Unlicensed personnel administering medications to older persons living at home: A challenge for social and care services

International Journal of Older People Nursing

Volumn 10, Issue 3, 2015, Pages 201-210

  Gransjön Craftman, Asa ^a,b   Hammar, Lena M ^c,d   von Strauss, Eva ^b,e   Hillerås, Pernilla ^a,c   Westerbotn, Margareta ^a,c  

^a SOPHIAHEMMET UNIVERSITY COLLEGE   (Sweden)

^b STOCKHOLM UNIVERSITY   (Sweden)

^c KAROLINSKA INSTITUTE   (Sweden)

^d MÄLARDALEN UNIVERSITY   (Sweden)

^e Red Cross University College   (Sweden)

Author keywords

Administration of medication; Delegation; District nurse; Home care assistants; Knowledge

Indexed keywords

AGED; DRUG THERAPY; FEMALE; HEALTH CARE PERSONNEL; HUMAN; INFORMATION PROCESSING; LICENSING; MALE; NURSING; PERSONNEL MANAGEMENT; PROFESSIONAL COMPETENCE; SWEDEN;

AGED; DRUG THERAPY; FEMALE; FOCUS GROUPS; HOME HEALTH AIDES; HUMANS; LICENSURE; MALE; PERSONNEL DELEGATION; PROFESSIONAL COMPETENCE; SWEDEN;

EID: 84939542915     PISSN: 17483735     EISSN: 17483743     Source Type: Journal    
DOI: 10.1111/opn.12073     Document Type: Article

References (41)

