Communication relating to family members' involvement and understandings about patients' medication management in hospital

Manias, Elizabeth 2015, Communication relating to family members' involvement and understandings about patients' medication management in hospital, Health expectations, vol. 18, no. 5, pp. 850-866, doi: 10.1111/hex.12057.

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Title Communication relating to family members' involvement and understandings about patients' medication management in hospital
Author(s) Manias, ElizabethORCID iD for Manias, Elizabeth
Journal name Health expectations
Volume number 18
Issue number 5
Start page 850
End page 866
Total pages 17
Publisher Wiley
Place of publication London, Eng.
Publication date 2015-10
ISSN 1369-6513
Keyword(s) communication
family members
medication management
qualitative interviews
Anthropology, Cultural
Continuity of Patient Care
Decision Making
Interviews as Topic
Medication Adherence
Medication Errors
Middle Aged
Patient Safety
Professional-Family Relations
Qualitative Research
Summary BACKGROUND: Many patients with complex health-care needs are prescribed several medications on a daily basis. With admission to hospital, patients are often placed in a vulnerable position. Family members can therefore play an important role in supporting patients in decision making about managing medications and negotiating communication exchange with health professionals.
OBJECTIVES: From the perspective of family members, to explore family members' involvement with health professionals and patients about how patients' medications are managed in hospital.
DESIGN: Using an ethnographic design, interviews were conducted with family members of patients admitted to hospital who had at least five medications prescribed in hospital. A purposive sampling approach was used for recruitment. A thematic framework process was used for analysis.
SETTING: Interviews took place in four surgical and four medical wards in each of two Australian hospitals.
RESULTS: Forty interviews were conducted with family members in relation to their respective relative's medications. Family members tended to participate in passive, rather than active or shared decision-making activities. Those who demonstrated active or shared decision making were extensively involved in managing medications and in addressing problems relating to continuity of care. Communication with health professionals was generally insufficient, despite family members' keenness to speak with them.
CONCLUSIONS: Improved communication is needed between family members, health professionals and patients in hospitals. Greater attention should be played by health professionals in initiating communication proactively. Family members possessed valuable, unique information about patients' medications that can be utilized to facilitate patient safety.
Language eng
DOI 10.1111/hex.12057
Field of Research 111099 Nursing not elsewhere classified
1117 Public Health And Health Services
1110 Nursing
1701 Psychology
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, Blackwell Publishing Ltd.
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