Medication administration and interruptions in nursing homes: A qualitative observational study
Journal article, Peer reviewed
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Original versionOdberg, K., Hansen, B.S, Aase, K. et al. (2018) Medication administration and interruptions in nursing homes: A qualitative observational study. Journal of Clinical Nursing. 2018, 27 (5-6), pp. 1113-1124. 10.1111/jocn.14138
Aims and objectives To contribute in‐depth knowledge of the characteristics of medication administration and interruptions in nursing homes. The following research questions guided the study: How can the medication administration process in nursing homes be described? How can interruptions during the medication administration process in nursing homes be characterized? Background Medication administration is a vital process across healthcare settings, and earlier research in nursing homes is sparse. The medication administration process is prone to interruptions that may lead to adverse drug events. On the other hand, interruptions may also have positive effects on patient safety. Design A qualitative observational study design was applied. Methods Data were collected using partial participant observations. An inductive content analysis was performed. Results Factors that contributed to the observed complexity of medication administration in nursing homes were the high number of single tasks, varying degree of linearity, the variability of technological solutions, demands regarding documentation and staff's apparent freedom as to how and where to perform medication‐related activities. Interruptions during medication administration are prevalent and can be characterised as passive (e.g., alarm and background noises), active (e.g., discussions) or technological interruptions (e.g., use of mobile applications). Most interruptions have negative outcomes, while some have positive outcomes. Conclusions A process of normalisation has taken place whereby staff put up with second‐rate technological solutions, noise and interruptions when they are performing medication‐related tasks. Before seeking to minimise interruptions during the medication administration process, it is important to understand the interconnectivity of the elements using a systems approach.
This is the peer reviewed version of the following article: Odberg, K., Hansen, B.S, Aase, K. et al. (2018) Medication administration and interruptions in nursing homes: A qualitative observational study. Journal of Clinical Nursing. 2018, 27 (5-6), pp. 1113-1124, which has been published in final form at https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.14138. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.