Bridging Gaps in Communication: Family Members' Involvement and Understandings about Their Relatives' Prescribed Medications in Hospital

2.50
Hdl Handle:
http://hdl.handle.net/10755/243244
Category:
Abstract
Type:
Presentation
Title:
Bridging Gaps in Communication: Family Members' Involvement and Understandings about Their Relatives' Prescribed Medications in Hospital
Author(s):
Manias, Elizabeth
Author Details:
Manias, Elizabeth, RN, MPharm, MNS, PhD, emanias@unimelb.edu.au;
Abstract:
Purpose: To explore family members’ involvement with health professionals and patients about how patients’ medications are managed in hospital.

Methods: Qualitative interviews were conducted with family members of patients who were admitted to hospital for a surgical or medical reason. A purposive sampling approach was used for recruitment. Interviews took place in a quiet room of four surgical and four medical wards of two Australian hospitals.

Results: Forty interviews were conducted with family members in relation to their respective relative’s medications. A median of nine medications were prescribed per patient, ranging from 5 to 17 medications. Family members’ understandings about the purpose of patients’ medications prescribed in hospital ranged from 14 to 100%. In all cases, changes were made to medications prescribed, either in terms of the dose, or removal or initiation of medication during the hospital stay at the time when interviews were conducted. Family members generally showed extensive involvement with patients in managing medications, and they contributed actively in negotiating medication management activities in hospital and in addressing problems relating to continuity of care. Communication with doctors, nurses and pharmacists was generally insufficient, despite family members’ keenness to speak with them. With respect to family members’ interactions with nurses, communication about medications involved nurses informing patients about the medications being administered. According to family members, this communication was often brief, with few details offered about the purpose, action or side effects of medications.

Conclusion: Improved communication is highly needed between family members, health professionals and patients in medical and surgical wards. Greater attention should be played by nurses in their interactions with patients and family members at the bedside, to initiate communication proactively. Family members possessed valuable, unique information about patients’ medications that could easily be utilised to facilitate patient safety.

Keywords:
Family members; Medication management; Communication
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleBridging Gaps in Communication: Family Members' Involvement and Understandings about Their Relatives' Prescribed Medications in Hospitalen_GB
dc.contributor.authorManias, Elizabethen_GB
dc.author.detailsManias, Elizabeth, RN, MPharm, MNS, PhD, emanias@unimelb.edu.au;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243244-
dc.description.abstract<b>Purpose: </b> To explore family members&rsquo; involvement with health professionals and patients about how patients&rsquo; medications are managed in hospital. <p><b>Methods: </b> Qualitative interviews were conducted with family members of patients who were admitted to hospital for a surgical or medical reason. A purposive sampling approach was used for recruitment. Interviews took place in a quiet room of four surgical and four medical wards of two Australian hospitals. <p><b>Results: </b> Forty interviews were conducted with family members in relation to their respective relative&rsquo;s medications. A median of nine medications were prescribed per patient, ranging from 5 to 17 medications. Family members&rsquo; understandings about the purpose of patients&rsquo; medications prescribed in hospital ranged from 14 to 100%. In all cases, changes were made to medications prescribed, either in terms of the dose, or removal or initiation of medication during the hospital stay at the time when interviews were conducted. Family members generally showed extensive involvement with patients in managing medications, and they contributed actively in negotiating medication management activities in hospital and in addressing problems relating to continuity of care. Communication with doctors, nurses and pharmacists was generally insufficient, despite family members&rsquo; keenness to speak with them. With respect to family members&rsquo; interactions with nurses, communication about medications involved nurses informing patients about the medications being administered. According to family members, this communication was often brief, with few details offered about the purpose, action or side effects of medications. <p><b>Conclusion: </b> Improved communication is highly needed between family members, health professionals and patients in medical and surgical wards. Greater attention should be played by nurses in their interactions with patients and family members at the bedside, to initiate communication proactively. Family members possessed valuable, unique information about patients&rsquo; medications that could easily be utilised to facilitate patient safety.en_GB
dc.subjectFamily membersen_GB
dc.subjectMedication managementen_GB
dc.subjectCommunicationen_GB
dc.date.available2012-09-12T09:19:32Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:19:32Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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