The NUPHAC-EU Framework for Nurses’ Role in Interprofessional Pharmaceutical Care

Authors Elyne De Baetselier, Bart Van Rompaey, Nienke Dijkstra, Carolien Sino, Kevin Akerman, Luis M da Cunha Batalha, María I D Fernández, Izabela Filov, Vigdis Abrahamsen Grøndahl, Jana Heczkova, Ann Karin Helgesen, Sarah Keeley, Petros Kolovos, Gero Langer, Sabina Ličen, Manuel Lillo-Crespo, Alba Malara, Hana Padyšáková, Mirko Prosen, Dorina Pusztai, Bence Raposa, Jorge Riquelme-Galindo, Jana Rottková, Francesco Talarico, Styliani Tziaferi, Tinne Dilles
Published in International Journal of Environmental Research and Public Health
Publication date 2021
Research groups Proactive care for older people living at home
Type Article


Clear role descriptions promote the quality of interprofessional collaboration. Currently, it is unclear to what extent healthcare professionals consider pharmaceutical care (PC) activities to be nurses’ responsibility in order to obtain best care quality. This study aimed to create and evaluate a framework describing potential nursing tasks in PC and to investigate nurses’ level of responsibility. A framework of PC tasks and contextual factors was developed based on literature review and previous DeMoPhaC project results. Tasks and context were cross-sectionally evaluated using an online survey in 14 European countries. A total of 923 nurses, 240 physicians and 199 pharmacists responded. The majority would consider nurses responsible for tasks within: medication self-management (86–97%), patient education (85–96%), medication safety (83–95%), monitoring adherence (82–97%), care coordination (82–95%), and drug monitoring (78–96%). The most prevalent level of responsibility was ‘with shared responsibility’. Prescription management tasks were considered to be nurses’ responsibility by 48–81% of the professionals. All contextual factors were indicated as being relevant for nurses’ role in PC by at least 74% of the participants. No task nor contextual factor was removed from the framework after evaluation. This framework can be used to enable healthcare professionals to openly discuss allocation of specific (shared) responsibilities and tasks.

On this publication contributed

  • Nienke Dijkstra
    Nienke Dijkstra
    • Lecturer-researcher
    • Research group: Innovation in Healthcare Processes in Pharmacology

Language English
Published in International Journal of Environmental Research and Public Health
Year and volume 18 15
Key words nursing, medicines management, medicines optimization, patient safety, interprofessional collaboration, nurses' responsability, nurses' tasks
Digital Object Identifier 10.3390/ijerph18157862

Proactive care for older people living at home