{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T08:17:00Z","timestamp":1787991420485,"version":"build-2784847793"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"vor","delay-in-days":240,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001779","name":"Monash University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001779","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Telehealth can increase access to medical and allied health services in residential aged care facilities (RACFs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study investigated the feasibility of a telehealth collaborative care model involving on\u2010site nurse practitioner and off\u2010site clinical pharmacist to simplify complex medication regimens in RACFs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a pragmatic, nonrandomized pilot and feasibility study in three Western Australian RACFs. A nurse practitioner and an off\u2010site clinical pharmacist applied a validated five\u2010step regimen simplification tool. The nurse practitioner identified residents who may benefit and had a desire to simplify their regimen. The nurse practitioner and pharmacist then conducted video case conferences to discuss simplification opportunities. The nurse practitioner decided which simplification opportunities to implement in consultation with residents and general medical practitioners (GPs). The primary outcome was feasibility (recruitment and retention, protocol adherence, and stakeholder acceptability). Secondary outcomes included change in the number of medication administration times per day, medication and behavioral incidents, falls and fractures, and hospitalization at 4\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Telehealth collaborative care was delivered according to the protocol, with one or more simplification opportunities identified for 18 of 21 residents. The most frequent simplification opportunities involved changing a dose time or formulation. The intervention was well received by the interviewed stakeholders. At the 4\u2010month follow\u2010up, 47% of residents had at least one simplification recommendation implemented and one\u2010third had a reduced number of regular daily medication administration times. Compared to the previous quarter, there was a non\u2010significant decline in medication incidents (24%\u201318% of residents), behavioral incidents (48%\u201335%), and falls and fractures (48%\u201341%). No hospitalizations were reported among residents who completed follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This nurse practitioner\u2013pharmacist telehealth intervention was feasible and acceptable. Further adequately powered trials to detect clinical outcomes are warranted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Nursing managers should actively support telehealth\u2010enabled interdisciplinary collaboration that promotes nurse practitioner leadership and fosters partnerships with pharmacists and GPs to advance medication regimen simplification and optimize medication management processes. Such initiatives may enhance the efficiency of medication administration, improve care coordination, and strengthen medication safety within aged care environments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/1321189","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T07:51:53Z","timestamp":1787989913000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nurse Practitioner\u2013Pharmacist Collaboration for Medication Regimen Simplification: Pilot and Feasibility Study of a New Telehealth Model of Care"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0344-6230","authenticated-orcid":false,"given":"Choon Ean","family":"Ooi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1886-7115","authenticated-orcid":false,"given":"Angelita","family":"Martini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7240-5187","authenticated-orcid":false,"given":"Rebecca","family":"Walton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigid","family":"McInerney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lakkhina","family":"Troeung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6115-2767","authenticated-orcid":false,"given":"J. Simon","family":"Bell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,29]]},"reference":[{"key":"e_1_2_12_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2016.08.019"},{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S216705"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1060028018773691"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0898264303251893"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40266-014-0185-1"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/1060028015621071"},{"key":"e_1_2_12_7_2","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1D479"},{"key":"e_1_2_12_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-017-2417-2"},{"key":"e_1_2_12_9_2","volume-title":"National Aged Care Quality Indicator Program (QI Program)","author":"Department of Health Disability and Ageing","year":"2024"},{"key":"e_1_2_12_10_2","unstructured":"PictonL. 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