Reidun L S Kjome

University of Bergen | UiB · Departement of Global Public Health and Primary Care

Objectives: Due to a lack of clear symptoms, type 2 diabetes (T2D) can remain undetected for many years. The aim of the study was to explore if Norwegian community pharmacies could identify individuals with a high risk of developing T2D by offering a diabetes risk assessment service. This study also investigated if the service recruited individual...

Communication skills are crucial for pharmacists' role in counselling and providing information to patients, other healthcare practitioners, and the community. This study explores the implementation of debate as a pedagogical tool into pharmacy education to improve students' communication skills.This study is part of the design-based research (DBR)...

Power differentials and medical dominance can negatively affect collaboration between physicians and pharmacists. Norway is recognized as having a relatively egalitarian work sector, which could affect power differentials. In this qualitative study, we used positioning theory as a framework to explore the aspect of power dynamics between Norwegian...

Objective: The aim of this study was to investigate whether it was possible to decrease the time used for medication reconciliation (MR) in the emergency department without compromising quality. A more efficient method will enable more patients to receive MR as early as possible after admission to hospital. Methods: Potential key factors for imp...

Background There is scant knowledge of dentists' total prescribing patterns, and little is published on this internationally. The Norwegian Prescription Database (NorPD) includes data on all dispensed prescription medication in Norway from 2004 and can be used to investigate how dentists' prescribing has changed over time. There are few Norwegian g...

Background: The National Diabetes Plan 2017-21 has implemented measures to improve diagnosis and follow-up of persons with type 2 diabetes by the primary health services. The objective of this study was to explore the experiences and thoughts of Norwegian general practitioners (GPs) with regard to diagnosis and follow-up of this patient group. Ma...

Background: Interprofessional collaboration between pharmacists and physicians in primary care has been linked to improved patient outcomes. How professionals position themselves and each other can shed light upon their relationship, and positioning theory can be used as a tool to better understand intergroup relations. Objectives: 1) To identif...

Background Healthcare services such as diabetes risk-assessment are increasingly common in community pharmacies. Knowledge of community pharmacists’ experiences of such services could ease the implementation of a larger-scale service. Objectives To explore Norwegian pharmacists’ experience of a diabetes risk-assessment service, including analytica...

Objective: To investigate the impact of medication reviews using collegial mentoring and systematic clinical evaluation on psychotropic prescriptions, behavioral and psychological symptoms of dementia (BPSD), and activities of daily living (ADL). Design: Four-month multicenter, multicomponent, cluster-randomized, single-blinded controlled trial....

Background: The global health challenge of dementia is exceptional in size, cost and impact. It is the only top ten cause of death that cannot be prevented, cured or substantially slowed, leaving disease management, caregiver support and service innovation as the main targets for reduction of disease burden. Institutionalization of persons with de...

Interprofessional collaboration between different professions within health care is essential to optimize patient outcomes. Community pharmacists (CPs) and general practitioners (GPs) are two professions who are encouraged to increase their collaboration. In this metasynthesis we use a meta-ethnographic approach to examine the interpersonal aspects...

Background and importance Medication reconciliation (MR) is the process of providing an exact and accurate list of all medications a patient is taking. This process is necessary to ensure that patients get the correct medications when admitted to hospital, thus preventing drug related problems. The pharmacists in the emergency department at Stavang...

Hovedbudskap Tannlegers totale forskrivning av legemidler presenteres Artikkelen baserer seg på data fra Reseptregisteret De aller fleste forskrivninger er innenfor regelverket

Aim: To examine whether subjective well-being (SW) and body concern among adolescents aged 15–19 years has an impact on adult health, measured by medications dispensed on average 18 years later. Methods: Data collected in the Nord-Trøndelag Health Study (HUNT) was paired with data from the Norwegian Prescription database (NorPD). We investigated th...

Background Multimorbid patients in nursing homes are prescribed long lists of medication, often without sufficient clinical evaluations beforehand. This results in poor clinical effects of the prescribed medication and significant side-effects, especially in patients with impaired cognition. The aim of this paper is to describe the process, content...

Background The Centre for Interprofessional Workplace Learning (TVEPS) offers an interprofessional learning experience in primary care for health students in their final years of study. The aim of TVEPS is to develop the interprofessional competencies of health profession students. A TVEPS training experience consists of three meeting points. Durin...

Background: Many pharmacy services involve laboratory testing using point-of-care (POC) instruments. Our aim was to describe the implementation of quality control of the HbA1c POC instruments and investigate the performance in internal quality control (IQC) and external quality control (EQA) for HbA1c POC instruments in Norwegian community pharmac...

Background: It is debatable whether treating multimorbid nursing home patients with antihypertensive drugs produces beneficial effects. Most cardiovascular guidelines promote treatment; few have advice on how to deprescribe when treatment may no longer be necessary. We investigated the effect of medication review on antihypertensive drug use and t...

Determine the feasibility of using a diabetes risk assessment tool followed by HbA1c-measurement in a community-pharmacy setting in Norway.In this longitudinal study two pharmacists in each of three community pharmacies were trained to perform risk assessments, HbA1c-measurements and counselling. Pharmacy customers who were > 18 years old and could...

Why do you want to take a diabetes risk test? (PDF)

Where did you hear about this service (that you can test your diabetes risk at the pharmacy)? (PDF)

Background: Skin cancer accounts for one third of all cancers. Prognosis is inversely related to identification stage. Objectives: To describe a novel service, mole scans, performed in community pharmacy, the findings from the first 3.5 years it was in place, and to explore patient acceptability of the service. Methods: Norwegian Boots' pharma...

