Creating opportunities for patient participation in managing medications across transitions of care through formal and informal modes of communication

Ozavci, Guncag; Bucknall, Tracey; Woodward‐Kron, Robyn; Hughes, Carmel; Jorm, Christine; Manias, Elizabeth

doi:10.1111/hex.13524

Cited by 10 publications

(5 citation statements)

References 37 publications

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“…It also suggests that establishing and nurturing a good patient-clinician relationship is vital in promoting effective health communication and enhancing the overall patient experience [18]. The current study, with a focus on oncology patients who often have care transitions and face challenges in managing their cancer medications at home, provides further evidence that a positive relationship between patients and their clinicians could foster a sense of collaboration and empower patients to take an active role in managing their medications, including timely reporting of medication safety events and concerns [19].…”

Section: Discussionmentioning

confidence: 90%

“…Patient activation has been constantly linked to improved patient engagement in health communication [33]. Previous literature has highlighted the association between patient activation and the patient-clinician relationship, as well as patients' initiation of self-reporting, which is important for the early identi cation of medication safety concerns when patients transition back home [19,34,35]. The current study suggests promoting patients' self-e cacy in self-management to empower and engage patients in adverse event monitoring and reporting [36].…”

Section: Discussionmentioning

confidence: 99%

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Oncology patients’ willingness to report their medication safety concerns from home: a qualitative study

Bunni,

Walters,

Hwang

et al. 2024

Support Care Cancer

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Oncology patients often struggle in managing their oral anticancer agents and related adverse events during transitions of care. They are expected to take an active role in self-monitoring and timely reporting of their medication safety events or concerns to clinicians. The purpose of this study was to explore the factors in uencing oncology patients' willingness to report these adverse events after their transitions back home. Methods:A qualitative interview study was conducted with adult patients with breast, prostate, lung, or colorectal cancer who experienced care transitions within the previous year. A semi-structured interview guide was developed to understand patients' perceptions of reporting mediation-related safety events or concerns from home. All interviews were conducted via phone calls, recorded, and transcribed for thematic data analysis. Results:A total of 41 individuals participated in the interviews. Three main themes and six subthemes emerged, including patients' perceived relationship with clinicians (the quality of communication and trust in clinicians), perceived severity of adverse medication events (perceived severe vs. non-severe events), and patient activation in self-management (self-e cacy in self-management and engagement in monitoring health outcomes). Conclusion:The patient-clinician relationship signi cantly in uenced patients' reporting behaviors, which can potentially interact with other factors, including the severity of adverse events. It is important to engage oncology patients in medication safety reporting from home by enhancing health communication, understanding patients' perceptions of severe events, and promoting patient activation. By addressing these efforts, healthcare providers should adopt a more patient-centered approach to enhance the overall quality and safety of oncological care.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Oncology patients’ willingness to report their medication safety concerns from home: a qualitative study

Bunni,

Walters,

Hwang

et al. 2024

Support Care Cancer

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“…Other studies have also highlighted poor communication and coordination between healthcare professionals at the point of discharge and transition, which increases the risk of medication errors 4. And older people have usually been excluded from accessing information about changes to their medication prior to discharge, with little opportunity for their concerns about medications to be addressed 5. The commonality of findings highlights that this is a universal issue, which should be a practice and policy imperative.…”

Section: Commentarymentioning

confidence: 99%

Involving community healthcare professionals and empowering older adults and their informal carers may improve medication management following hospital discharge

Hughes

2023

Evid Based Nurs

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“…To determine whether MiM is feasible and acceptable for use with ethnic minority consumers in cancer services in Australia, this study will seek to address the following objectives: (1) to investigate how patients and staff engage with MiM; (2) to assess the feasibility and acceptability of MiM; (3) to investigate the suitability of trial recruitment, retention, and data collection materials and processes; (4) to explore barriers and enablers of implementing the MiM; (5) to gather evidence of the nature and frequency of medication management issues that lead to emergency department visits and readmissions to inform the sample size required for a full-scale trial; and (6) to determine whether a full-scale effectiveness trial is warranted.…”

