A qualitative study exploring issues related to medication management in residential aged care facilities

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Globally, the population of older people is on the rise. As families are burdened with the high cost of care for aging members, demand is increasing for medical care and nursing homes. Thus, medication management is crucial to ensure that residents in a care center benefit and assist the management of the care center in reducing the burden of health care. This study is aimed to qualitatively explore issues related to medication management in residential aged care facilities (RACFs). Participants and methods: A total of 11 stakeholders comprising health care providers, administrators, caretakers and residents were recruited from a list of registered government, nongovernmental organization and private RACFs in Malaysia from September 2016 to April 2017. An exploratory qualitative study adhering to Consolidated Criteria for Reporting Qualitative Studies was conducted. In-depth interview was conducted with consent of all participants, and the interviews were audio recorded for later verbatim transcription. Observational analysis was also conducted in a noninterfering manner. Results and discussion: Three themes, namely medication use process, personnel handling medications and culture, emerged in this study. Medication use process highlighted an unclaimed liability for residents’ medication by the RACFs, whereas personnel handling medications were found to lack sufficient training in medication management. Culture of the organization did affect the medication safety and quality improvement. The empowerment of the residents in their medication management was limited. There were unclear roles and responsibility of who manages the medication in the nongovernment-funded RACFs, although they were well structured in the private nursing homes. Conclusion: There are important issues related to medication management in RACFs which require a need to establish policy and guidelines.

Original languageEnglish
Pages (from-to)1869-1877
Number of pages9
JournalPatient Preference and Adherence
Volume11
DOIs
Publication statusPublished - 1 Nov 2017

Fingerprint

Nursing Homes
medication
Organizations
Interviews
Patient-Centered Care
Malaysia
Quality Improvement
Administrative Personnel
management
Health Personnel
Guidelines
Delivery of Health Care
Safety
Costs and Cost Analysis
resident
Population
nursing home
personnel
health care
interview

Keywords

  • Aged
  • Drug
  • Drug related problem
  • Nursing home
  • Older people

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Social Sciences (miscellaneous)
  • Pharmacology, Toxicology and Pharmaceutics (miscellaneous)
  • Health Policy

Cite this

@article{257a0102b9f54970bddb5410439bf73e,
title = "A qualitative study exploring issues related to medication management in residential aged care facilities",
abstract = "Background: Globally, the population of older people is on the rise. As families are burdened with the high cost of care for aging members, demand is increasing for medical care and nursing homes. Thus, medication management is crucial to ensure that residents in a care center benefit and assist the management of the care center in reducing the burden of health care. This study is aimed to qualitatively explore issues related to medication management in residential aged care facilities (RACFs). Participants and methods: A total of 11 stakeholders comprising health care providers, administrators, caretakers and residents were recruited from a list of registered government, nongovernmental organization and private RACFs in Malaysia from September 2016 to April 2017. An exploratory qualitative study adhering to Consolidated Criteria for Reporting Qualitative Studies was conducted. In-depth interview was conducted with consent of all participants, and the interviews were audio recorded for later verbatim transcription. Observational analysis was also conducted in a noninterfering manner. Results and discussion: Three themes, namely medication use process, personnel handling medications and culture, emerged in this study. Medication use process highlighted an unclaimed liability for residents’ medication by the RACFs, whereas personnel handling medications were found to lack sufficient training in medication management. Culture of the organization did affect the medication safety and quality improvement. The empowerment of the residents in their medication management was limited. There were unclear roles and responsibility of who manages the medication in the nongovernment-funded RACFs, although they were well structured in the private nursing homes. Conclusion: There are important issues related to medication management in RACFs which require a need to establish policy and guidelines.",
keywords = "Aged, Drug, Drug related problem, Nursing home, Older people",
author = "{Ahmad Nizaruddin}, Mariani and Omar, {Marhanis Salihah} and {Mhd Ali}, Adliah and {Makmor Bakry}, Mohd",
year = "2017",
month = "11",
day = "1",
doi = "10.2147/PPA.S144513",
language = "English",
volume = "11",
pages = "1869--1877",
journal = "Patient Preference and Adherence",
issn = "1177-889X",
publisher = "Dove Medical Press Ltd.",

}

TY - JOUR

T1 - A qualitative study exploring issues related to medication management in residential aged care facilities

AU - Ahmad Nizaruddin, Mariani

AU - Omar, Marhanis Salihah

AU - Mhd Ali, Adliah

AU - Makmor Bakry, Mohd

PY - 2017/11/1

Y1 - 2017/11/1

N2 - Background: Globally, the population of older people is on the rise. As families are burdened with the high cost of care for aging members, demand is increasing for medical care and nursing homes. Thus, medication management is crucial to ensure that residents in a care center benefit and assist the management of the care center in reducing the burden of health care. This study is aimed to qualitatively explore issues related to medication management in residential aged care facilities (RACFs). Participants and methods: A total of 11 stakeholders comprising health care providers, administrators, caretakers and residents were recruited from a list of registered government, nongovernmental organization and private RACFs in Malaysia from September 2016 to April 2017. An exploratory qualitative study adhering to Consolidated Criteria for Reporting Qualitative Studies was conducted. In-depth interview was conducted with consent of all participants, and the interviews were audio recorded for later verbatim transcription. Observational analysis was also conducted in a noninterfering manner. Results and discussion: Three themes, namely medication use process, personnel handling medications and culture, emerged in this study. Medication use process highlighted an unclaimed liability for residents’ medication by the RACFs, whereas personnel handling medications were found to lack sufficient training in medication management. Culture of the organization did affect the medication safety and quality improvement. The empowerment of the residents in their medication management was limited. There were unclear roles and responsibility of who manages the medication in the nongovernment-funded RACFs, although they were well structured in the private nursing homes. Conclusion: There are important issues related to medication management in RACFs which require a need to establish policy and guidelines.

AB - Background: Globally, the population of older people is on the rise. As families are burdened with the high cost of care for aging members, demand is increasing for medical care and nursing homes. Thus, medication management is crucial to ensure that residents in a care center benefit and assist the management of the care center in reducing the burden of health care. This study is aimed to qualitatively explore issues related to medication management in residential aged care facilities (RACFs). Participants and methods: A total of 11 stakeholders comprising health care providers, administrators, caretakers and residents were recruited from a list of registered government, nongovernmental organization and private RACFs in Malaysia from September 2016 to April 2017. An exploratory qualitative study adhering to Consolidated Criteria for Reporting Qualitative Studies was conducted. In-depth interview was conducted with consent of all participants, and the interviews were audio recorded for later verbatim transcription. Observational analysis was also conducted in a noninterfering manner. Results and discussion: Three themes, namely medication use process, personnel handling medications and culture, emerged in this study. Medication use process highlighted an unclaimed liability for residents’ medication by the RACFs, whereas personnel handling medications were found to lack sufficient training in medication management. Culture of the organization did affect the medication safety and quality improvement. The empowerment of the residents in their medication management was limited. There were unclear roles and responsibility of who manages the medication in the nongovernment-funded RACFs, although they were well structured in the private nursing homes. Conclusion: There are important issues related to medication management in RACFs which require a need to establish policy and guidelines.

KW - Aged

KW - Drug

KW - Drug related problem

KW - Nursing home

KW - Older people

UR - http://www.scopus.com/inward/record.url?scp=85034820329&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85034820329&partnerID=8YFLogxK

U2 - 10.2147/PPA.S144513

DO - 10.2147/PPA.S144513

M3 - Article

VL - 11

SP - 1869

EP - 1877

JO - Patient Preference and Adherence

JF - Patient Preference and Adherence

SN - 1177-889X

ER -