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Managing multiple medications and their packaging for older people in home care nursing : An interview study

Lorenzini, Giana Carli LU (2021) In Healthcare 9(10).
Abstract

Home care nurses assist older people in their daily living and well-being, including medication management. Medication management can be challenging for older people with functional constraints and several chronic conditions. This paper presents how home care nurses manage medications and their packaging for older people at their homes. This study followed an explorative qualitative research design, in which semi-structured interviews were conducted with home care nurses in Sweden (n = 14). The study revealed that home care nurses need to coordinate a multitude of interrelated tasks, with documentation being paramount. Regarding medication management, automated systems were preferred, as they reduce medication errors and facilitate... (More)

Home care nurses assist older people in their daily living and well-being, including medication management. Medication management can be challenging for older people with functional constraints and several chronic conditions. This paper presents how home care nurses manage medications and their packaging for older people at their homes. This study followed an explorative qualitative research design, in which semi-structured interviews were conducted with home care nurses in Sweden (n = 14). The study revealed that home care nurses need to coordinate a multitude of interrelated tasks, with documentation being paramount. Regarding medication management, automated systems were preferred, as they reduce medication errors and facilitate dispensing of medications for each patient when compared with analogue systems still in use (i.e., dosing boxes), commonly used by older people. Importantly, the lack of a common journal system for updates on prescribed medication among health care providers and analogue communication still in place creates space for outdated prescription of medications for patients. There are opportunities for further investigation on how technology can help home care nurses in coordinating medication management tasks with other health care providers, and on receiving updates about medication intake by older patients when the nurse is not at their homes.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Home care nursing, Home health care, Interview study, Medication management, Medication packaging, Older people
in
Healthcare
volume
9
issue
10
article number
1265
publisher
MDPI AG
external identifiers
  • scopus:85115866604
  • pmid:34682945
ISSN
2227-9032
DOI
10.3390/healthcare9101265
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2021 by the author. Licensee MDPI, Basel, Switzerland.
id
bd680a4e-9a0b-427f-b74c-65e4776ef126
date added to LUP
2021-11-19 14:08:41
date last changed
2022-05-24 17:51:57
@article{bd680a4e-9a0b-427f-b74c-65e4776ef126,
  abstract     = {{<p>Home care nurses assist older people in their daily living and well-being, including medication management. Medication management can be challenging for older people with functional constraints and several chronic conditions. This paper presents how home care nurses manage medications and their packaging for older people at their homes. This study followed an explorative qualitative research design, in which semi-structured interviews were conducted with home care nurses in Sweden (n = 14). The study revealed that home care nurses need to coordinate a multitude of interrelated tasks, with documentation being paramount. Regarding medication management, automated systems were preferred, as they reduce medication errors and facilitate dispensing of medications for each patient when compared with analogue systems still in use (i.e., dosing boxes), commonly used by older people. Importantly, the lack of a common journal system for updates on prescribed medication among health care providers and analogue communication still in place creates space for outdated prescription of medications for patients. There are opportunities for further investigation on how technology can help home care nurses in coordinating medication management tasks with other health care providers, and on receiving updates about medication intake by older patients when the nurse is not at their homes.</p>}},
  author       = {{Lorenzini, Giana Carli}},
  issn         = {{2227-9032}},
  keywords     = {{Home care nursing; Home health care; Interview study; Medication management; Medication packaging; Older people}},
  language     = {{eng}},
  month        = {{10}},
  number       = {{10}},
  publisher    = {{MDPI AG}},
  series       = {{Healthcare}},
  title        = {{Managing multiple medications and their packaging for older people in home care nursing : An interview study}},
  url          = {{http://dx.doi.org/10.3390/healthcare9101265}},
  doi          = {{10.3390/healthcare9101265}},
  volume       = {{9}},
  year         = {{2021}},
}