Safe Medication Management for Polymedicated Home-Dwelling Older Adults after Hospital Discharge: A Qualitative Study of Older Adults, Informal Caregivers and Healthcare Professionals' Perspectives

Details

Serval ID
serval:BIB_ACDFF221D837
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Safe Medication Management for Polymedicated Home-Dwelling Older Adults after Hospital Discharge: A Qualitative Study of Older Adults, Informal Caregivers and Healthcare Professionals' Perspectives
Journal
Nursing Reports
Author(s)
Pereira Filipa, Bieri Marion, Martins Maria Manuela, del Río Carral María, Verloo Henk
ISSN
2039-4403
Publication state
Published
Issued date
31/05/2022
Peer-reviewed
Oui
Volume
12
Number
2
Pages
403-423
Language
english
Abstract
Safe medication management is particularly challenging among polymedicated home- dwelling older adults after hospital discharge. This study aimed to identify and categorise the stressors experienced and reconstitution strategies adopted by older adults, their informal caregivers, and healthcare professionals as they manage older adults’ medications after hospital discharge. A primary study collected the perspectives of 28 older adults, 17 informal caregivers, and 13 healthcare professionals using a qualitative descriptive design. The Neuman Systems Model was used as the basis for a secondary deductive content analysis. Findings revealed that post-discharge medication management at home involved numerous stressors, often including dysfunctions in communication, collaboration, and coordination between the multiple stakeholders involved. Reconstitution strategies for safe medication management were not always successful or satisfactory and were sometimes identified as stressors themselves. Older adults, informal caregivers, and healthcare professionals’ perspectives highlighted several potential opportunities for improving safe medication management through nurse-led, interprofessional, patient-centred practices.
Keywords
General Nursing
Funding(s)
Swiss National Science Foundation / Programmes / 407440_183434
Create date
01/06/2022 11:38
Last modification date
02/06/2022 6:36
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