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Knowledge and Power Relations in Older Patients' Communication About Medications Across Transitions of Care.
- Source :
-
Qualitative Health Research . Dec2021, Vol. 31 Issue 14, p2678-2691. 14p. - Publication Year :
- 2021
-
Abstract
- Communicating about medications across transitions of care is a challenging process for older patients. In this article, we examined communication processes between older patients, family members, and health professionals about managing medications across transitions of care, focusing on older patients' experiences. A focused ethnographic design was employed across two metropolitan hospitals. Data collection methods included interviews, observations, and focus groups. Following thematic analysis, data were analyzed using Fairclough's Critical Discourse Analysis and Medication Communication Model. Older patients' medication knowledge and family members' advocacy challenged unequal power relations between clinicians and patients and families. Doctors' use of authoritative discourse impeded older patients' participation in the medication communication. Older patients perceived that nurses' involvement in medication communication was limited due to their task-related routines. To reduce the unequal power relations, health professionals should be more proactive in sharing information about medications with older patients across transitions of care. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HOSPITALS
*OCCUPATIONAL roles
*FOCUS groups
*RESEARCH methodology
*MEDICAL care
*MEDICAL personnel
*SOCIAL factors
*INTERVIEWING
*PATIENTS' families
*PATIENTS' attitudes
*HEALTH literacy
*ETHNOLOGY research
*CONCEPTUAL structures
*FAMILY attitudes
*MEDICATION therapy management
*COMMUNICATION
*DRUGS
*RESEARCH funding
*DISCOURSE analysis
*QUESTIONNAIRES
*NURSES
*PATIENT-professional relations
*METROPOLITAN areas
*THEMATIC analysis
*JUDGMENT sampling
*ELDER care
*CORPORATE culture
*PATIENT safety
Subjects
Details
- Language :
- English
- ISSN :
- 10497323
- Volume :
- 31
- Issue :
- 14
- Database :
- Academic Search Index
- Journal :
- Qualitative Health Research
- Publication Type :
- Academic Journal
- Accession number :
- 153992393
- Full Text :
- https://doi.org/10.1177/10497323211043494