Evidence map›Paper›PMID 39838354›Full record

ArticleBMC nursing2025

Home Healthcare Medication Safety risks among older adults with chronic diseases: a qualitative study.

Tahereh Najafi Ghezeljeh, Zahra Amrollah Majdabadi Kohne, Mansoureh Ashghali Farahani, Forough Rafii, Sahar Keyvanloo Shahrestanaki

Abstract read
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Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Tahereh Najafi GhezeljehCardiovascular Nursing Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Zahra Amrollah Majdabadi KohneDepartment of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Mansoureh Ashghali FarahaniNursing and Midwifery Care Research Center, School of Nursing and Midwifery, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Forough RafiiNursing and Midwifery Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Sahar Keyvanloo ShahrestanakiDepartment of Community Health and Geriatric Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. key_sahar@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder adults receiving home care often face significant safety risks related to medication management due to their chronic diseases and complex health needs. Despite the increasing reliance on home healthcare services, the specific factors contributing to medication safety risks in this demographic remain inadequately explored. OBJECTIVE/

aimThis study aims to explore the key factors involved in medication safety risks among older adults with chronic diseases receiving home healthcare in Iran.

methodsQualitative research employing conventional content analysis was conducted using Graneheim and Lundman's approach. was conducted in three home care centers in Tehran (Iran) from August 2020 to July 2022. Data were collected through semi-structured interviews with 7 nurses, 2 supervisors, 2 nursing assistants (experts in non-nursing careers), 1 home care inspector (expert of the Deputy of Treatment), and 3 family caregivers in home settings, along with four participatory observations and visual methods (narrative photography) focusing on medication safety challenges. The trustworthiness of the research was evaluated using Lincoln and Guba's four criteria for qualitative studies.

findingsFactors associated with medication safety risks were found to rely on its major components Patients' attribution, Families' characteristics, Home care centers' condition, Health caregivers' characteristics, and the Homes' situations, where these factors all account for various medication safety risks. Indeed, a medication safety risk can be attributed to more than one of the factors associated with medication safety risk by participants at home.

conclusionAs a result, the analysis of factors associated with medication safety risks highlights a complex interplay among various elements, including patients, families, home care centers, health caregivers, and the home environment. These interconnected factors are crucial for identifying the diverse medication safety challenges faced by participants in home settings. A comprehensive understanding of these dynamics is essential for improving medication safety protocols and enhancing health outcomes for this vulnerable population.

Indexed as

AgedChronic diseaseHome careMedication safety risksOlder adults

Identifiers

PMID39838354
PMCPMC11748611

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