General practitioners’ and nurses’ views on medication reviews and potentially inappropriate medicines in elderly patients – a qualitative study of reports by educating pharmacists

Figures & data

Table 1. Basic characteristics of the 33 primary care practices receiving the educational intervention and where the tutors wrote diaries.

Variable	33 practices
Patients registered at practice
Median number of registered patients aged ≥65/practice (min-max)	1 529 (634-3394)
Median % of patients aged ≥65/all registered patients (min-max)	15.1 (7.4-24.2)
Employment
Median number of general practitioners/practice (min-max)	8.7 (2.2-18.3)
Median number of registered nurses/practice (min-max)	7.0 (2.0-12.0)
Participation in educational sessions
General practitioners: total number; median (min-max)
First session	194; 6 (min 1; max 17)
Second session	166; 5 (min 0; max 14)
Registered nurses: total number; median (min-max)
First session	113; 4 (min 0; max 7)
Second session	92; 3 (min 0; max 9)

Box 2. Diary quotes (italic style) and quotes derived from the guidelines on medication reviews (normal style) being part of theme ‘What, when, who? Clash between GPs´ and nurses´ experiences and the guidelines’. (Remark: When GPs´ and nurses´ experiences varied, diary quotes are presented as ‘variation thermometers’ illustrating the extremes of experiences at the top and bottom of the thermometer to the left side).

Box 3. Diary quotes being part of theme ‘Real-world problems and less-than-ideal solutions’. (Remark: When GPs´ and nurses´ experiences varied, diary quotes are presented as ‘variation thermometers’ illustrating the extremes of experiences at the top and bottom of the thermometer to the left side).

Box 4. Diary quotes being part of theme ‘Eureka? Experiences with different steps during a medication review’. (Remark: When GPs´ and nurses´ experiences varied, diary quotes are presented as ‘variation thermometers’ illustrating the extremes of experiences at the top and bottom of the thermometer to the left side).

Figure 1. Visualisation of the imbalance between factors (= balance weights = themes = T) counteracting and facilitating the performance of medication reviews. The figure was created based on GPs´ and nurses´ expressed views. Of note, T2, T3 and T5 have been placed on the balance in a random order as we consider them to have the same weight. Abbreviations: T1: Complexity in 3 ´P´: patients, pharmacotherapy, and primary care; T2: What, when, who? Clash between GPs´ and nurses´ experiences and the guidelines; T3: Real-world problems and less-than-ideal solutions; T4: Eureka? Experiences with different steps during a medication review; T5: Threats to GPs´ autonomy.