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Medication Assistant-Certification Program in Washington State: Barriers to implementation.

Alice E Dupler1, Neva L Crogan1, Mirjeta Beqiri1

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Medication assistants (MAs) may not significantly alter care costs or quality in skilled nursing facilities. Licensed practical nurses showed less favor, potentially due to job security concerns regarding the Medication Assistant Endorsement Program (MAEP).

Keywords:
Medication assistantsNursing homesQuality of care

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Area of Science:

  • Healthcare Administration
  • Nursing Practice
  • Geriatric Care

Background:

  • Medication assistants (MAs) offer a legal framework for delegating medication administration by nurses in non-acute care settings.
  • The Washington State Medication Assistant Endorsement Program (MAEP) aims to standardize MA training and practice.

Purpose of the Study:

  • To investigate the perceptions and understanding of skilled nursing facility (SNF) staff concerning the MAEP.
  • To identify factors influencing the adoption of MAs in Washington State SNFs.

Main Methods:

  • A 15-item survey was distributed to 218 nursing staff members across five eastern Washington nursing homes.
  • Convenience sampling was employed to gather data on staff beliefs about MAs and the MAEP.

Main Results:

  • A majority of surveyed staff believed MAs would not impact the cost of care.
  • Most staff did not anticipate MAs would enhance or reduce the quality of resident care.
  • Licensed Practical Nurses (LPNs) expressed the least support for MAs, possibly due to concerns about job displacement.

Conclusions:

  • The perceived neutral impact on cost and quality, coupled with LPNs' concerns, may explain the limited adoption of the MAEP in Washington State.
  • Further research is needed to understand and address staff concerns to facilitate the integration of MAs.