File(s) under permanent embargo
Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings
journal contribution
posted on 2015-12-01, 00:00 authored by Elizabeth ManiasElizabeth Manias, S Rixon, A Williams, D Liew, S BraafBackground
Communication problems contribute enormously to medication errors and adverse events. Encouraging patient engagement can help to facilitate effective medication management.
Objectives
To examine barriers and enablers affecting how patients engage with managing their medications in specialty hospital settings.
Design
An exploratory qualitative design was used involving in-depth interviews with doctors, nurses, pharmacists, patients and family members.
Setting
An Australian public, metropolitan teaching hospital was the study site and five specialty hospital settings were used, including cardiac care, emergency care, intensive care, oncology care and perioperative care.
Results
In all, 21 health professionals, 11 patients and 12 family members participated in the study (n = 44). Barriers and enablers involved intrapersonal, interpersonal and environmental aspects, and differences in perceptions and experiences were found between the various settings. Health professionals had preconceived notions of what was appropriate behaviour in conveying information about medications. Many health professionals stated that they deliberately chose not to provide medication-related knowledge. Different barriers for patient engagement existed in various settings – in emergency care, patients could only stay for 4 h; in intensive care, medication changes regularly happened; in cardiac care, patients were discharged prematurely due to urgent need of beds; in oncology, there was lack of availability of oncology consultants; while in perioperative care, surgeons and anaesthetists were available just before surgery.
Conclusions
Complex barriers and enablers are associated with patient engagement in specialty clinical settings. By developing an understanding of these barriers and enablers, health professionals can help patients to understand and participate in their medication management.
Communication problems contribute enormously to medication errors and adverse events. Encouraging patient engagement can help to facilitate effective medication management.
Objectives
To examine barriers and enablers affecting how patients engage with managing their medications in specialty hospital settings.
Design
An exploratory qualitative design was used involving in-depth interviews with doctors, nurses, pharmacists, patients and family members.
Setting
An Australian public, metropolitan teaching hospital was the study site and five specialty hospital settings were used, including cardiac care, emergency care, intensive care, oncology care and perioperative care.
Results
In all, 21 health professionals, 11 patients and 12 family members participated in the study (n = 44). Barriers and enablers involved intrapersonal, interpersonal and environmental aspects, and differences in perceptions and experiences were found between the various settings. Health professionals had preconceived notions of what was appropriate behaviour in conveying information about medications. Many health professionals stated that they deliberately chose not to provide medication-related knowledge. Different barriers for patient engagement existed in various settings – in emergency care, patients could only stay for 4 h; in intensive care, medication changes regularly happened; in cardiac care, patients were discharged prematurely due to urgent need of beds; in oncology, there was lack of availability of oncology consultants; while in perioperative care, surgeons and anaesthetists were available just before surgery.
Conclusions
Complex barriers and enablers are associated with patient engagement in specialty clinical settings. By developing an understanding of these barriers and enablers, health professionals can help patients to understand and participate in their medication management.
History
Journal
Health expectationsVolume
18Issue
6Pagination
2787 - 2798Publisher
WileyLocation
London, EngPublisher DOI
ISSN
1369-6513eISSN
1369-7625Language
engPublication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2015, WileyUsage metrics
Categories
No categories selectedKeywords
barrierscommunicationenablersmedication managementmedication safetypatient engagementqualitative interviewsScience & TechnologyLife Sciences & BiomedicineHealth Care Sciences & ServicesHealth Policy & ServicesPublic, Environmental & Occupational HealthDECISION-MAKINGPATIENTS WANTOLDER-PEOPLEERRORPARTICIPATIONINVOLVEMENTPREFERENCESSAFETYCARE
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC