Grace Marconi, Maneesh Prasad, Kerry Hwang, Caitlin Deery, Kelly Ottosen, Elizabeth Manias
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引用次数: 0
Abstract
Aim: To explore perspectives of older patients, family members, and healthcare professionals regarding patient and family engagement in medication management across transitions of care.
Design: A qualitative study utilising semi-structured interviews with patients aged ≥ 65, family members and healthcare professionals.
Methods: Participants were recruited from four hospital sites from a major public hospital system which services a large socioeconomically diverse population of metropolitan Melbourne. Interviews were analysed using inductive content analysis.
Results: In total, 67 patients, 66 family members, and 69 healthcare professionals participated in the study (n = 202). The three themes generated were: challenges in supporting patients and families in communication, factors influencing patient and family ability to communicate, and approaches to enhanced engagement.
Conclusion: There is a need for strategies which empower and encourage patients and family members to engage in medication management, which, despite complex barriers, could be achieved through enhanced communication.
Implications for patient care: Proposed strategies present possibilities for older patients and families to engage in medication management across transitions of care, providing opportunities to reduce medication errors and adverse events with the potential to improve patient outcomes.
Impact: This research uncovers the complexities relating to older patient and family engagement and decision-making, and generates strategies to improve communication in medication management.
Reporting method: Conducted in accordance with the Consolidated Criteria for Reporting Qualitative Research.
Patient or public contribution: This study sought insights from older patients who were admitted to hospital and family members, with experience in managing medications across transitions of care. Two consumers with lived experience as caregivers for older patients and involved in medication management were invited to contribute to manuscript preparation and provided detailed feedback, which was implemented in the final manuscript.
Trial registration: Australian New Zealand Clinical Trials Registry (ANZCTR) on 24 July 2024: ACTRN12624000901505.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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