Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions.

BMC Health Services Research
Malin HolmqvistLinda Johansson

Abstract

Older persons with polypharmacy are at increased risk of harm from medications. Therefore, it is important that physicians and nurses, together with the persons, evaluate medications to avoid hazardous polypharmacy. It remains unclear how healthcare professionals experience such evaluations. This study aimed to explore physicians' and nurses' experiences from evaluations of older persons' medications, and their related actions to manage concerns related to the evaluations. Individual interview data from 29 physicians and nurses were collected and analysed according to the critical incident technique. The medication evaluation for older persons was influenced by the working conditions (e.g. healthcare professionals' clinical knowledge, experiences, and situational conditions) and working in partnership (e.g. cooperating around and with the older person). Actions taken to manage these evaluations were related to working with a plan (e.g. performing day-to-day work and planning for continued treatment) and collaborative problem-solving (e.g. finding a solution, involving the older person, and communicating with colleagues). Working conditions and cooperation with colleagues, the older persons and their formal or informal caregiver...Continue Reading

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