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Exploring patient preferences for involvement in medication management in hospitals
journal contribution
posted on 2019-10-01, 00:00 authored by Tracey BucknallTracey Bucknall, Robin DigbyRobin Digby, M Fossum, Alison HutchinsonAlison Hutchinson, Julie ConsidineJulie Considine, Patricia Dunning, L Hughes, J Weir-Phyland, Elizabeth ManiasElizabeth ManiasAim: The aim of this study was to identify patient preferences for involvement in medication management during hospitalization. Design: A qualitative descriptive study. Methods: This is a study of 20 inpatients in two medical and two surgical wards at an academic health science centre in Melbourne, Australia. Semi-structured interviews were recorded and analysed using content analysis. Findings: Three themes were identified: (a) ‘understanding the medication’ established large variation in participants’ understanding of their pre-admission medication and current medication; (b) ‘ownership of medication administration’ showed that few patients had considered an alternative to their current regimen; only some were interested in taking more control; and (c) ‘supporting discharge from hospital’ showed that most patients desired written medication instructions to be explained by a health professional. Family involvement was important for many. Conclusion: There was significant diversity of opinion from participants about their involvement in medication management in hospital. Patient preferences for inclusion need to be identified on admission where appropriate. Education about roles and responsibilities of medication management is required for health professionals, patients and families to increase inclusion and engagement across the health continuum and support transition to discharge. Impact statement: Little is known about patient preferences for participation in medication administration and hospital discharge planning. Individual patient understanding of and interest in participation in medication administration varies. In accordance with individual patient preferences, patients need to be included more effectively and consistently in their own medication management when in hospital.
History
Journal
Journal of advanced nursingVolume
75Issue
10Pagination
2189 - 2199Publisher
John Wiley & SonsLocation
Chichester, Eng.Publisher DOI
ISSN
0309-2402eISSN
1365-2648Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2019, John Wiley & Sons LtdUsage metrics
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No categories selectedKeywords
clinical decision‐makinghealth literacymedication administrationmedication managementnursingpatient interviewspatient participationpatient safetyScience & TechnologyLife Sciences & Biomedicineclinical decision-makingQUALITATIVE CONTENT-ANALYSISACUTE-CAREMANAGING MEDICATIONSDECISION-MAKINGCENTERED CAREPARTICIPATIONEMPOWERMENTSAFETYOPPORTUNITIESMEDICINE
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