Improving medication management at transitions of care is a national and
international priority. People with dementia, who transition between hospitals
and care homes, can be at an increased risk of adverse events, harm and costly
re-hospitalisation. There is limited research which examines factors which may
influence the quality and continuity of medication management in this context,
particularly in the UK.
This research uses a systems approach to explore the factors which may
influence the quality and continuity of medication management when people,
with dementia, move between the care home and hospital setting. This multi method, multi-phase study included interviews with hospital staff, care home
staff, residents with dementia and relatives and examination of policies and
documents used to support medication management at transition.
Overall, policy recommendations and implementation strategies to support
medication management at transition were limited. Residents, staff and relatives
emphasised the importance of administration routines and preferences, but
there were no strategies to support the communication of this information.
Procedures, tools and training to support care homes based medication
reconciliation was also limited. Residents and relatives were rarely involved in medication management due to limited resources and decision making. This
sustained, rather than challenged, the power imbalance between residents and
staff. Better defined roles and integrated processes which take account of the
needs of this transition may help residents, relatives and care home staff to feel
valued and empowered to provide information which supports person-centred
medication management and boost resilience by helping to identify medication
errors or adverse events. / Alzheimer’s Society
| Identifer | oai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/19062 |
| Date | January 2020 |
| Creators | Hill, Suzanne E. |
| Contributors | Blenkinsopp, Alison, Alldred, David P., Quinn, Catherine |
| Publisher | University of Bradford, Faculty of Health Studies |
| Source Sets | Bradford Scholars |
| Language | English |
| Detected Language | English |
| Type | Thesis, doctoral, PhD |
| Rights | <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><img alt="Creative Commons License" style="border-width:0" src="http://i.creativecommons.org/l/by-nc-nd/3.0/88x31.png" /></a><br />The University of Bradford theses are licenced under a <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/">Creative Commons Licence</a>. |
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