Risk Factors for an Untoward Medication Event Among Elders in Community-Based Nursing Caseloads in Australia

Authors

  • Maree Johnson,

    Corresponding author
      * Maree Johnson, Center for Applied Nursing Research, Locked Bag 7103, Liverpool BC 1871, Australia. E-mail: m.johnson@uws.edu.au
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  • Rhonda Griffiths,

  • Margaret Piper,

  • Rachel Langdon


  • Maree Johnson, R.N., Ph.D., is Research Professor, School of Nursing Family and Community Health, College of Social and Health Sciences, University of Western Sydney, Sydney, Australia, and Visiting Professor, School of Nursing & Midwifery, Faculty of Medicine, University College Dublin, Dublin, Ireland. Rhonda Griffiths, R.N., C.M., B.Ed. (Nursing), M.Sc. (Hons), Dr. P.H., is Professor of Nursing, University of Western Sydney, Sydney, Australia, and Director, South Western Sydney Center for Applied Nursing Research, Sydney, Australia. Margaret Piper, R.N., B.A., M.Bioethics, is Research Officer, South Western Sydney Center for Applied Nursing Research, Sydney, Australia. Rachel Langdon B.App.Sc., B.A. (Hons), is Research Assistant, South Western Sydney Center for Applied Nursing Research, Sydney, Australia.

* Maree Johnson, Center for Applied Nursing Research, Locked Bag 7103, Liverpool BC 1871, Australia. E-mail: m.johnson@uws.edu.au

Abstract

Abstract  This study sought to develop and test a set of criteria to distinguish elders at high risk of an untoward medication event within community nursing caseloads. A descriptive correlational design was used to identify relevant risk factors for elders. Data on medication knowledge, regime, management abilities, and adherence were obtained from 111 elders receiving community nursing care. Four predictors—12 or more doses of medications per day, more than one prescriber, caregiver available, and sometimes forgetting to take medications—of complexity (R2 explaining 39% of the variance) and adherence (R2 explaining 49% of the variance) were identified as potential factors that subsequently confirmed a discrete group of high risk elders. The use of these four risk factors or screening criteria is recommended for older people within community nursing caseloads.

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