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

2022Journal article Open access
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dc.contributor.authorPereira, Filipa
dc.contributor.authorBieri, Marion
dc.contributor.authorMartins, MM
dc.contributor.authordel Río Carral, María
dc.contributor.authorVerloo, Henk
dc.date.accessioned2023-04-19T10:51:21Z
dc.date.available2023-04-19T10:51:21Z
dc.date.issued2022
dc.description.abstractAbstract: 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationNurs. Rep. 2022, 12, 403–423.pt_PT
dc.identifier.doi10.3390/nursrep12020039pt_PT
dc.identifier.issn2039-4403
dc.identifier.urihttp://hdl.handle.net/10400.26/44582
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation.publisherversionhttps://www.mdpi.com/search?q=Safe+Medication+Management+for+Polymedicated+Home-Dwelling+Older+Adults+after+Hospital+Discharge%3A+A+Qualitative+Study+of+Older+Adults%2C+Informal+Caregivers+and+Healthcare+Professionals%E2%80%99+Perspectives&journal=nursreppt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectSafe medication managementpt_PT
dc.subjectHospital dischargept_PT
dc.subjectInformal caregiverspt_PT
dc.subjectNeuman Systems Modept_PT
dc.titleSafe Medication Management for Polymedicated Home-Dwelling Older Adults after Hospital Discharge: A Qualitative Study of Older Adults, Informal Caregivers and Healthcare Professionals’ Perspectivespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage423pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage403pt_PT
oaire.citation.titleNursing Reportspt_PT
oaire.citation.volume12pt_PT
person.familyNameMartins
person.givenNameMaria Manuela
person.identifier.ciencia-id3A1D-066F-1F85
person.identifier.orcid0000-0003-1527-9940
person.identifier.ridK-4369-2013
person.identifier.scopus-author-id55044850200
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication2f651969-be11-4d4f-a6ad-44e6b0bc3156
relation.isAuthorOfPublication.latestForDiscovery2f651969-be11-4d4f-a6ad-44e6b0bc3156

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