Objectives: The aim of this study was to evaluate the current status, views on, and need for the education on MT for the pharmacy students and practicing pharmacists in the Baltic and Nordic countries. Methods: The representatives of higher education institutions and community/hospital pharmacists from six Baltic and Nordic countries participate...

Background Neuropsychiatric symptoms, such as affective symptoms, psychosis, agitation, and apathy are common among nursing home patients with and without dementia. Treatment with one or more psychotropic drug is often without explicit clinical indication, despite low treatment efficacy, and potential side effects. We aim to investigate the multi-p...

Background Type 2 diabetes is a common diagnosis in care home residents that is associated with potentially inappropriate prescribing and thus risk of additional suffering. Previous studies found that diabetes medicines can be safely withdrawn in care home residents, encouraging further investigation of the potential for deprescribing amongst these...

Capillary blood glucose measurements are regularly used for nursing home residents with diabetes. The usefulness of these measurements relies on clear indications for use, correct measurement techniques, proper documentation and clinical use of the resulting blood glucose values. The use of a regular, invasive procedure may also entail additional c...

Background/Purpose: The purpose of this study was to reveal how dental care patients obtain information about their own medication use. We also aimed to disclose whether or not this process appeared demanding, and if they were familiar with available supportive methods, i.e. medication list from their general practitioner, the website mineresepter....

Abstract: Community and hospital pharmacists provide important counselling to the patients using medical devices (MDs) and drug-delivery products (DDPs).The study instrument was completed by the representatives of academia, pharmacy students and professional organizations using an internet based study platform eFormular.Total 50 responses were coll...

Registration of drug use in dental records Nor Tannlegeforen Tid. 2015; 125: 626–32. The purpose of this study was to investigate whether updated information about the patient's drug use is recorded in the dental record. Persons older than 60 years of age, visiting five dental clinics in Bergen received a request to participate in the study. Drug...

Background: Almost half of all deaths in Europe are caused by cardiovascular disease (CVD)[1]. If risk is identified early and appropriate measures taken this can alter onset and progression of CVD [2]. The Norwegian Health Directorate recommends a risk chart that measures the 10-year risk of cardiovascular death. A 10-year risk of cardiovascular d...

Objectives Medication use review (MUR) is a community pharmacy service in several countries. Knowledge about what patients want from such a service is limited. The aim of this study was therefore to investigate Norwegian elderly patients' need for drug information and their attitudes towards MURs.Methods In Norway's two largest cities, 162 patients...

Abstract In Norway, 50% of the population dies in nursing homes; the majorities have dementia, are fragile, and are exposed to polypharmacy. This predisposes for adverse drug reactions. Medication reviews performed by the doctor, nurse and pharmacist may improve prescribing and reduce adverse drug reactions. Diagnostics using validated tools is imp...

In Norway, 16% of nursing home residents have diabetes. Diabetes symptoms in the elderly may present di erently compared to in younger persons, and can be mistaken for age-related symptoms. Hypoglycaemia following drug treatment is especially challenging, and less stringent glycaemic control is recommended for frail residents. However, individualis...

Objectives: To describe a workplace-based interprofessional learning activity in nursing homes, and its outcomes as reported by health care students and nursing home staff. Methods: In a joint initiative from Bergen University college and the University of Bergen health care students from both institutions, including among others pharmacy, physioth...

Workshop

Aims Determine prevalence of diabetes, and describe use of blood glucose lowering (BGL) drugs and glycemic control in Norwegian nursing homes. Methods In this cross-sectional study we collected details of BGL drugs, capillary blood glucose measurements (CBGM) in the last four weeks and HbA1c measurements in the last 12 months from the medical reco...

Objectives: To describe a workplace-based interprofessional learning activity in nursing homes, and its outcomes as reported by health care students and nursing home staff. Methods: In a joint initiative from Bergen University college and the University of Bergen health care students from both institutions, including among others pharmacy, physioth...

Studies have shown that the prevalence of diabetes in Norway is 3-5 %, and that approximately 97,000 Norwegian patients perform self-monitoring of blood glucose. There is a need for studies of geographical differences in diabetes prevalence and treatment. This study investigates differences between counties in the prevalence of patients treated wit...

This study used nationwide data to determine the prevalence of self-monitoring of blood glucose (SMBG) among all non-institutionalized persons living in Norway and to estimate the prevalence of SMBG among diabetes patients, the frequency and cost of SMBG, and the use of different glucometers. This retrospective, descriptive study is based on data o...

Objective: To evaluate diabetes patients' self-monitoring of blood glucose using a community pharmacy-based quality assurance procedure, to investigate whether the procedure improved the quality of the patient performance of self monitoring of blood glucose, and to examine the opinions of the patients taking part in the study. Methods: The resul...

Objetivo: Evaluar la auto-monitorización de la glucemia de pacientes diabéticos que utilizan un procedimiento de aseguramiento de la calidad en farmacia comunitaria, investigar si el procedimiento mejoró la calidad de la ejecución de la monitorización del paciente, y examinar las opiniones de los pacientes que tomaron parte en el estudio. Métodos:...

We aimed to implement a method for glucose measurements that could be used as a comparison method for asessing patients' self-monitoring of blood glucose. Further, we investigated whether pharmacies could achieve an analytical quality comparable to glucose measurements performed in general practice. Sixteen Norwegian pharmacy employees were trained...

To describe Norwegian pharmacies' involvement in diabetes care, to investigate pharmacists' views on future services and to investigate whether the recommendations in the Norwegian diabetes declaration for pharmacies have been implemented. Setting Hospital and community pharmacies in Norway. All 543 pharmacies in Norway, of which 511 were community...