (DRPs). Practical nurses (PN) visit homedwelling aged clients frequently and, thus, are ideally situated to identify potential DRPs and, if needed, to communicate them to physicians for resolution. This study developed and validated the content of a tool to be used by PNs for assessing DRP risks for their homedwelling clients aged ≥65 years. Methods The first draft of the tool was based on two systematic literature reviews and clinical experience of our research group. Content validity of the tool was determined by a threeround Delphi survey with a panel of 18 experts in geriatric care and pharmacotherapy. An agreement by ≥80 % of the panel on an item was required. Results The final tool consists of 18 items that assess risks for DRPs in home-dwelling aged clients. It is divided into four sections: (1) Basic Client Data, (2) Potential Risks for DRPs in Medication Use, (3) Characteristics of the Client’s Care and Adherence, and (4) Recommendations for Actions to Resolve DRPs. Conclusions The Delphi process resulted in a structured DRP Risk Assessment Tool that is focused on the highest priority DRPs that should be identified and resolved. The tool also assists the PNs to identify solutions to these problems, which is a unique feature compared to similarly purposed prior tools.en_US
dc.description.uriDimitrow, M., Mykkänen, S., Leikola, S., Lyles, A., Airaksinen, M. (2014) Content Validation of a Tool for Assessing Risks for Drug-Related Problems to be Used by Practical Nurses Caring for Home-Dwelling Clients Aged ≥65 Years: a Delphi Survey. European Journal of Clinical Pharmacology. DOI 10.1007/s00228-014-1699-5.en_US
dc.format.extent12 pagesen_US
dc.genrejournal articlesen_US
dc.identifierdoi:10.13016/M2CZ3267R
dc.identifier.citationDimitrow, M., Mykkänen, S., Leikola, S., Lyles, A., Airaksinen, M. Content Validation of a Tool for Assessing Risks for Drug-Related Problems to be Used by Practical Nurses Caring for Home-Dwelling Clients Aged ≥65 Years: a Delphi Surveyen_US
dc.identifier.urihttp://hdl.handle.net/11603/7908
dc.language.isoen_USen_US
dc.publisherEuropean Journal of Clinical Pharmacologyen_US
dc.relation.isAvailableAtUniversity of Baltimore
dc.subjectGeriatric pharmacotherapyen_US
dc.subjectAdverse drug reactionsen_US
dc.subjectDrug-related problemsen_US
dc.subjectRisk managementen_US
dc.subjectPatient safetyen_US
dc.subjectPrimary careen_US
dc.titleContent Validation of a Tool for Assessing Risks for Drug-Related Problems to be Used by Practical Nurses Caring for Home-Dwelling Clients Aged ≥65 years: a Delphi Surveyen_US
dc.typeTexten_US

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