(a)Social and Administrative Sciences Division, University of Wisconsin-Madison School of Pharmacy, 777 Highland Ave, Madison, WI, 53705-2222, USA.
(a)Social and Administrative Sciences Division, University of Wisconsin-Madison School of Pharmacy, 777 Highland Ave, Madison, WI, 53705-2222, USA.
Res Social Adm Pharm. 2019 Oct;15(10):1223-1229. doi: 10.1016/j.sapharm.2018.10.007. Epub 2018 Oct 15.
Managing medications is an important part of the rural informal caregiver's role in the community setting, and the context within which care is provided plays an important role in shaping the work they perform. However, little is known about the intra- and interpersonal factors that impact the rural caregiver's involvement in and performance of medication management.
To identify contextual factors influencing medication management by rural informal caregivers of older adults.
Four separate focus groups with rural caregivers of older adults were conducted with 5-9 caregivers per group. Participants were asked to describe the medication management activities performed and problems they encountered while providing assistance. Focus groups were recorded, transcribed verbatim, and analyzed for themes using an inductive approach.
Care recipient independence, or their ability and preference to perform medication-related activities without supervision, was a key factor driving the caregiver's involvement in medication management and how it was performed. Many caregivers used a team-based approach to medication management that supported the care recipient's independence. Care recipient health and function was a driver behind the need for caregiving, and declines in physical and mental health led to changes in how medication management was carried out over time. Caregiver location also impacted the ways in which medication management was performed by caregivers.
Interventions and pharmacy services to support medication management by rural informal caregivers should be designed in a way that preserves and promotes the care recipient's independence, and should be tailored to the context within which caregiving is performed.
在社区环境中，管理药物是农村非专业护理人员角色的重要组成部分，而护理提供的背景对于塑造他们所执行的工作起着重要作用。然而，对于影响农村护理人员参与和执行药物管理的内部和人际因素知之甚少。
确定影响农村老年人非专业护理人员药物管理的环境因素。
对 4 组农村老年人的非专业护理人员进行了 4 组单独的焦点小组，每组有 5-9 名护理人员参加。要求参与者描述他们所执行的药物管理活动以及在提供帮助时遇到的问题。对焦点小组进行录音、逐字记录，并采用归纳法对主题进行分析。
护理对象的独立性，即他们在没有监督的情况下执行与药物相关活动的能力和偏好，是驱动护理人员参与药物管理以及管理方式的关键因素。许多护理人员采用团队合作的方式进行药物管理，以支持护理对象的独立性。护理对象的健康和功能是护理需求的驱动因素，身体和心理健康的下降导致药物管理方式随时间发生变化。护理人员的位置也会影响护理人员执行药物管理的方式。
旨在支持农村非专业护理人员药物管理的干预措施和药房服务应以保持和促进护理对象独立性的方式设计，并应根据护理执行的背景进行调整。
