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Volume 12
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10.3390/nursrep12020039
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Article

Safe Medication Management for Polymedicated Home-Dwelling Older Adults after Hospital Discharge: A Qualitative Study of Older Adults, Informal Caregivers and Healthcare Professionals’ Perspectives

by
Filipa Pereira
1,2,*,
Marion Bieri
2,
Maria Manuela Martins
3,
María del Río Carral
4 and
Henk Verloo
2,5
1
Institute of Biomedical Sciences Abel Salazar, University of Porto, 4050-313 Porto, Portugal
2
School of Health Sciences, HES-SO Valais/Wallis, 1950 Sion, Switzerland
3
Porto Higher School of Nursing, 4200-072 Porto, Portugal
4
Research Center for Psychology of Health, Aging and Sport Examination, Institute of Psychology, University of Lausanne, 1015 Lausanne, Switzerland
5
Service of Old Age Psychiatry, Lausanne University Hospital, 1008 Prilly, Switzerland
*
Author to whom correspondence should be addressed.
Nurs. Rep. 2022, 12(2), 403-423; https://doi.org/10.3390/nursrep12020039
Submission received: 31 March 2022 / Revised: 20 May 2022 / Accepted: 26 May 2022 / Published: 31 May 2022
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Abstract

Safe medication management is particularly challenging among polymedicated home-dwelling older adults after hospital discharge. This study aimed to identify and categorise the stressors experienced and reconstitution strategies adopted by older adults, their informal caregivers, and healthcare professionals as they manage older adults’ medications after hospital discharge. A primary study collected the perspectives of 28 older adults, 17 informal caregivers, and 13 healthcare professionals using a qualitative descriptive design. The Neuman Systems Model was used as the basis for a secondary deductive content analysis. Findings revealed that post-discharge medication management at home involved numerous stressors, often including dysfunctions in communication, collaboration, and coordination between the multiple stakeholders involved. Reconstitution strategies for safe medication management were not always successful or satisfactory and were sometimes identified as stressors themselves. Older adults, informal caregivers, and healthcare professionals’ perspectives highlighted several potential opportunities for improving safe medication management through nurse-led, interprofessional, patient-centred practices.
Keywords: safe medication management; home-dwelling older adults; hospital discharge; informal caregivers; interprofessional collaboration; Neuman Systems Model; stressors; reconstitution; secondary deductive content analysis safe medication management; home-dwelling older adults; hospital discharge; informal caregivers; interprofessional collaboration; Neuman Systems Model; stressors; reconstitution; secondary deductive content analysis

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MDPI and ACS Style

Pereira, F.; Bieri, M.; Martins, M.M.; del Río Carral, M.; Verloo, H. Safe Medication Management for Polymedicated Home-Dwelling Older Adults after Hospital Discharge: A Qualitative Study of Older Adults, Informal Caregivers and Healthcare Professionals’ Perspectives. Nurs. Rep. 2022, 12, 403-423. https://doi.org/10.3390/nursrep12020039

AMA Style

Pereira F, Bieri M, Martins MM, del Río Carral M, Verloo H. Safe Medication Management for Polymedicated Home-Dwelling Older Adults after Hospital Discharge: A Qualitative Study of Older Adults, Informal Caregivers and Healthcare Professionals’ Perspectives. Nursing Reports. 2022; 12(2):403-423. https://doi.org/10.3390/nursrep12020039

Chicago/Turabian Style

Pereira, Filipa, Marion Bieri, Maria Manuela Martins, María del Río Carral, and Henk Verloo. 2022. "Safe Medication Management for Polymedicated Home-Dwelling Older Adults after Hospital Discharge: A Qualitative Study of Older Adults, Informal Caregivers and Healthcare Professionals’ Perspectives" Nursing Reports 12, no. 2: 403-423. https://doi.org/10.3390/nursrep12020039

APA Style

Pereira, F., Bieri, M., Martins, M. M., del Río Carral, M., & Verloo, H. (2022). Safe Medication Management for Polymedicated Home-Dwelling Older Adults after Hospital Discharge: A Qualitative Study of Older Adults, Informal Caregivers and Healthcare Professionals’ Perspectives. Nursing Reports, 12(2), 403-423. https://doi.org/10.3390/nursrep12020039

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