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Lookup NU author(s): Dr Hamde Nazar,
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
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 mov- ing into their residence following hospital discharge. A model of care integrating a number of intervention components is suggested to be most effectiveAim 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 influ- enced how interventions did, or did not work. Findings were mapped to a validated conceptual framework for integrated care. Results From3884studies,ninemettheinclusioncriteriaandwereanalysed.Theseweregenerallyofmediumquality(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 popu- lation 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.
Author(s): Kandiah J, Nazar H, Blacklock J, Robinson A, Wright D
Publication type: Article
Publication status: Published
Journal: International Journal of Clinical Pharmacy
Pages: Epub ahead of print
Online publication date: 17/11/2022
Acceptance date: 14/10/2022
Date deposited: 17/11/2022
ISSN (print): 2210-7703
ISSN (electronic): 2210-7711
Publisher: Springer Netherlands
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