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ToolsKandiah, Janani, Nazar, Hamde, Blacklock, Jeanette, Robinson, Anna and Wright, David (2023) Contextual factors influencing medicines-related interventions to support safe transitions for care home residents post hospital discharge: a systematic review and meta-ethnographic synthesis. International Journal of Clinical Pharmacy, 45. 26–37. ISSN 2210-7703
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Abstract
Background: Residents of care or nursing homes are at a higher risk of medication-related harm, especially during care transitions. No medicines-related intervention has been identified that supports the safe transition for these residents moving into their residence following hospital discharge. A model of care integrating a number of intervention components is suggested to be most effective. Aim: To investigate, via a systematic review and meta-ethnography, the factors which influence the impact of medicines related interventions. Method: In December 2020, Pubmed, MEDLINE, EMBASE, PsycINFO, and CINAHL Complete were systematically searched. All studies reporting on medicines-related interventions for residents following hospital discharge were included. Quality assessment was undertaken with a validated tool. Meta-ethnography was used to investigate the factors which influenced how interventions did, or did not work. Findings were mapped to a validated conceptual framework for integrated care. Results: From 3884 studies, nine met the inclusion criteria and were analysed. These were generally of medium quality (n = 6). The interventions were diverse: some tackled the transition process, some tackled follow-up care and some interventions involved both. The meta-ethnography, using the a priori conceptual framework, captured factors reported within the studies that influenced implementation, delivery and/or outcomes. Conclusion: The review and synthesis informed the development of a conceptual model for transitionary care for this population group. Researchers and decision-makers can use this as a tool to understand their local context and inform future intervention design, implementation and evaluation in this clinical area.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | care homes,medicines reconciliation,residential homes,transitionary care,pharmacy,toxicology,pharmacology,pharmaceutical science,pharmacology (medical) ,/dk/atira/pure/subjectarea/asjc/3600/3611 |
| Faculty \ School: | Faculty of Social Sciences > School of Economics Faculty of Science > School of Pharmacy (former - to 2024) |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging Faculty of Science > Research Groups > Patient Care |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 20 Dec 2022 15:33 |
| Last Modified: | 24 Oct 2024 00:01 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/90337 |
| DOI: | 10.1007/s11096-022-01507-3 |
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