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 language | English |
|---|---|
| Pages (from-to) | 1869-1877 |
| Number of pages | 9 |
| Journal | Patient Preference and Adherence |
| Volume | 11 |
| DOIs | |
| Publication status | Published - 1 Nov 2017 |
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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
A qualitative study exploring issues related to medication management in residential aged care facilities. / Ahmad Nizaruddin, Mariani; Omar, Marhanis Salihah; Mhd Ali, Adliah; Makmor Bakry, Mohd.
In: Patient Preference and Adherence, Vol. 11, 01.11.2017, p. 1869-1877.Research output: Contribution to journal › Article
}
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
AN - SCOPUS:85034820329
VL - 11
SP - 1869
EP - 1877
JO - Patient Preference and Adherence
JF - Patient Preference and Adherence
SN - 1177-889X
ER -