Patient participation in medication safety during an acute care admission
Bibliographic Data
| ID | 19507281 |
|---|---|
| Authors | Lauren McTier (0000-0003-4847-8380, School of Nursing and Midwifery Deakin University Melbourne Vic. Australia), Mari Botti (0000-0002-2782-0987, Epworth/Deakin Centre for Nursing Research Epworth HealthCare and School of Nursing and Midwifery Deakin University Melbourne Vic. Australia), Maxine Duke (School of Nursing and Midwifery Deakin University Melbourne Vic. Australia) |
| Year | 2015 |
| Volume | 18 |
| Issue | 5 |
| Pages | 1744-1756 |
| Publication date | 2015-10-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Expectations (JOURNAL) |
| Journal identifiers | ISSN: 1369-6513 • E-ISSN: 1369-7625 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/hex.12167 |
| PMID | 24341439 |
| OpenAlex | W2022404810 |
| Language | EN |
| Citations received | 5 |
| References cited | 41 |
BACKGROUND: Patient participation in medication management during hospitalization is thought to reduce medication errors and, following discharge, improve adherence and therapeutic use of medications. There is, however, limited understanding of how patients participate in their medication management while hospitalized. OBJECTIVE: To explore patient participation in the context of medication management during a hospital admission for a cardiac surgical intervention of patients with cardiovascular disease. DESIGN: Single institution, case study design. The unit of analysis was a cardiothoracic ward of a major metropolitan, tertiary referral hospital in Melbourne, Australia. Multiple methods of data collection were used including pre-admission and pre-discharge patient interviews (n = 98), naturalistic observations (n = 48) and focus group interviews (n = 2). RESULTS: All patients had changes made to their pre-operative cardiovascular medications as a consequence of surgery. More patients were able to list and state the purpose and side-effects of their cardiovascular medications at pre-admission than prior to discharge from hospital. There was very little evidence that nurses used opportunities such as medication administration times to engage patients in medication management during hospital admission. DISCUSSION AND CONCLUSIONS: Failure to engage patients in medication management and provide opportunities for patients to learn about changes to their medications has implications for the quality and safety of care patients receive in hospital and when managing their medications once discharged. To increase the opportunity for patients to participate in medication management, a fundamental shift in the way nurses currently provide care is required
Acute care · Disease · Disease management · Family medicine · Focus group · Health care · Hospital admission · Intensive care medicine · Medical emergency · Referral · Retrospective cohort study · Tertiary referral hospital · Medication Adherence and Compliance · Medicine · Nursing · Patient Safety and Medication Errors · Pharmaceutical Practices and Patient Outcomes · Emergency Medicine · Internal Medicine
Patient-Nurse Partnerships to Prevent Medication Errors
In the hospital all is taken care of
Usability and feasibility of multimedia interventions for engaging patients in their care in the context of acute recovery
Scoping review of patients’ attitudes about their role and behaviours to ensure safe care at the direct care level
Participação dos pacientes na segurança dos cuidados de saúde
| Citations per year | 0.71 |
|---|---|
| Citation span | 2019 - 2022 (4) |
| Highly cited | No |