Vis enkel innførsel

dc.contributor.authorOdberg, Kristian Ringsby
dc.contributor.authorHansen, Britt Sætre
dc.contributor.authorAase, Karina
dc.contributor.authorWangensteen, Sigrid
dc.date.accessioned2019-06-24T11:28:26Z
dc.date.available2019-06-24T11:28:26Z
dc.date.created2017-10-25T08:42:07Z
dc.date.issued2018
dc.identifier.citationJournal of Clinical Nursing. 2018, 27 (5-6), 1113-1124.nb_NO
dc.identifier.issn0962-1067
dc.identifier.urihttp://hdl.handle.net/11250/2601854
dc.description.abstractAims 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. Relevance to clinical practice Staff and management need to be aware of the normalisation of interruptions. Knowledge of the complexity of medication administration may raise awareness and highlight the importance of maintaining and enhancing staff competence.nb_NO
dc.language.isoengnb_NO
dc.publisherWileynb_NO
dc.titleMedication administration and interruptions in nursing homes: A qualitative observational studynb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionacceptedVersionnb_NO
dc.source.pagenumber1113-1124nb_NO
dc.source.volume27nb_NO
dc.source.journalJournal of Clinical Nursingnb_NO
dc.source.issue5-6nb_NO
dc.identifier.doi10.1111/jocn.14138
dc.identifier.cristin1507454
dc.relation.projectSHARE - Centre for Resilience in Healthcare: 7291nb_NO
dc.description.localcodeLocked until 27.10.2019 due to copyright restrictions. This is the peer reviewed version of an article, which has been published in final form at [https://doi.org/10.1111/jocn.14138]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.nb_NO
cristin.unitcode194,65,70,0
cristin.unitnameInstitutt for helsevitenskap Gjøvik
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2


Tilhørende fil(er)

Thumbnail

Denne innførselen finnes i følgende samling(er)

Vis enkel innførsel