Implementing Australia's new guidelines for appropriate psychotropic medication use in residential aged care: Applying the Consolidated Framework For Implementation Research.
Objectives: Accumulating evidence about psychotropic medication‐related adverse events has had minimal apparent impact on overall rates of psychotropic medication use across Australian residential aged care facilities (RACFs). Australia's new Clinical Practice Guidelines for the Appropriate Use of P...
| Publicado en: | Australasian Journal on Ageing Vol. 44; no. 1; pp. 1 - 15 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184140251&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184140251 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14406381 GTC jtl: Australasian Journal on Ageing issn: 14406381 maglogo: Y pubinfo: dt: Mar2025 vid: 44 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 184140251 184140251 184140251 10.1111/ajag.70013 184140251 ppf: 1 ppct: 14 formats: tig: atl: Implementing Australia's new guidelines for appropriate psychotropic medication use in residential aged care: Applying the Consolidated Framework For Implementation Research. aug: au: Shrestha, Shakti Cross, Amanda J. Steeper, Michelle Martini, Angelita Cenin, Dayna Smith, Jertrude Glamorgan, Francesca Pond, Constance Dimity Bell, J. Simon La Caze, Adam affil: Faculty of Health, Medicine and Behavioural Sciences, School of Pharmacy and Pharmaceutical Sciences, The University of Queensland, Dutton Park Campus, Woolloongabba Queensland,, Australia sug: subj: Dementia Drug Therapy Residential Care Standards Practice Guidelines Psychotropic Drugs Therapeutic Use Conceptual Framework Residential Facilities Australia Psychotropic Drugs Adverse Effects Dementia Patients Psychosocial Factors Implementation Science Human Qualitative Studies Interviews Australia Funding Source Guideline Adherence Attitude of Health Personnel Semi-Structured Interview Thematic Analysis Workload Workforce Digital Health Professional Competence Stress, Occupational Collaboration Support, Psychosocial Descriptive Statistics Data Analysis Software ab: Objectives: Accumulating evidence about psychotropic medication‐related adverse events has had minimal apparent impact on overall rates of psychotropic medication use across Australian residential aged care facilities (RACFs). Australia's new Clinical Practice Guidelines for the Appropriate Use of Psychotropic Medications in People Living with Dementia and in Residential Aged Care were released in April 2023. This study aimed to identify contextual factors to inform strategies to implement the new Guidelines in Australian RACFs. Methods: A qualitative study using semi‐structured interviews was conducted with the participants representing four Australian residential aged care organisations. The interviews were recorded, transcribed verbatim, coded and thematically analysed. Factors were deductively coded using the Consolidated Framework for Implementation Research (CFIR) into three domains: outer setting, inner setting and individuals, which subsequently informed the fourth CFIR domain—implementation process. Results: Participants (n = 33) were aged care residents and their family members, occupational therapists, nurses, nurse practitioners, general practitioners, geriatricians and pharmacists. The outer setting factors included regulatory changes, increased workload and increased workforce demand. The inner setting factors were health digitalisation, governance and compliance culture. Individual factors included mindset towards psychotropics and staff capabilities. The implementation process domain comprised four key strategies—recognising workforce pressures, leveraging recent efforts, supporting local use of data and supporting team functioning. Conclusions: These outer setting, inner setting and individual factors represent an interconnected framework of potentially modifiable factors to guide the targeted implementation of Australia's new Guidelines. These four key strategies provide new approaches to support the translation of the Guidelines. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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