Evidence map›Paper›PMID 36394785›Full record

SynthesisInternational journal of clinical pharmacy2023

Contextual factors influencing medicines-related interventions to support safe transitions for care home residents post hospital discharge: a systematic review and meta-ethnographic synthesis.

Janani Kandiah, Hamde Nazar, Jeanette Blacklock, Anna Robinson, David Wright

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in International journal of clinical pharmacy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

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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

5 authors at 4 institutions in 2 countries.

Janani KandiahUniversity of East Anglia, Norwich Research Park, Norwich, UK.
Hamde NazarSchool of Pharmacy, Newcastle University, Newcastle Upon Tyne, UK. hamde.nazar@newcastle.ac.uk.ORCID http://orcid.org/0000-0002-3168-5386
Jeanette BlacklockUniversity of East Anglia, Norwich Research Park, Norwich, UK.
Anna RobinsonSchool of Pharmacy, Newcastle University, Newcastle Upon Tyne, UK.
David WrightCentre for Pharmacy, University of Bergen, Bergen, Norway.
University of East Anglia · GBNewcastle College · GBNewcastle University · GBUniversity of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResidents of care or nursing homes are at a higher risk of medication-related harm, especially during care transitions. No medicines-related intervention has been identified that supports the safe transition for these residents moving into their residence following hospital discharge. A model of care integrating a number of intervention components is suggested to be most effective

aimTo investigate, via a systematic review and meta-ethnography, the factors which influence the impact of medicines related interventions.

methodIn December 2020, Pubmed, MEDLINE, EMBASE, PsycINFO, and CINAHL Complete were systematically searched. All studies reporting on medicines-related interventions for residents following hospital discharge were included. Quality assessment was undertaken with a validated tool. Meta-ethnography was used to investigate the factors which influenced how interventions did, or did not work. Findings were mapped to a validated conceptual framework for integrated care.

resultsFrom 3884 studies, nine met the inclusion criteria and were analysed. These were generally of medium quality (n = 6). The interventions were diverse: some tackled the transition process, some tackled follow-up care and some interventions involved both. The meta-ethnography, using the a priori conceptual framework, captured factors reported within the studies that influenced implementation, delivery and/or outcomes.

conclusionThe review and synthesis informed the development of a conceptual model for transitionary care for this population group. Researchers and decision-makers can use this as a tool to understand their local context and inform future intervention design, implementation and evaluation in this clinical area.

Indexed as

Nursing HomesPatient DischargeAnthropology, CulturalHospitalsHumansCare homesMedicines reconciliationResidential homesTransitionary care

Identifiers

PMID36394785
PMCPMC9938806
OpenAlexW4309247136

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.