Medication Knowledge Among Older Adults Admitted to Home Care in Ontario During 2012–2013

Sears, Kim; Woo, Kevin; Almost, Joan; Wilson, R G; Frymire, Eliot; Whitehead, Marlo; VanDenKerkhof, Elizabeth G.

doi:10.1097/jhq.0000000000000055

Cited by 5 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, home care patients have risk factors for medication‐related problems, including multiple co‐morbidities, cognitive impairment, polypharmacy, and use of high‐risk medicines (Elliot, Lee, Beanland, Vakil, & Goeman, 2016). Based on previous findings (Sears et al, 2018), patients’ knowledge about their medications decreases as the number of medications increases. Therefore, these patients may be at high risk of medication errors, although it is often difficult to determine these contributing factors as most of the care provided in patents’ homes is unobserved (Doran et al., 2013).…”

Section: Introductionmentioning

confidence: 82%

Factors contributing to reported medication administration incidents in patients’ homes – A text mining analysis

Härkänen

Franklin

Murrells

et al. 2020

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aims To describe the characteristics of medication administration (MA) incidents reported to have occurred in patients’ own homes (reporters’ profession, incident types, contributing factors, patient consequence, and most common medications involved) and to identify the connection terms related to the most common contributing factors based on free text descriptions. Design A retrospective study using descriptive statistical analysis and text mining. Methods Medication administration incidents (N = 19,725) reported to have occurred in patients’ homes between 2013–2018 in one district in Finland were analysed, describing the data by the reporters’ occupation, incident type, contributing factors, and patient consequence. SAS® Text Miner was used to analyse free text descriptions of the MA incidents to understand contributing factors, using concept linking. Results Most MA incidents were reported by practical (lower level) nurses (77.8%, N = 15,349). The most common category of harm was ‘mild harm’ (40.1%, N = 7,915) and the most common error type was omissions of drug doses (47.4%, N = 9,343). The medications most commonly described were Marevan [warfarin] (N = 2,668), insulin (N = 811), Furesis [furosemide] (N = 590), antibiotic (N = 446), and Panadol [paracetamol] (N = 416). The contributing factors most commonly reported were ‘communication and flow of information’ (25.5%, N = 5,038), ‘patient and relatives’ (22.6%, N = 4,451), ‘practices’ (9.9%, N = 1,959), ‘education and training’ (4.8%, N = 949), and ‘work environment and resources’ (3.0%, N = 598). Conclusion There is need for effective communication and clear responsibilities between home care patients and their relatives and health providers, about MA and its challenges in home environments. Knowledge and skills relating to safe MA are also essential. Impact These findings about MA incidents that have occurred in patients’ homes and have been reported by home care professionals demonstrate the need for medication safety improvement in home care.

show abstract

Section: Introductionmentioning

confidence: 82%

Factors contributing to reported medication administration incidents in patients’ homes – A text mining analysis

Härkänen

Franklin

Murrells

et al. 2020

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…As an independent, nonprofit, world-leading research organization in Ontario, ICES houses population-based health and social data to produce knowledge on a broad range of health-care issues. E. VanDenKerkhof, an ICES adjunct scientist, secured a Ministry of Health and Long-Term Care Applied Health Research Question Grant that provided funds for four individual projects, led by four faculty (Sears et al, 2018). Since these initial projects, several faculty and graduate students are using health administrative data to address issues relevant to Nursing.…”

Section: Local Contextmentioning

confidence: 99%

Building Research Capacity in Nursing Academia in 2020: Is the Road Less Perilous?

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background Building research capacity in nursing academic units continues to be a challenge. There are a number of external contextual factors and internal factors that influence individual faculty as well as the collective to engage successfully in research. Purpose The overall aim of this opinion article is to provide an overview of the current external and internal, processes and structures, relevant to capacity of nursing faculty to engage in research. Methods To inform the external context, we reviewed national research funding trends for nursing. To inform the internal context, we provided an exemplar of the internal processes and structures designed to support research capacity building within our academic unit. Results Canadian Institutes of Health Research funding trends for research grants led by nurse principal applicants increased between 2010 and 2013, followed by a steady decline. In 2017 to 2018, there were only 24 research grants led by nurse principal applicants. These external challenges coupled with the traditional internal barriers, such as the imbalance between teaching and research time, threaten research capacity for nursing academics. Conclusion Organizational strategies to promote research capacity within academic nursing units are a necessary requirement to move forward.

show abstract

“…Déficit cognitivo e perda funcional também foram encontrados no nosso estudo como fatores associados à pior conhecimento do regime terapêutico. Essa relação também foi descrita por outros autores (Menezes Sears et al, 2016).…”

Section: Técnica De Amostragem E Recrutamentounclassified

Adesão medicamentosa e complexidade do regime terapêutico em idosos com polifarmácia atendidos em hospital dia

Melo¹

View full text Add to dashboard Cite

show abstract

Medication Knowledge Among Older Adults Admitted to Home Care in Ontario During 2012–2013

Cited by 5 publications

References 14 publications

Factors contributing to reported medication administration incidents in patients’ homes – A text mining analysis

Factors contributing to reported medication administration incidents in patients’ homes – A text mining analysis

Building Research Capacity in Nursing Academia in 2020: Is the Road Less Perilous?

Adesão medicamentosa e complexidade do regime terapêutico em idosos com polifarmácia atendidos em hospital dia

Contact Info

Product

Resources

About