Section: Aimmentioning

confidence: 99%

“…In this protocol, the family, caregivers, or friends who provide this support will be referred to as carers. More effective engagement between patients and health care providers has been identified as an important strategy to address this issue in several studies [3][4][5]. For example, medication errors can be reduced by increasing patients' knowledge about the purpose and use of their medications via supply of tools such as handheld medication lists [6].…”

Section: Introductionmentioning

confidence: 99%

Improving Medication Safety in Cancer Services for Ethnic Minority Consumers: Protocol for a Pilot Feasibility and Acceptability Study of a Co-Designed Consumer Engagement Intervention

Newman¹,

Chin²,

Robinson³

et al. 2023

JMIR Res Protoc

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Background People from ethnic minorities are often exposed to unsafe care contributing to poorer health care outcomes. Medication safety is a high-risk area requiring intervention to improve care outcomes. Using an adapted, experience-based co-design process with cancer service staff and patients from ethnic minorities, a medication communication tool was created: Making it Meaningful (MiM). Objective We aim to test whether the MiM tool is feasible and acceptable for use with ethnic minority consumers in cancer services in Australia. Methods A single site, controlled before and after this pilot study, will be used. Patients from Mandarin- and Russian-speaking backgrounds are eligible for inclusion. In total, 40 patients from these cultural backgrounds will be recruited and stratified by language to the intervention and control groups, with 20 participants in the intervention and 20 in the control group. Further, 4 health practitioners will be recruited and trained to use the MiM. Clinicians providing care for patients in the intervention will use the MiM during their usual appointment while providing medication communication using standard care processes for the control group. Telephone surveys will be conducted with participants at 3 time points, T1 before the intervention, T2 1 week post intervention, and T3 1 month post intervention, to assess knowledge and self-efficacy in medication management, perceived usability, and acceptability of the MiM. Qualitative interviews with clinicians who have used the MiM will be conducted 1 month postintervention to explore their perceptions of MiM feasibility and acceptability. Results Ethical approval for this research has been provided by the South Eastern Sydney Area Health Human Research Ethics Committee (HRECXXX). Bilingual field-workers, 1 Mandarin-speaking and 1 Russian-speaking, are contacting eligible patients to enroll. It is anticipated that recruitment will be completed by October 2023, with data collection completed by December 2023. Conclusions Using experience-based co-design, we identified communication about medication, particularly between appointments, as a key issue impacting the safety of care for patients from ethnic minorities accessing cancer services. Increasing consumer engagement in medication management was identified as a strategy to reduce medication safety problems in cancer care; the MiM strategy was developed to address this issue. It is anticipated that by using the MiM, patient knowledge about prescribed medications and confidence in medication management will increase. Evidence from the pilot study will be used to inform a full-scale trial of the MiM tool with a range of ethnic minority communities accessing cancer services. A full-scale trial will seek to determine whether the MiM intervention is effective in knowledge and confidence about medication management, but also whether this improves patient outcomes in cancer care. Trial Registration Australian New Zealand Clinical Trials ACTRN12622001260718p; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=384658&isReview=true International Registered Report Identifier (IRRID) DERR1-10.2196/49902

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Creating opportunities for patient participation in managing medications across transitions of care through formal and informal modes of communication

Cited by 10 publications

References 37 publications

Oncology patients’ willingness to report their medication safety concerns from home: a qualitative study

Oncology patients’ willingness to report their medication safety concerns from home: a qualitative study

Involving community healthcare professionals and empowering older adults and their informal carers may improve medication management following hospital discharge

Improving Medication Safety in Cancer Services for Ethnic Minority Consumers: Protocol for a Pilot Feasibility and Acceptability Study of a Co-Designed Consumer Engagement Intervention

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