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Healthcare and Pharmacy Staffs' Experiences on Medication Management for Migrants—A Qualitative Exploratory Case Study in Primary Health Care
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-11-12 , DOI: 10.1111/jan.16624
Lisa Hultin, Ulrika Pöder, Mariann Hedström, Anna Ekman, Katarina Hjelm

AimTo explore what healthcare staff and staff in pharmacies experiences, as challenges, and possibilities in handling and use medications by foreign‐born persons or their relatives, and how necessary information is exchanged between different units in the healthcare chain to prevent medication errors.DesignA qualitative explorative single‐unit case study in a primary healthcare centre, with connected home care and pharmacies in an immigrant‐dense area.MethodsIndividual semi‐structured interviews with 17 respondents, including pharmacists, physicians and registered nurses, were conducted between May and December 2022, in Sweden. Inductive qualitative content analysis was applied.ResultsSix categories were identified: limited knowledge about medications, lack of knowledge about the Swedish system for medication prescriptions and pharmacy regulations, insufficient time to develop trusting relations, communication to support medication management, tools for facilitating safe use of medications and problems in exchange of information in the healthcare chain.ConclusionGood communication is both a challenge and a prerequisite for safe medication management by well‐informed patients. To ensure patient safety, it is crucial to establish ways to communicate with patients about their medications, regardless of their language skills. Improving communication within the healthcare chain is essential to prevent medication errors.Implication for the Profession and Patient CareUnderstanding the complexity of medication management and preventing medication errors requires staff to communicate effectively with patients at all steps in the healthcare chain to identify their informational and educational needs.ImpactThis study provides a comprehensive understanding of the importance of communication within the healthcare chain, including prescribing physicians, nurses, pharmacists and patients, to prevent medication errors.Reporting MethodCOREQ checklist.Patient or Public ContributionThis study focused on staff at a healthcare centre and two pharmacies.

中文翻译:


医护人员和药房工作人员的移民药物管理经验——初级卫生保健的定性探索性案例研究



目的探讨医护人员和药房工作人员在处理和使用外国出生的人或其亲属的药物时所经历的挑战和可能性,以及如何在医疗保健链的不同部门之间交换必要的信息以防止用药错误。设计在初级保健中心进行定性探索性单单元案例研究,在移民密集地区设有联网的家庭护理和药房。方法2022 年 5 月至 12 月在瑞典对 17 名受访者(包括药剂师、医生和注册护士)进行了个人半结构化访谈。应用归纳定性内容分析。结果确定了 6 类:药物知识有限、缺乏瑞典药物处方系统和药房法规的知识、没有时间建立信任关系、支持药物管理的沟通、促进安全使用药物的工具以及医疗保健链中的信息交换问题。结论良好的沟通既是消息灵通的患者安全管理药物的挑战,也是先决条件。为了确保患者的安全,无论患者的语言技能如何,建立与患者就药物进行沟通的方法至关重要。改善医疗保健链内的沟通对于防止用药错误至关重要。对专业和患者护理的影响了解药物管理的复杂性和防止用药错误需要工作人员在医疗保健链的所有步骤与患者进行有效沟通,以确定他们的信息和教育需求。影响这项研究全面了解了医疗保健链内部沟通的重要性,包括为医生、护士、药剂师和患者开具处方,以防止用药错误。报告方法COREQ 检查表。患者或公众贡献本研究重点关注一家医疗中心和两家药房的工作人员。
更新日期:2024-11-12
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