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Communicating about the management of medications as patients move across transition points of care: an observation and interview study

Manias, Elizabeth, Gerdtz, Marie, Williams, Allison, McGuiness, Josephine and Dooley, Michael 2016, Communicating about the management of medications as patients move across transition points of care: an observation and interview study, Journal of evaluation in clinical practice, vol. 22, no. 5, pp. 635-643, doi: 10.1111/jep.12507.

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Title Communicating about the management of medications as patients move across transition points of care: an observation and interview study
Author(s) Manias, ElizabethORCID iD for Manias, Elizabeth orcid.org/0000-0002-3747-0087
Gerdtz, Marie
Williams, Allison
McGuiness, Josephine
Dooley, Michael
Journal name Journal of evaluation in clinical practice
Volume number 22
Issue number 5
Start page 635
End page 643
Total pages 9
Publisher Wiley
Place of publication London, Eng.
Publication date 2016-10
ISSN 1365-2753
Keyword(s) communication
interprofessional care
interviews
medication management
observations
transitional care
Summary RATIONALE, AIMS AND OBJECTIVES: As patients move across transition points, effective medication management is critical for patient safety. The aims of this study were to examine how health professionals, patients and family members communicate about managing medications as patients moved across transition points of care and to identify possible sources of communication failure.

METHOD: A descriptive approach was used involving observations and interviews. The emergency departments and medical wards of two hospitals were involved. Observations focused on how health professionals managed medications during interactions with other health professionals, patients and family members, as patients moved across clinical settings. Follow-up interviews with participants were also undertaken. Thematic analysis was completed of transcribed data, and descriptive statistics were used to analyse characteristics of communication failure.

RESULTS: Three key themes were identified: environmental challenges, interprofessional relationships, and patient and family beliefs and responsibilities. As patients moved between environments, insufficient tracking occurred about medication changes. Before hospital admission, patients participated in self-care medication activities, which did not always involve exemplary behaviours or match the medications that doctors prescribed. During observations, 432 instances of communication failure (42.8%) were detected, which related to purpose, content, audience and occasion of the communication.

CONCLUSIONS: Extensive challenges exist involving the management of medications at transition points of care. Bedside handovers and ward rounds can be utilized as patient counselling opportunities about changes in the medication regimen. Greater attention is needed on how patients in the community make medication-related decisions.
Language eng
DOI 10.1111/jep.12507
Field of Research 1117 Public Health And Health Services
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, John Wiley & Sons
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081088

Document type: Journal Article
Collection: School of Nursing and Midwifery
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Created: Tue, 02 Feb 2016, 13:18:06 EST

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