Evidence map›Paper›PMID 35478514›Full record

ArticleExploratory research in clinical and social pharmacy2022

Health care professionals' perspectives on medication safety among older migrants with cognitive impairment exposed to polypharmacy - A qualitative explorative study.

Camilla Lynnerup, Charlotte Rossing, Morten Sodemann, Jesper Ryg, Anton Pottegård, Dorthe Nielsen

Open access · goldAbstract read
In one paragraph

Article in Exploratory research in clinical and social pharmacy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Camilla LynnerupMigrant Health Clinic - Research Unit for Infectious Diseases, Odense University Hospital, Odense C, Denmark.
Charlotte RossingPharmakon, Danish College of Pharmacy Practice, Copenhagen, Denmark.
Morten SodemannMigrant Health Clinic - Research Unit for Infectious Diseases, Odense University Hospital, Odense C, Denmark.
Jesper RygDepartment of Clinical Research, University of Southern Denmark, Odense C, Denmark.
Anton PottegårdHospital Pharmacy Funen, Odense University Hospital, Odense C, Denmark.
Dorthe NielsenMigrant Health Clinic - Research Unit for Infectious Diseases, Odense University Hospital, Odense C, Denmark.
Odense University Hospital · DKUniversity of Southern Denmark · DKUniversity College Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Older migrants with cognitive impairment exposed to polypharmacy constitute a vulnerable group of patients. To our knowledge, evidence on medication safety among this patient group with multiple risk factors is lacking. Objectives: To explore the perspectives of health care professionals on medication safety among older migrants with cognitive impairment taking five or more medications daily. Methods: A total of 34 health care professionals (general practitioners and hospital-, community pharmacy-, and home care staff) participated in the study, comprising nine focus groups and one semi-structured interview, and shared their perspectives on medication safety among older migrants with cognitive impairment exposed to polypharmacy. The analysis was inspired by Revsbæk and Tanggaard's "Analyzing in the Present" and was followed by systematic text condensation. Results: Three main themes emerged: (i) the importance of relationships in medication safety, (ii) culture and finances as risk factors, and (iii) the health care system as a risk factor. Subthemes and codes were related within and across main themes and revealed a high level of complexity within the barriers to medication safety. Some of these barriers were closely related to characteristics of this specific patient group, while others were more general barriers that also affected other patient groups. Participants found that these more general problems were complicated further by language barriers and cognitive impairment when working with this patient group. Conclusion: Health care professionals across various sectors and professions experienced several barriers that threatened medication safety among older migrants with cognitive impairment exposed to polypharmacy. Closer collaboration between health care professionals, patients, and relatives is required to improve medication safety.

Indexed as

Cognitive impairmentLanguage barriersMedication safetyPolypharmacy

Identifiers

PMID35478514
PMCPMC9032447
OpenAlexW4221114893

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.