The nurse-led Norwegian Adverse Drug Reaction (ADRe) Profile in home care service

The ADRe Profile lists problems that might be associated with or exacerbated by commonly prescribed medicines and asks nurses to monitor these and inform prescribers or pharmacists.

The ADRe Profile comprises vital signs and changes in vital signs, observations, focused questions, or reports of possible ADRs, prevention/health promotion areas likely to be affected by medicines, including diet, medicines’ use, service user’s perspectives and care plan modifications. Randomised controlled trials and observation studies have shown that this structured nurse-led medicines monitoring using the ADRe Profile benefits patients, for example, by reducing pain and sedation and identifying high-risk cardiovascular conditions.

The medicines’ management research group at Swansea University, Wales, UK led by professor Jordan, has developed the ADRe Profile. (ADRe – The Adverse Drug Reaction Profile - Swansea University)

Aim

The aim of the project is to develop and evaluate the nurse-led screening tool to map the patient's medication use and side effects of these. Further, we aim to develop a digital application in Norwegian towards implementing the ADRe Profile in routine practice in Norway. The ADRe profile will form the basis for nursing interventions and interdisciplinary cooperation regarding the patient's health. 

Description

In cooperation with nurses, pharmacists, and doctors, researchers at Molde University College have translated the ADRe Profile to Norwegian followed the Delphie Technique (translation and back translation). Now, we are finishing the translation process and are developing a paper-based prototype for the Norwegian ADRe Profile in homecare service in cooperation with nurses in a municipality and a design and web agency. We now aim to understand what is needed to implement the ADRe Profile in routine practice in Norway and explore future directions. 

The expected benefit is a validated screening tool for patients that can help reduce medication side effects, improve the quality of nursing care, and reduce costs in healthcare services. The project is located within nursing science, medication management, with the overall goal of increasing competence and quality in patient treatment and care, and patient safety.

The research is relevant to the workplace, as the use of ADRe is important for increased competence among healthcare professionals in practice and the quality of services for patients and users and can help reduce medication-related harm worldwide. Therefore, the project is an important contribution to one of WHO's defined goals for ensuring patient safety.

Participants

• Johanne Alteren, projectleader
• Aud Orøy
• Jeanette Varpen Unhjem
• Marit Næss Brendehaug, Sundal Municipalities, until February 2024
• Sue Jordan, Swansea University Wales UK