Dataset Information

Perspectives of health professionals towards deprescribing practice in Asian nursing homes: a qualitative interview study.

ABSTRACT:

Objective

To examine the determinants of deprescribing among health professionals in nursing homes, focusing on knowledge, practice and attitude.

Design

This was a qualitative study comprising semi-structured face-to-face interviews guided by 10 open-ended questions. Interviews were conducted until data saturation was achieved and no new ideas were formed. The interviews were audio-recorded, transcribed verbatim and analysed for themes. To derive themes, we employed directed content analysis of transcript data. Coding was completed using a combination of open, axial and selective coding.

Setting

Four nursing homes in Singapore.

Participants

The study involved 17 participants (comprising 4 doctors, 4 pharmacists and 9 nurses).

Results

Two key themes were identified, enablers and challenges. These were enablers and challenges faced by doctors, pharmacists and nurses towards deprescribing. The identified subthemes for enablers of deprescribing were: (1) awareness of medications that are unnecessary or could be targeted for deprescribing; (2) improving quality of life for patients with limited life expectancy; (3) improving communication between doctors, pharmacists and nurses; (4) systematic deprescribing practice and educational tools and (5) acknowledgement of possible benefits of deprescribing. The identified subthemes for challenges of deprescribing were: (1) symptoms not acknowledged as possibly drug-related; (2) lack of knowledge in patient's and family members' preferences; (3) lack of coordination between health professionals in hospitals and nursing homes and (4) limited tools for deprescribing. The development of a local guideline, mentoring nurses, case discussions, better shared decision-making and improving multidisciplinary communication, may help to support the process of deprescribing.

Conclusion

In conclusion, this study highlighted that deprescribing in the nursing homes is perceived by health professionals to be challenging and future research could assess how routine case studies, mentoring and better multidisciplinary communication could improve deprescribing knowledge and process in the nursing homes.

SUBMITTER: Kua CH

PROVIDER: S-EPMC6797246 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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Publications

Perspectives of health professionals towards deprescribing practice in Asian nursing homes: a qualitative interview study.

Kua Chong-Han CH Mak Vivienne Sl VS Lee Shaun Wen Huey SWH

BMJ open 20191011 10

<h4>Objective</h4>To examine the determinants of deprescribing among health professionals in nursing homes, focusing on knowledge, practice and attitude.<h4>Design</h4>This was a qualitative study comprising semi-structured face-to-face interviews guided by 10 open-ended questions. Interviews were conducted until data saturation was achieved and no new ideas were formed. The interviews were audio-recorded, transcribed verbatim and analysed for themes. To derive themes, we employed directed conte ...[more]

PMID: 31604786

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Dataset Information

Perspectives of health professionals towards deprescribing practice in Asian nursing homes: a qualitative interview study.

Objective

Design

Setting

Participants

Results

Conclusion

Publications

Perspectives of health professionals towards deprescribing practice in Asian nursing homes: a qualitative interview study.

Similar Datasets

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