ArticlePatient preference and adherence2026
The Need to Feel Safe: Older Adults' and Family Caregivers' Perspectives on Safe and Person-Centered Medication Management in Home Nursing Care.
Article in Patient preference and adherence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: To explore the experiences and preferences of older adults living at home and their family caregivers regarding medication use and medication management support through home care. Patients and Methods: Individual semi-structured interviews were conducted with 11 older adults and six family caregivers in Norway during the spring of 2024. The study employed a qualitative design involving collaboration with co-researchers. Data were analyzed using qualitative content analysis. Results: The analysis yielded three main categories-practical aspects of medication management, knowledge about the need for and effects of medications, and responsibility and collaboration-each comprising several subcategories. An overarching theme, between feeling safe and being safe: balancing autonomy and support in medication management at home, captured the balance between feeling safe as an inner sense of being cared for and being safe as external protection from harm, as well as the balance between autonomy and support in medication management. While routines and procedures in home nursing services are intended to promote safety, both older adults and family caregivers described a more passive role in medication management than they desired, often accepting what was provided while withholding questions and preferences for greater individualization. These findings indicate that achieving both feeling safe and being safe requires person-centered approaches that foster involvement, knowledge, and control. Conclusion: Person-centered medication management requires that the preferences, needs, and concerns of older adults and family caregivers are made visible and actively addressed. Strengthening communication and shared understanding between services and users is essential for achieving collaborative practice that promotes safety, autonomy, and support.
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