Contextual factors influencing medicines-related interventions to support safe transitions for care home residents post hospital discharge: a systematic review and meta-ethnographic synthesis

Kandiah, Janani, Nazar, Hamde, Blacklock, Jeanette ORCID: https://orcid.org/0000-0001-5845-3182, Robinson, Anna and Wright, David (2022) 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. 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
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 20 Dec 2022 15:33
Last Modified: 03 Jan 2023 09:34
URI: https://ueaeprints.uea.ac.uk/id/eprint/90337
DOI: 10.1007/s11096-022-01507-3

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