Quality and Continuity of Medication Management at Transition

  • Research type

    Research Study

  • Full title

    Investigating the Quality and Continuity of Medication Management when People with Dementia move between the Care Home and Hospital Setting

  • IRAS ID

    224606

  • Contact name

    Suzanne E Hill

  • Contact email

    s.e.hobson@bradford.ac.uk

  • Duration of Study in the UK

    0 years, 6 months, 1 days

  • Research summary

    This study will investigate the impact of policy, process and practice on the quality and continuity of medication management, when people with dementia move between the care home and hospital setting. For the purposes of this study, ‘quality’ is defined as: Safe, effective, timely, efficient, person-centred and equitable (IoM, 2001). The overall purpose of this research is to provide deeper understanding of current practice; identify examples of best practice and potential areas for improvement. This will allow recommendation for components of an intervention.

    The study consists of three phases and this application refers to phase I. Separate ethical approval will be sought for subsequent phases. Phase I focuses on the ‘care home end’ of the transfer between care home and hospital. It proposes a mixed methods approach, including: examination of care home policy/guidelines in the context of local/national guidance; direct observation of medication systems and practice related to resident admission to/ discharge from hospital; review records made/ documentation used at transfer to understand the impact on the quality and continuity of medication management. The sequence and timing of medication-related events and communication will be mapped from decision to admit, to 2-4 weeks post-discharge. The final phase will gain the perspectives of care home managers, staff, residents with dementia and their families, through interview. The theoretical domains framework (TDF) will be used to allow examination of possible explanations for behaviour, using a number of psychological theories.

  • REC name

    Yorkshire & The Humber - Bradford Leeds Research Ethics Committee

  • REC reference

    17/YH/0428

  • Date of REC Opinion

    24 Jan 2018

  • REC opinion

    Further Information Favourable Opinion