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Interprofessional and intraprofessional communication about older people’s medications across transitions of care

Manias, Elizabeth, Bucknall, Tracey, Woodward-Kron, Robyn, Hughes, Carmel, Jorm, Christine, Ozavci, Guncag and Joseph, Kathryn 2021, Interprofessional and intraprofessional communication about older people’s medications across transitions of care, International journal of environmental research and public health, vol. 18, no. 8, pp. 1-16, doi: 10.3390/ijerph18083925.

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Title Interprofessional and intraprofessional communication about older people’s medications across transitions of care
Author(s) Manias, ElizabethORCID iD for Manias, Elizabeth orcid.org/0000-0002-3747-0087
Bucknall, TraceyORCID iD for Bucknall, Tracey orcid.org/0000-0001-9089-3583
Woodward-Kron, Robyn
Hughes, Carmel
Jorm, Christine
Ozavci, Guncag
Joseph, Kathryn
Journal name International journal of environmental research and public health
Volume number 18
Issue number 8
Article ID 3925
Start page 1
End page 16
Total pages 16
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2021-04-02
ISSN 1661-7827
1660-4601
Keyword(s) interprofessional relations
interprofessional communication
intraprofessional communication
medication communication
older people
transitions of care
health communication
medication therapy management
medication safety
Environmental Sciences
Environmental Sciences & Ecology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Science & Technology
Summary Communication breakdowns contribute to medication incidents involving older people across transitions of care. The purpose of this paper is to examine how interprofessional and intraprofessional communication occurs in managing older patients’ medications across transitions of care in acute and geriatric rehabilitation settings. An ethnographic design was used with semi-structured interviews, observations and focus groups undertaken in an acute tertiary referral hospital and a geriatric rehabilitation facility. Communication to manage medications was influenced by the clinical context comprising the transferring setting (preparing for transfer), receiving setting (setting after transfer) and ‘real-time’ (simultaneous communication). Three themes reflected these clinical contexts: dissemination of medication information, safe continuation of medications and barriers to collaborative communication. In transferring settings, nurses and pharmacists anticipated communication breakdowns and initiated additional communication activities to ensure safe information transfer. In receiving settings, all health professionals contributed to facilitating safe continuation of medications. Although health professionals of different disciplines sometimes communicated with each other, communication mostly occurred between health professionals of the same discipline. Lack of communication with pharmacists occurred despite all health professionals acknowledging their important role. Greater levels of proactive preparation by health professionals prior to transfers would reduce opportunities for errors relating to continuation of medications.
Language eng
DOI 10.3390/ijerph18083925
Indigenous content off
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30149948

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.