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Examining the preparation and ongoing support of adults to take their medications as prescribed in kidney transplantation.

Williams,A, Crawford,K, Manias,E, Ellis,C, Mullins,K, Howe,K, Kennedy,E, Maney,O, Mark,T, Gregory,D, Van Hardeveld,E, Yip,D and Low,JK 2015, Examining the preparation and ongoing support of adults to take their medications as prescribed in kidney transplantation., Journal of Evaluation in Clinical Practice, vol. 21, no. 2, pp. 180-186, doi: 10.1111/jep.12270.

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Title Examining the preparation and ongoing support of adults to take their medications as prescribed in kidney transplantation.
Author(s) Williams,A
Crawford,K
Manias,EORCID iD for Manias,E orcid.org/0000-0002-3747-0087
Ellis,C
Mullins,K
Howe,K
Kennedy,E
Maney,O
Mark,T
Gregory,D
Van Hardeveld,E
Yip,D
Low,JK
Journal name Journal of Evaluation in Clinical Practice
Volume number 21
Issue number 2
Start page 180
End page 186
Publisher Wiley
Place of publication England
Publication date 2015-04
ISSN 1365-2753
Keyword(s) interview
kidney transplantation
medication adherence
nursing
pharmacy
usual care
Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Medical Informatics
Medicine, General & Internal
General & Internal Medicine
RANDOMIZED CONTROLLED-TRIAL
NONCOMPLIANCE
RECIPIENTS
ADHERENCE
CARE
Summary RATIONALE, AIMS AND OBJECTIVES: The shortage of kidney donors and benefits of kidney transplantation make graft success imperative. Medication adherence is critical to prevent the risk of graft rejection. This paper examines how adults are prepared and supported by renal transplant co-ordinators and pharmacists to take their medications as prescribed in kidney transplantation. METHODS: Renal transplant co-ordinators and pharmacists of all five hospitals offering adult kidney transplantation in Victoria, Australia, were interviewed between November 2013 and February 2014. All data underwent qualitative descriptive analysis. RESULTS: Nine renal transplant co-ordinators and six pharmacists were interviewed. Although there was no standardized approach to education or other evidence-based strategies to facilitate medication adherence, there were similarities between sites. These similarities included printed information, pre-transplant education sessions, the use of medication lists and medication administration aids, intensive education in hospital and ensuring an adequate supply of medications post-discharge. CONCLUSIONS: Renal transplant co-ordinators and pharmacists recognized the importance of early patient education concerning immunosuppressant medication. However, each site had developed their own way of preparing a patient for kidney transplantation and follow-up in the acute hospital setting based on experience and practice. Other non-educational strategies involving behavioural and emotional aspects were less common. Differences in usual care reinforce the necessity for evidence-based health care for best patient outcomes.
Language eng
DOI 10.1111/jep.12270
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30072201

Document type: Journal Article
Collection: School of Nursing and Midwifery
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