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Publicação
Safe Medication Management for Polymedicated Home-Dwelling Older Adults after Hospital Discharge: A Qualitative Study of Older Adults, Informal Caregivers and Healthcare Professionals’ Perspectives
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Orientador(es)
Resumo(s)
Abstract: Safe medication management is particularly challenging among polymedicated homedwelling 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.
Descrição
Palavras-chave
Safe medication management Hospital discharge Informal caregivers Neuman Systems Mode
Contexto Educativo
Citação
Nurs. Rep. 2022, 12, 403–423.
Editora
MDPI