1. American Nurses Association (2006) American Nurses Association Position Statement on registered nurse utilization of unlicensed assistive personnel. American Nurses Association 25, 8.
2. Anderson D.J. & Webster C.S. (2001) A systems approach to the reduction of medication error on the hospital ward. Journal of Advanced Nursing 35, 34-41.
3. Astvik W. (2003) Relationer som Arbete: Förutsättningar för Omsorgsfulla Möten i Hemtjänsten [Relating as a Primary Task. Prerequisites for Sustainable Caring Relations in Home-Care Service] [in Swedish, with English summary]. Doctoral thesis, Stockholm University, Stockholm.
4. Australian Pharmaceutical Advisory Council (2006) Guiding Principles for Medication Management in the Community. APAC, Barton, ACT. Available at: http://www.health.gov.au/internet/main/publishing.nsf/Content/23D9459ECD60326FCA257391001C6CFF/$File/booklet.pdf.
5. Axelsson J. & Elmstahl S. (2004) Home care aides in the administration of medication. International Journal of Quality in Health Care 16, 237-243.
6. Beers M., Jones T.V., Berkwits M. & Porter R. (eds) (2005) The Merck Manual of Health and Aging. Ballantine Books, New York.
7. Bradford J. (2012) Medication administration in the domiciliary care setting: whose role? British Journal of Community Nursing 17, 537-542.
8. Budden J.S. (2012) A national survey of medication aides: education, supervision, and work role by work setting. Geriatric Nursing 33, 454-464.
9. Bystedt M., Eriksson M. & Wilde-Larsson B. (2011) Delegation within municipal health care. Journal of Nursing Management 19, 534-541.
10. Care Quality Commission (2011) The State of Health Care and Adult Social Care in England. An Overview of key Themes in Care in 2010/2011. Care Quality Commission, London.
11. Craftman A.G., von Strauss E., Rudberg S.L. & Westerbotn M. (2013) District nurses' perceptions of the concept of delegating administration of medication to home care aides working in the municipality: a discrepancy between legal regulations and practice. Journal of Clinical Nursing 22, 569-578.
12. Denton M.A., Zeytinoglu I.U. & Davies S. (2002) Working in clients' homes: the impact on the mental health and well-being of visiting home care workers. Home Health Care Service Quarterly 21, 1-27.
13. Dickens G., Stubbs J. & Haw C. (2008) Delegation of medication administration: an exploratory study. Nursing Standard 22, 35-40.
14. Durham and tees valley regional medication policy group (2010) Model of Good Practice for the Development of Policy for the Safe Handling, Management and Administration of Medication by Carers Within Domiciliary Care Across the North East of England. Adult and community services, Durham. http://www.docstoc.com/docs/41034639/Safe-Handling-Management-and-Administration-of-Medication
15. Elo S. & Kyngäs H. (2008) The qualitative content analysis process. Journal of Advanced Nursing 62, 107-115.
16. Faugier J. & Sargeant M. (1997) Sampling hard to reach populations. Journal of Advanced Nursing 26, 790-797.
17. Griffiths P. & Robinson S. (2010) Moving Forward With Healthcare Support Workforce Regulation. A Scoping Review: Evidence, Questions, Risks and Options. King's College, London.
18. Hansson M. & Engström B. (2005) Kommunal Hemsjukvård och Social Omsorg, En Kartläggning i Västmanlands län. FoU Västmanland, Västmanland.
19. Kapborg I. & Svensson H. (1999) The nurse's role in drug handling within municipal health and medical care. Journal of Advanced Nursing 30, 950-957.
20. Kitzinger J. (1995) Qualitative research. Introducing focus groups. British Medical Journal 311, 299-302.
21. Kraus K. (2007) Sven, Inter-Organisational Relationships and Control - A Case Study of Domestic Care of the Elderly. Stockholm School of Economics, Stockholm.
22. Krueger R.A. & Casey M.A. (2008) Focus Groups: A Practical Guide for Applied Research, 4th edn. SAGE Publications, Thousand Oaks, CA.
23. Krueger R.A. & Casey M.A. (2009) Focus Groups: A Practical Guide for Applied Research, 4th edn. SAGE Publications, Thousand Oaks, CA.
24. Meyer J. & Sturdy D. (2004) Exploring the future of gerontological nursing outcomes. Journal of Clinical Nursing 13, 128-134.
25. National Board of Health and Welfare (2006) Vård- och Omsorgsassistenters Kompetens -en Litteraturgenomgång [In Swedish]. National Board of Health and Welfare, Stockholm.
26. National Board of Health and Welfare (2007) Report on Elder Care in Sweden 2006 [in Swedish]. National Board of Health and Welfare, Stockholm.
27. Nazarko L. (1999) Delegation dilemmas. Nursing Standard 14, 59.
28. Nursing and Midwifery Council (2012) Delegation. Available at: http://www.nmc-uk.org/Nurses-and-midwives/Regulation-in-Practice/Regulation-in-Practice-Topics/Delegation (accessed 12 August 2012)
29. Patton M. (2002) Qualitative Research and Evaluation Methods, 3rd edn. Sage Publications, Thousands Oaks, CA
30. Polit D. & Beck C. (2012) Nursing Research: Generating and Assessing Evidence for Nursing Practice, 8th edn. Lippincott Williams & Wilkins, Philadelphia, PA.
31. Potter P., Deshields T. & Kuhrik M. (2010) Delegation practices between registered nurses and nursing assistive personnel. Journal of Nursing Management 18, 157-165.
32. Reinhard S.C., Young H.M., Kane R.A. & Quinn W.V. (2006) Nurse delegation of medication administration for older adults in assisted living. Nursing Outlook 54, 74-80.
33. Rheaume A. (2003) The changing division of labour between nurses and nursing assistants in New Brunswick. Journal of Advanced Nursing 41, 435-443.
34. Spellbring A.M. & Ryan J.W. (2003) Medication administration by unlicensed caregivers. A model program. Journal of Gerontogical. Nursing 29, 48-54.
35. Spilsbury K. & Meyer J. (2004) Use, misuse and non-use of health care assistants: understanding the work of health care assistants in a hospital setting. Journal of Nursing Management 12, 411-418.
36. Stacey C.L. (2005) Finding dignity in dirty work: the constraints and rewards of low-wage home care labour. Sociology of Health & Illness 27, 831-854.
37. Swedish Research Council (2011) God Forskningssed. Swedish Research Council, Stockholm.
38. The National Board of Health and Welfare: 1997:14. Delegation of Work in Tasks in the Health Care System. Directions and General recomendations [In Swedish]. (1997).
39. The National Board of Health and Welfare: 2001:17. Directions and General Recommendations for Handling of Medication in the Health Care System, Issued by the Swedish National Board of Health and Welfare [in Swedish], Socialstyrelsen.
40. Weiler R.M. (1998) Home health care workers' attitudes toward the elderly. Home Health Care Service Quarterly 16, 1-13.
41. Wright K. (2004) The future of healthcare: home is where the health is. Journal of Wound Ostomy and Continence Nursing 31, 315-316.