农村老年护理提供者在护理过渡期间参与药物沟通:一种定性研究

Alison Dowling¹, Elizabeth Manias¹

¹School of Nursing and Midwifery, Monash University, Clayton, Victoria, Australia.

The Australian journal of rural health

|March 9, 2026

概括

农村老年护理中的药物沟通对医疗保健提供者,特别是护士来说是一个挑战. 需要改进的策略,以便在护理过渡期间更好地分享信息和参与居民参与.

科学领域:

老年学和老年医疗护理
医疗保健服务研究医疗服务研究
药物管理药物管理

背景情况:

住院养老机构 (RACF) 的护理过渡是药物管理的关键时刻.
医疗保健提供者,住户和家庭之间的有效沟通对于安全和以人为中心的护理至关重要.
农村环境对医疗保健提供和沟通提出了独特的挑战.

研究的目的:

调查农村老年护理机构的医疗保健提供者在护理过渡期间如何沟通居民药物.
识别药物沟通中的感知角色,责任和挑战.
探索加强居民和家庭参与药物传播的机会.

主要方法:

在澳大利亚两个农村养老院进行了一项定性探索性研究.
与十名女性医疗保健提供者 (护士,个人护理助理,药剂师) 进行了半结构化访谈.
采用了主题分析,并使用患者和家庭参与框架绘制了参与图.

主要成果:

出现了两个主要主题:提供者对药物沟通角色/责任的看法以及参与的挑战.
护士们扮演了一个核心的,往往是反应性的角色;居民/家庭的参与取决于能力,亲近性和兴趣.
提供者之间的沟通是分散的,受到系统效率低下的阻碍;个人护理助理和药剂师提供了宝贵的安全见解.

结论:

农村老年护理的医疗保健提供者,特别是护士,在过渡期间遇到有效药物沟通的重大障碍.
需要有结构的,协作性的策略,以确保一致的信息交换和积极的居民/家庭参与.
利用药剂师和个人护理助理的专业知识可以增强以人为本的药物护理.

关键词:

参与参与参与参与医疗保健提供者提供医疗保健.药物沟通药物沟通药物沟通农村养老服务农村养老服务关怀的过渡关怀的过渡

相关概念视频

01:15

Drug Dosing: Geriatric Patients

339

Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...

339

01:29

Documentation in Long-Term and Home Healthcare Setting

1.6K

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities

1.6K

01:21

Barriers to Effective Communication II

5.3K

The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...

5.3K

01:29

SBAR I: Understanding the Concept

6.2K

Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...

6.2K

01:18

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion

300

In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...

300

01:31

Discharge Summary Forms

1.3K

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:

1.3K