Dowling Alison, Garratt Stephanie, Manias Elizabeth
School of Nursing and Midwifery, Monash University, Clayton, Victoria, Australia.
J Clin Nurs. 2025 Apr;34(4):1432-1451. doi: 10.1111/jocn.17438. Epub 2024 Oct 6.
To explore the experiences and perceptions of communication about managing medication across transitions of care for residents living in aged care homes and their family caregivers.
Effective medication communication across transitions of care involves exchanging information, resident, and family caregiver's participation in decision-making, and shared responsibility.
A qualitative meta-synthesis.
This review was conducted in accordance with the PRISMA 2020 guidelines and the accompanying 27-item checklist. A systematic search of seven electronic databases (Embase, PsycINFO, Medline Ovid, Scopus, CINAHL, EmCare and Web of Science) was performed from inception to December 2023. Studies eligible for inclusion in this review were required to be published in peer-reviewed English journals and focus on medication communication among healthcare providers, residents and family caregivers during transitions of care for aged care residents. The JBI Critical Appraisal Checklist for Qualitative Research was employed for the critical appraisal of the studies, and the COREQ checklist was used to evaluate their quality.
Of the 2610 studies identified, 12 met the inclusion criteria. No study was excluded based on quality. Two main themes were generated: (1) Medication information exchange involving residents and families, and (2) resident and family factors influencing medication communication engagement. The findings revealed a lack of supportive structure for effective communication and collaboration among residents, family caregivers and healthcare providers during transitions of care, marked by one-way interactions and limited evidence of shared decision-making or family caregiver engagement in medication management communication, despite varying individual needs and preferences.
Communication about medication management during transitions of care focused on sharing details rather than active engagement. Residents and their family caregivers have individual needs and perspectives regarding communication about medication management, which are not well addressed by healthcare providers during transitions of care. Healthcare providers' communication remains limited, and family caregivers are underutilised.
探讨老年护理院中居民及其家庭护理人员在护理转接过程中进行药物管理沟通的经历和看法。
护理转接过程中的有效药物沟通涉及信息交换、居民及家庭护理人员参与决策以及共同责任。
定性元分析。
本综述按照PRISMA 2020指南及随附的27项清单进行。对七个电子数据库（Embase、PsycINFO、Medline Ovid、Scopus、CINAHL、EmCare和Web of Science）从建库至2023年12月进行了系统检索。纳入本综述的研究要求发表在同行评审的英文期刊上，且聚焦于老年护理居民护理转接期间医疗服务提供者、居民和家庭护理人员之间的药物沟通。采用JBI定性研究批判性评价清单对研究进行批判性评价，并用COREQ清单评估其质量。
在识别出的2610项研究中，12项符合纳入标准。没有研究因质量问题被排除。产生了两个主要主题：（1）涉及居民和家庭的药物信息交换，以及（2）影响药物沟通参与度的居民和家庭因素。研究结果显示，在护理转接期间，居民、家庭护理人员和医疗服务提供者之间缺乏有效的沟通与协作支持结构，其特点是单向互动，共享决策或家庭护理人员参与药物管理沟通的证据有限，尽管存在不同的个人需求和偏好。
护理转接期间的药物管理沟通侧重于分享细节而非积极参与。居民及其家庭护理人员在药物管理沟通方面有个人需求和观点，但在护理转接期间医疗服务提供者并未很好地满足这些需求。医疗服务提供者的沟通仍然有限，家庭护理人员未得到充分利用。
