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Related Experiment Videos

Warfarin use in the elderly: the nurses' perspective.

Beata V Bajorek1, Ines Krass, Susan J Ogle

  • 1University of Sydney, Research Associate, Clinical Pharmacology and Aged Care and Rehabilitation, Royal North Shore Hospital, New South Wales, Australia. beatab@pharm.usyd.edu.au

The Australian Journal of Advanced Nursing : a Quarterly Publication of the Royal Australian Nursing Federation
|March 30, 2006
PubMed
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Nurses in aged care face barriers to warfarin use, citing patient attitudes and a lack of confidence. They feel underutilized in managing this anticoagulant therapy.

Area of Science:

  • Geriatric Medicine
  • Pharmacology
  • Nursing Practice

Background:

  • Warfarin is a common anticoagulant therapy for elderly patients.
  • Effective warfarin management is crucial for preventing thromboembolic events.
  • Nurses play a key role in patient care and medication management in aged care settings.

Purpose of the Study:

  • To investigate the challenges and barriers encountered by nurses in aged care regarding warfarin administration.
  • To understand nurses' perceptions of their role in managing warfarin therapy for elderly patients.
  • To identify potential strategies for improving warfarin use and support within aged care.

Main Methods:

  • Qualitative study utilizing semi-structured group interviews.
  • Involved eleven nurses from Northern Sydney Area Health Service caring for elderly warfarin patients.

Related Experiment Videos

  • Thematic analysis was employed to identify key themes.

    • Main Results:

    • Five major themes emerged: patient attitudes, barriers to warfarin use, lack of confidence in processes, nurses' role, and improvement strategies.
    • Nurses expressed concerns about warfarin use in the elderly.
    • Nurses perceived a limited capacity to intervene in warfarin management.

    Conclusions:

    • Nurses in aged care settings may be underutilized in supporting warfarin therapy.
    • Enhancing the role of nurses could improve warfarin management for elderly patients.
    • Addressing identified barriers can optimize anticoagulant therapy in aged care.