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dc.contributor.authorTobiano, G
dc.contributor.authorChaboyer, W
dc.contributor.authorTeasdale, T
dc.contributor.authorCussen, J
dc.contributor.authorRaleigh, R
dc.contributor.authorManias, E
dc.date.accessioned2020-11-09T22:28:28Z
dc.date.available2020-11-09T22:28:28Z
dc.date.issued2020
dc.identifier.issn1356-1294
dc.identifier.doi10.1111/jep.13494
dc.identifier.urihttp://hdl.handle.net/10072/398910
dc.description.abstractRationale, aims, and objectives: Medication discrepancies place patients discharged from hospital at risk of adverse medication events. Patient and family participation in medication communication may improve medication safety. This study aimed to examine older medical patient and family participation in discharge medication communication. Methods: Two-phased mixed-methods study. Data were collected from July 2018 to May 2019. Phase 1 comprised observations and a questionnaire of 30 patients pre-hospital discharge. Phase 2 involved telephone interviews with 11 patients and family members post-hospital discharge. Phase 1 analysis included descriptive statistics and deductive content analysis. Inductive content analysis was used in Phase 2. Phase 1 and 2 findings were integrated. Results: For Phase 1, observational data were deductively coded against the “continuum of patient participation”; information-giving was the most frequent level of participation observed on the continuum, followed by information-seeking, shared decision making, non-involved, and finally autonomous decision making. For descriptive statistics, written communication tools, noise, and interruptions were frequently observed during medication communication. In Phase 2, three categories were found about how patients and families participate, and the factors influencing their participation: (a) obtaining comprehensive medication information; (b) preferred approaches for receiving information; and (c) speaking about medications in hospital. Integrated findings showed that written communication tools and routine hospital tasks may promote, while lack of family presence and environmental factors may hinder medication communication. Patients' and families' role in medication communication ranged from asking questions to influencing decisions, and was enhanced by health care professionals' patient-centred communication. Conclusions: More active patient and family participation could be achieved by encouraging them to identify medication-related problems. To create a climate for patient and family participation, health care professionals should use written communication tools, capitalize on participation opportunities during routine hospital tasks, and use patient-centred communication.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofjournalJournal of Evaluation in Clinical Practice
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchHealth sciences
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode42
dc.titleOlder patient and family discharge medication communication: A mixed-methods study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationTobiano, G; Chaboyer, W; Teasdale, T; Cussen, J; Raleigh, R; Manias, E, Older patient and family discharge medication communication: A mixed-methods study, Journal of Evaluation in Clinical Practice, 2020
dc.date.updated2020-10-30T04:15:44Z
dc.description.versionAccepted Manuscript (AM)
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.
gro.rights.copyright© 2020 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Older patient and family discharge medication communication: A mixed‐methods study, Journal of Evaluation in Clinical Practice, Early View, which has been published in final form at 10.1111/jep.13494. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
gro.hasfulltextFull Text
gro.griffith.authorTobiano, Georgia A.
gro.griffith.authorChaboyer, Wendy


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