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Evaluation of older...
Evaluation of older persons' medications : a critical incident technique study exploring healthcare professionals' experiences and actions
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- Holmqvist, Malin (författare)
- Linköpings universitet,Jönköping University,HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare),Department of Hospital Pharmacy, Region Jönköping County; Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden,Institutionen för biomedicinska och kliniska vetenskaper,Medicinska fakulteten,Dept Hosp Pharm, Region Jönköping County, Jönköping, Sweden; Jonkoping Univ, Sweden
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- Thor, Johan, 1963- (författare)
- Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare),Jonkoping Univ, Sweden
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- Ros, Axel (författare)
- Linköpings universitet,Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,Futurum, Region Jönköping County; Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden,Institutionen för biomedicinska och kliniska vetenskaper,Medicinska fakulteten,Futurum, Region Jönköping County, Jönköping, Sweden; Jonkoping Univ, Sweden
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- Johansson, Linda, 1978- (författare)
- Jönköping University,HHJ, Institutet för gerontologi,HHJ. ARN-J (Aging Research Network - Jönköping),Jonkoping Univ, Sweden
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Jönköping University HHJ IMPROVE (Improvement, innovation, and leadership in health and welfare) (creator_code:org_t)
- 2021-06-07
- 2021
- Engelska.
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Ingår i: BMC Health Services Research. - : BioMed Central. - 1472-6963. ; 21:1
- Relaterad länk:
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https://doi.org/10.1...
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https://bmchealthser...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BACKGROUND: Older persons with polypharmacy are at increased risk of harm from medications. Therefore, it is important that physicians and nurses, together with the persons, evaluate medications to avoid hazardous polypharmacy. It remains unclear how healthcare professionals experience such evaluations. This study aimed to explore physicians' and nurses' experiences from evaluations of older persons' medications, and their related actions to manage concerns related to the evaluations.METHOD: Individual interview data from 29 physicians and nurses were collected and analysed according to the critical incident technique.RESULTS: The medication evaluation for older persons was influenced by the working conditions (e.g. healthcare professionals' clinical knowledge, experiences, and situational conditions) and working in partnership (e.g. cooperating around and with the older person). Actions taken to manage these evaluations were related to working with a plan (e.g. performing day-to-day work and planning for continued treatment) and collaborative problem-solving (e.g. finding a solution, involving the older person, and communicating with colleagues).CONCLUSION: Working conditions and cooperation with colleagues, the older persons and their formal or informal caregivers, emerged as important factors related to the medication evaluation. By adjusting their performance to variations in these conditions, healthcare professionals contributed to the resilience of the healthcare system by its capacity to prevent, notice and mitigate medication problems. Based on these findings, we hypothesize that a joint plan for continued treatment could facilitate such resilience, if it articulates what to observe, when to act, who should act and what actions to take in case of deviations from what is expected.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- Critical incident technique
- Healthcare professionals
- Medication evaluation
- Older persons
- Patient safety
- Polypharmacy
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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