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Mindful organizing in patients' contributions to primary care medication safety

Bibliographic Data

ID19507675
AuthorsDenham L Phipps (0000-0003-0857-2890, NIHR Greater Manchester Patient Safety Translational Research Centre Manchester Academic Health Science Centre (MAHSC) The University of Manchester Manchester UK, corresponding author), Sally Giles (0000-0003-1623-6029, NIHR Greater Manchester Patient Safety Translational Research Centre Manchester Academic Health Science Centre (MAHSC) The University of Manchester Manchester UK), Penny Lewis (0000-0002-3976-5807, NIHR Greater Manchester Patient Safety Translational Research Centre Manchester Academic Health Science Centre (MAHSC) The University of Manchester Manchester UK), Penny J Lewis, Kate S Marsden (Division of Primary Care School of Medicine The University of Nottingham Queens' Medical Centre Nottingham UK), Ndeshi Salema (Division of Primary Care School of Medicine The University of Nottingham Queens' Medical Centre Nottingham UK), Nde-Eshimuni Salema (0000-0002-0981-7661, University of Nottingham), Mark Jeffries (0000-0002-6882-0350, NIHR Greater Manchester Patient Safety Translational Research Centre Manchester Academic Health Science Centre (MAHSC) The University of Manchester Manchester UK), Aspen Avery (0000-0001-7591-4438, University of Nottingham), Anthony J Avery (Division of Primary Care School of Medicine The University of Nottingham Queens' Medical Centre Nottingham UK), Darren M Ashcroft (0000-0002-2958-915X, NIHR Greater Manchester Patient Safety Translational Research Centre Manchester Academic Health Science Centre (MAHSC) The University of Manchester Manchester UK)
Year2018
Volume21
Issue6
Pages964-972
Publication date2018-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.12689
PMID29654649
OpenAlexW2792430774
LanguageEN
Citations received5
References cited42

BACKGROUND: There is a need to ensure that the risks associated with medication usage in primary health care are controlled. To maintain an understanding of the risks, health-care organizations may engage in a process known as "mindful organizing." While this is typically conceived of as involving organizational members, it may in the health-care context also include patients. Our study aimed to examine ways in which patients might contribute to mindful organizing with respect to primary care medication safety. METHOD: Qualitative focus groups and interviews were carried out with 126 members of the public in North West England and the East Midlands. Participants were taking medicines for a long-term health condition, were taking several medicines, had previously encountered problems with their medication or were caring for another person in any of these categories. Participants described their experiences of dealing with medication-related concerns. The transcripts were analysed using a thematic method. RESULTS: We identified 4 themes to explain patient behaviour associated with mindful organizing: knowledge about clinical or system issues; artefacts that facilitate control of medication risks; communication with health-care professionals; and the relationship between patients and the health-care system (in particular, mutual trust). CONCLUSIONS: Mindful organizing is potentially useful for framing patient involvement in safety, although there are some conceptual and practical issues to be addressed before it can be fully exploited in this setting. We have identified factors that influence (and are strengthened by) patients' engagement in mindful organizing, and as such would be a useful focus of efforts to support patient involvement

Focus group · Health care · Patient safety · Qualitative research · Sociology · Thematic analysis · Medicine · Mental Health and Patient Involvement · Mindfulness and Compassion Interventions · Nursing · Patient-Provider Communication in Healthcare · Psychology

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Unique citing works5
Citations per year0,83
Citation span2020 - 2025 (6)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 5

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