OBJECTIVES: Safe pharmaceutical care (PC) requires an interprofessional team approach, involving physicians, nurses and pharmacists. Nurses' roles however, are not always explicit and clear, complicating interprofessional collaboration. The aim of this study is to describe nurses' practice and interprofessional collaboration in PC, from the viewpoint of nurses, physicians and pharmacists. DESIGN: A cross-sectional survey. SETTING: The study was conducted in 17 European countries, each with their own health systems. PARTICIPANTS: Pharmacists, physicians and nurses with an active role in PC were surveyed. MAIN OUTCOME MEASURES: Nurses' involvement in PC, experiences of interprofessional collaboration and communication and views on nurses' competences. RESULTS: A total of 4888 nurses, 974 physicians and 857 pharmacists from 17 European countries responded. Providing patient education and information (PEI), monitoring medicines adherence (MMA), monitoring adverse/therapeutic effects (ME) and prescribing medicines were considered integral to nursing practice by 78%, 73%, 69% and 15% of nurses, respectively. Most respondents were convinced that quality of PC would be improved by increasing nurses' involvement in ME (95%), MMA (95%), PEI (91%) and prescribing (53%). Mean scores for the reported quality of collaboration between nurses and physicians, collaboration between nurses and pharmacists and interprofessional communication were respectively <7/10, ≤4/10, <6/10 for all four aspects of PC. CONCLUSIONS: ME, MMA, PEI and prescribing are part of nurses' activities, and most healthcare professionals felt their involvement should be extended. Collaboration between nurses and physicians on PC is limited and between nurses and pharmacists even more.

ANASTE Humanitas Foundation Rome Italy

Department of Clinical Nursing Medical University of Warsaw Warsaw Poland

Department of Neurobiology Care Sciences and Society Karolinska Institutet Huddinge Sweden

Department of Nursing and Clinical Science Bournemouth University Dorset UK

Department of Nursing Laboratory of Integrated Health Care University of Peloponesse Sparti Greece

Department of Nursing Universitat d'Alacant Alacant Spain

Department of Nursing University of Primorska College of Health Care Izola Slovenia

Deutsches Institut für angewandte Pflegeforschung e 5 Köln Germany

Faculty of Health and Welfare Østfold University College Halden Norway

Faculty of Health Sciences Department of Nursing University of Primorska College of Health Care Izola Slovenia

Faculty of Nursing and Professional Health Studies Slovak Medical University in Bratislava Bratislava Slovakia

Higher School of Nursing of Coimbra Health Sciences Research Unit Nursing Coimbra Portugal

Institute of Nursing Sciences Basic Health Sciences and Health Visiting University of Pecs Faculty of Health Sciences Pecs Hungary

Institute of Nursing Theory and Practice Charles University 1st Faculty of Medicine Praha Czech Republic

Medical Faculty Institute of Health and Nursing Sciences Martin Luther Universitat Halle Wittenberg Halle Germany

Nursing and Midwifery Faculty of Medicine and Health Sciences University of Antwerp Wilrijk Belgium

Nursing Swansea University Swansea UK

Research Group Care for the Chronically Ill HU University of Applied Sciences Utrecht Utrecht The Netherlands

Saint Kliment Ohridski University Bitola Bitola Bitola The former Yugoslav Republic of Macedonia

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