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A qualitative study exploring issues related to medication management in residential aged care facilities

机译：一项定性研究，探索与住宅养老机构中药物管理有关的问题

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Background: Globally, the population of older people is on the rise. As families are burdened with the high cost of care for aging members, demand is increasing for medical care and nursing homes. Thus, medication management is crucial to ensure that residents in a care center benefit and assist the management of the care center in reducing the burden of health care. This study is aimed to qualitatively explore issues related to medication management in residential aged care facilities (RACFs). Participants and methods: A total of 11 stakeholders comprising health care providers, administrators, caretakers and residents were recruited from a list of registered government, nongovernmental organization and private RACFs in Malaysia from September 2016 to April?2017. An exploratory qualitative study adhering to Consolidated Criteria for Reporting Qualitative Studies was conducted. In-depth interview was conducted with consent of all participants, and the interviews were audio recorded for later verbatim transcription. Observational analysis was also conducted in a noninterfering manner. Results and discussion: Three themes, namely medication use process, personnel handling medications and culture, emerged in this study. Medication use process highlighted an unclaimed liability for residents’ medication by the RACFs, whereas personnel handling medications were found to lack sufficient training in medication management. Culture of the organization did affect the medication safety and quality improvement. The empowerment of the residents in their medication management was limited. There were unclear roles and responsibility of who manages the medication in the nongovernment-funded RACFs, although they were well structured in the private nursing homes. Conclusion: There are important issues related to medication management in RACFs which require a need to establish policy and guidelines.
机译：背景：在全球范围内，老年人口在增加。由于家庭负担着老龄人的高昂照料负担，因此对医疗和疗养院的需求正在增加。因此，药物管理对于确保护理中心的居民受益并协助护理中心的管理减轻医疗负担至关重要。这项研究旨在定性地探索与住宅养老机构（RACF）中的药物管理有关的问题。参加者和方法：从2016年9月至2017年4月？在马来西亚的注册政府，非政府组织和私人RACF列表中，总共招募了11名利益相关者，包括医疗保健提供者，管理人员，看护者和居民。进行了定性研究报告，该报告遵循定性报告综合标准。在所有参与者的同意下进行了深度访谈，并为访谈录音，以备以后逐字记录。观察分析也以无干扰的方式进行。结果与讨论：本研究提出了三个主题，即药物使用过程，处理药物的人员和文化。药物使用过程突显了RACF对居民的药物负有无人追究的责任，而发现处理药物的人员缺乏足够的药物管理培训。组织的文化确实影响了药物安全性和质量改善。居民在药物管理方面的授权是有限的。在非政府资助的RACF中，谁来管理药物的角色和责任尚不明确，尽管它们在私人疗养院中结构良好。结论：RACF​​中存在与药物管理有关的重要问题，需要建立政策和指南。

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