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Perspectives of residential aged care facilities' staff on the identification and recording of residents' medication‐related goals of care
Author(s) -
Sawan Mouna,
Kouladjian O’Donnell Lisa,
Hilmer Sarah N.
Publication year - 2020
Publication title -
australasian journal on ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 34
eISSN - 1741-6612
pISSN - 1440-6381
DOI - 10.1111/ajag.12714
Subject(s) - aged care , workload , focus group , deprescribing , nursing , dementia , medicine , qualitative research , identification (biology) , pharmaceutical care , psychology , pharmacy , polypharmacy , social science , disease , pathology , marketing , sociology , computer science , business , operating system , botany , biology
Objective This study primarily aims to explore residential aged care facility (RACF) staff views on the utility of a computerised clinical decision support system (CCDSS) that incorporates validated goal‐directed deprescribing tools and guides to identify residents' goals for medications. Methods A qualitative study was conducted in four RACFs. Semi‐structured interviews or focus groups were conducted with 19 participants, representing various types of clinical and care staff. Results According to staff, the use of a CCDSS was useful as it facilitated resident (including people with dementia), and caregiver engagement to obtain comprehensive information about the residents' goals and medication concerns. Staff perceptions of the increased workload and that some residents and caregivers would have limited involvement in discussions were barriers to the adoption of a CCDSS. Conclusion Integration of a CCDSS into practice, accompanied with staff training and education, has the potential to improve goal‐directed pharmaceutical care.