Nursing needs its leaders to respond to Francis
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- Article: Sibley A (2012) How effective are nurses’ medicine discussions? Nursing Times; 108: 22/23, 20-22.
Key points
- Guidance on effective medicine discussion indicates that patients’ medicine beliefs are a strong predictor of medicine-taking behaviour
- Despite favourable comparison with research on doctor-patient medication discussion, nurse prescribers’ practice may not fully optimise patient medicine taking
- Research suggests nurses discuss issues that address the “unintentional” rather than “intentional” reasons for non-adherence
- Patients should be given opportunities to initiate medicines discussions
- Nurses need continuing professional development to help them to explore patients’ medicine beliefs
Let’s discuss
- What do the terms compliance, non-adherence and non-concordance mean?
- Think about a patient. What information would you give them about their prescribed medicines?
- Why do you think patients fail to take their prescribed medicines?
- How would you structure a consultation with a patient to improve concordance with taking their medicines?
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