TY - JOUR
T1 - Needs Assessment of Safe Medicines Management for Older People With Cognitive Disorders in Home Care
T2 - An Integrative Systematic Review
AU - Vaismoradi, Mojtaba
AU - Behboudi-Gandevani, Samira
AU - Lorenzl, Stefan
AU - Weck, Christiane
AU - Paal, Piret
N1 - Funding Information:
Nord University, Bodø, Norway, covered the processing charge to this article. Funding. This work has been partially funded from the European Union's Horizon 2020 research and innovation programme under grant agreement No [825785]. The funder played no role in the design of the study or collection, analysis, interpretation of data, or in the writing of the manuscript.
Funding Information:
This work has been partially funded by the European Union’s Horizon 2020 research and innovation programme under Grant Agreement No. 825785. The funder played no role in the design of the study or collection, analysis, interpretation of data, or the writing of the manuscript.
Publisher Copyright:
© Copyright © 2021 Vaismoradi, Behboudi-Gandevani, Lorenzl, Weck and Paal.
PY - 2021/9/3
Y1 - 2021/9/3
N2 - Background and Objectives: The global
trend of healthcare is to improve the quality and safety of care for
older people with cognitive disorders in their own home. There is a need
to identify how medicines management for these older people who are
cared by their family caregivers can be safeguarded. This integrative
systematic review aimed to perform the needs assessment of medicines
management for older people with cognitive disorders who receive care
from their family caregivers in their own home.
Methods: An integrative systematic
review of the international literature was conducted to retrieve all
original qualitative and quantitative studies that involved the family
caregivers of older people with cognitive disorders in medicines
management in their own home. MeSH terms and relevant keywords were used
to search four online databases of PubMed (including Medline), Scopus,
CINAHL, and Web of Science and to retrieve studies published up to March
2021. Data were extracted by two independent researchers, and the
review process was informed by the Preferred Reporting Items for
Systematic Reviews and Meta-Analyses (PRISMA). Given that selected
studies were heterogeneous in terms of the methodological structure and
research outcomes, a meta-analysis could not be performed. Therefore,
narrative data analysis and knowledge synthesis were performed to report
the review results.
Results: The search process led to
retrieving 1,241 studies, of which 12 studies were selected for data
analysis and knowledge synthesis. They involved 3,890 older people with
cognitive disorders and 3,465 family caregivers. Their methodologies
varied and included cohort, randomised controlled trial, cross-sectional
studies, grounded theory, qualitative framework analysis, and thematic
analysis. The pillars that supported safe medicines management with the
participation of family caregivers in home care consisted of the
interconnection between older people's needs, family caregivers' role,
and collaboration of multidisciplinary healthcare professionals.
Conclusion: Medicines management for
older people with cognitive disorders is complex and multidimensional.
This systematic review provides a comprehensive image of the
interconnection between factors influencing the safety of medicines
management in home care. Considering that home-based medicines
management is accompanied with stress and burden in family caregivers,
multidisciplinary collaboration between healthcare professionals is
essential along with the empowerment of family caregivers through
education and support.
AB - Background and Objectives: The global
trend of healthcare is to improve the quality and safety of care for
older people with cognitive disorders in their own home. There is a need
to identify how medicines management for these older people who are
cared by their family caregivers can be safeguarded. This integrative
systematic review aimed to perform the needs assessment of medicines
management for older people with cognitive disorders who receive care
from their family caregivers in their own home.
Methods: An integrative systematic
review of the international literature was conducted to retrieve all
original qualitative and quantitative studies that involved the family
caregivers of older people with cognitive disorders in medicines
management in their own home. MeSH terms and relevant keywords were used
to search four online databases of PubMed (including Medline), Scopus,
CINAHL, and Web of Science and to retrieve studies published up to March
2021. Data were extracted by two independent researchers, and the
review process was informed by the Preferred Reporting Items for
Systematic Reviews and Meta-Analyses (PRISMA). Given that selected
studies were heterogeneous in terms of the methodological structure and
research outcomes, a meta-analysis could not be performed. Therefore,
narrative data analysis and knowledge synthesis were performed to report
the review results.
Results: The search process led to
retrieving 1,241 studies, of which 12 studies were selected for data
analysis and knowledge synthesis. They involved 3,890 older people with
cognitive disorders and 3,465 family caregivers. Their methodologies
varied and included cohort, randomised controlled trial, cross-sectional
studies, grounded theory, qualitative framework analysis, and thematic
analysis. The pillars that supported safe medicines management with the
participation of family caregivers in home care consisted of the
interconnection between older people's needs, family caregivers' role,
and collaboration of multidisciplinary healthcare professionals.
Conclusion: Medicines management for
older people with cognitive disorders is complex and multidimensional.
This systematic review provides a comprehensive image of the
interconnection between factors influencing the safety of medicines
management in home care. Considering that home-based medicines
management is accompanied with stress and burden in family caregivers,
multidisciplinary collaboration between healthcare professionals is
essential along with the empowerment of family caregivers through
education and support.
KW - aged
KW - Alzheimer disease
KW - caregivers
KW - cognitive disorder
KW - dementia
KW - family
KW - home care services
KW - medication therapy management
UR - http://www.scopus.com/inward/record.url?scp=85115401820&partnerID=8YFLogxK
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U2 - 10.3389/fneur.2021.694572
DO - 10.3389/fneur.2021.694572
M3 - Review article
C2 - 34539551
AN - SCOPUS:85115401820
VL - 12
JO - Frontiers in Neurology
JF - Frontiers in Neurology
SN - 1664-2295
M1 - 694572
ER -