| خلاصه مقاله | Exploring the reasons for self-administration medication errors among community dwelling older adults with polypharmacy: A qualitative study
Abstract
Background
Older adults with polypharmacy and poor education are more prone to medication self- administration errors (MSEs).
Objectives
This study explored the reasons for MSEs among illiterate and low-literate older adults with polypharmacy from the perspective of older adults, informal family caregivers, physicians, and pharmacists.
Method
The qualitative study used a conventional content analysis approach from September 2022 to April 2023. Purposeful sampling was used to recruit participants for interviews.
Results
The study included fifteen older adults, five caregivers, four physicians, and seven pharmacists. Seven main categories were extracted: 1) Age-related physical and cognitive changes, 2) Medication Mismanagement, 3) Inhibitor beliefs of proper medication use, 4) Caregiving challenges, 5) Deficiency in effective communication and education, 6) Health systems inefficiencies, 7) The challenges of producing, dispensing and obtaining medications.
Conclusion
The findings underscore the necessity of enhancing organizational health literacy strategies for older adults with limited literacy, considering that illiterate individuals often exhibit low health literacy and communication skills. By prioritizing opportunities to address communication related and literacy–related safety events surrounding MSEs, based on the foundation of organizational health literacy, we can enhance personal health literacy for older individuals, particularly those who are illiterate. |