Schmid Thomas, Hoffmann Falk, Dörks Michael, Jobski Kathrin
Faculty of Social and Health Studies, University of Applied Sciences Kempten, 87435 Kempten, Germany.
Department of Health Services Research, Faculty VI Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, 26129 Oldenburg, Germany.
Healthcare (Basel). 2022 Mar 25;10(4):620. doi: 10.3390/healthcare10040620.
Medication organization devices (MODs) are widely used among home care nursing services. However, current practices such as the responsibility for filling MODs, different MOD types used and requirements of home care nursing services are largely unknown. The study aimed at analyzing home care nursing services' current practices regarding MOD use, investigating their requirements and determining whether different practices met these requirements. A survey was administered online to German home care nursing services in February 2021. The importance of requirements and the extent of satisfaction were measured using a five-point scale. Attitudes towards disposable, pharmacy-filled MODs were recorded as free text. In total, 690 nursing services responded (67.5% privately owned and 34.5% based in large cities), 92.2% filled MODs themselves and used predominantly reusable, rigid MODs. Pharmacies filling MODs used primarily disposable MODs. Satisfaction with current practices was generally high. Respondents filling MODs themselves were more satisfied with nurses' medication knowledge, but less satisfied with cost effectiveness than those who had pharmacies fill MODs. Of all respondents filling MODs themselves who expressed an opinion on disposable, pharmacy-filled MODs, 50.9% were skeptical, primarily due to fear of losing flexibility. However, no difference in satisfaction with flexibility was found between respondents filling MODs themselves and those using pharmacy-filled MODs. In conclusion, employment of MODs in the professional care setting is a complex task with nursing services as key constituents. There is potential for improvement in the inter-professional collaboration between pharmacies and home care nursing services on the use of MODs. Measures for improvement have to address home care nursing services' requirements with respect to flexibility and medication knowledge.
药物管理装置（MODs）在家庭护理服务中被广泛使用。然而，目前诸如填充MODs的责任、所使用的不同MOD类型以及家庭护理服务的要求等做法在很大程度上尚不明确。该研究旨在分析家庭护理服务中关于MODs使用的现行做法，调查其需求，并确定不同做法是否满足这些需求。2021年2月对德国的家庭护理服务机构进行了在线调查。使用五点量表来衡量需求的重要性和满意度。对一次性、药房填充的MODs的态度以自由文本形式记录。共有690家护理服务机构做出回应（67.5%为私营机构，34.5%位于大城市），92.2%的机构自行填充MODs，并且主要使用可重复使用的硬质MODs。药房填充MODs时主要使用一次性MODs。对当前做法的满意度普遍较高。自行填充MODs的受访者对护士的用药知识更满意，但在成本效益方面不如由药房填充MODs的受访者满意。在所有自行填充MODs且对一次性、药房填充的MODs表达意见的受访者中，50.9%持怀疑态度，主要是因为担心失去灵活性。然而，自行填充MODs的受访者与使用药房填充MODs的受访者在对灵活性的满意度方面没有差异。总之，在专业护理环境中使用MODs是一项复杂的任务，护理服务机构是关键组成部分。在药房和家庭护理服务机构之间关于MODs使用的跨专业合作方面有改进的潜力。改进措施必须满足家庭护理服务机构在灵活性和用药知识方面的需求。
