کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5551313 1402944 2017 11 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Exploring the link between organizational climate and the use of psychotropic medicines in nursing homes: A qualitative study
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
پیش نمایش صفحه اول مقاله
Exploring the link between organizational climate and the use of psychotropic medicines in nursing homes: A qualitative study
چکیده انگلیسی

BackgroundResearch concerning the overprescribing of psychotropic medicines in nursing homes suggests that organizational climate plays a significant role in the use of psychotropic medicines. Organizational climate refers to how members of the organization perceive their work environment as well as interactions with each other or outsiders.ObjectivesThis study aimed to explore the key dimensions of organizational climate and their subsequent influence on the use of psychotropic medicines.MethodsSemi-structured interviews were conducted with 40 on-site and visiting staff from eight nursing homes in Sydney, Australia. Purposive sampling was used to recruit participants representing a broad range of health disciplines and roles. Transcripts were content coded for participants' perceptions related to the work environment and descriptions of psychotropic medicines use. Thematic analysis was used to derive key concepts.ResultsThree salient dimensions of organizational climate were linked to the use of psychotropic medicines in nursing homes: staffing, managerial expectations and teamwork among visiting and on-site staff. Inadequate staffing levels were perceived to influence on-site staff requests for initiation of psychotropic medicines to cope with high workload. Participants reported managers that prioritized the non-pharmacological management of behavioral disturbances led other on-site staff to have a reduced preference for psychotropic medicines. In addition, trust and open communication among on-site and visiting staff facilitated the cessation of psychotropic medicines.ConclusionThis study illustrates that organizational climate is an important factor influencing the use of psychotropic medicines. Furthermore, the study highlights what aspects of organizational climate need to be addressed to reduce the inappropriate prescribing of psychotropic medicines.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Research in Social and Administrative Pharmacy - Volume 13, Issue 3, May–June 2017, Pages 513-523
نویسندگان
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