芬兰家庭护理环境中用药信息事件的流程：一项定性描述性研究。

Flow of Medication Information Incidents in the Home Care Setting in Finland: A Qualitative Descriptive Study.

作者信息

Vellonen Marja, Härkänen Marja, Välimäki Tarja

机构信息

Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.

Laurea University of Applied Sciences, Vantaa, Finland.

出版信息

J Adv Nurs. 2025 Jul 4. doi: 10.1111/jan.70063.

DOI:10.1111/jan.70063

PMID:40613645

Abstract

AIM

To describe the challenges related to the flow of medication information in home care, their contributing factors, and home care registered nurses' and nurse leaders' views on preventing them.

DESIGN

A descriptive qualitative study.

METHODS

Six group and one individual semi-structured interview were conducted remotely with 15 home care registered nurses and nurse leaders between 12 February 2023 and 9 November 2023 in Finland. The data were analysed using reflexive thematic analysis.

RESULTS

We identified four main themes related to the challenges of medication information flow: the complexity of home care work in cooperation and the medication process, technology-related challenges, the healthcare professionals' individual factors and client-related challenges. These factors contributed to the challenges: the lack of healthcare professionals' resources, the healthcare professionals' attitudes to work and individual characteristics, the lack of healthcare professionals' uniform practices and client-related factors. Preventing challenges and incidents: strengthening standard healthcare practices, increasing healthcare resources, improving the individual factors of healthcare professionals, and guiding the client in the management of medication.

CONCLUSION

The medication information flow can be improved by discussing standard practices for the flow of medication information in home care and between home care and hospital teams.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: It is crucial to identify challenges, contributing factors and prevention in the medication information flow from the home care registered nurses' and nurse leaders' perspective. These elements play an important role in developing medication information flow by collaborating extensively with other healthcare providers, clients, and relatives.

IMPACT

Healthcare professionals, nurse leaders, and educators can utilise this study's findings to develop the flow of medication information within and between organisations.

REPORTING METHOD

The Standards for Reporting Qualitative Research checklist was used.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution.

摘要

目的

描述居家护理中与用药信息流通相关的挑战、其促成因素，以及居家护理注册护士和护士长对预防这些挑战的看法。

设计

描述性定性研究。

方法

2023年2月12日至2023年11月9日期间，在芬兰对15名居家护理注册护士和护士长进行了6次小组访谈和1次个人半结构化访谈。采用反思性主题分析法对数据进行分析。

结果

我们确定了与用药信息流通挑战相关的四个主要主题：合作中居家护理工作和用药过程的复杂性、技术相关挑战、医护人员的个人因素以及与患者相关的挑战。这些因素促成了这些挑战：医护人员资源匮乏、医护人员的工作态度和个人特质、医护人员缺乏统一的做法以及与患者相关的因素。预防挑战和事件：加强标准医疗实践、增加医疗资源、改善医护人员的个人因素，以及指导患者进行用药管理。