Factors that affect health-care workers’ practices of medication administration to aged care residents with swallowing difficulties: An Australia-wide survey study

Aida Sefidani Forough, Esther T.L. Lau, Kathryn J. Steadman, Greg J. Kyle, Julie A.Y. Cichero, Jose Manuel Serrano Santos, Lisa M. Nissen

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Objectives: To understand the barriers and facilitators of medication administration to aged care residents with swallowing difficulties. Methods: Health-care workers in aged care facilities across Australia involved in medication administration to residents completed an online survey. Results: Of 355 respondents, 90.9% reported ‘everyday’ encounters with residents with swallowing difficulties and 94.1% modified medications to facilitate administration. Time constraints (63.4%) and workload (69.0%) were common barriers. Only 39.0% believed swallowing abilities are considered at the prescribing stage. Pill size (95.8%), polypharmacy (75.2%) and lack of alternative formulations (74.9%) contributed to these challenges. Support from other health-care professionals (91.5%) and training (85.9%) were the most favoured facilitators. Conclusion: Health-care workers are faced with various challenges when caring for residents with swallowing difficulties. Promoting multidisciplinary collaborations, provision of training and medication review services, and improving skill mix and staffing composition in aged care facilities are needed to address these challenges.

Original languageEnglish
Pages (from-to)79-86
Number of pages8
JournalAustralasian Journal on Ageing
Volume40
Issue number1
DOIs
Publication statusPublished - Mar 2021
Externally publishedYes

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