Home health nurses' view of promoting medication adherence among community-dwelling elderly patients
type: CreativeWork
description: Home health nurses are key healthcare providers in all communities, and they have valuable insights on issues such as promoting medication-adherence among community-dwelling elderly patients. Evidence shows that poor adherence to prescribed medication (s) leads to negative health outcomes among community-dwelling elderly patients. Although home health nurses are recognized stakeholders in health care delivery, their perspectives on promoting medication adherence among their elderly patients is sparse in existing literature. The purpose of this study was to describe the views of home health nurses on promoting medication adherence among community-dwelling elderly patients and to explore the sociocultural contexts for the formation of these home health nurses’ views. The study utilized Fairclough’s (2003) critical discourse analysis (CDA) methodology. Data analyzed included 13 in-depth interviews with home health nurses and analysis of four official documents relevant to medication adherence promotion among community-dwelling elderly patients. The five categories identified from the interview analysis include: (a) medication adherence promotion as providing nursing care, (b) medication adherence promotion as engaging patients/caregivers, (c) medication adherence promotion as requiring multiple reinforcements, (d) medication adherence promotion as preventing adverse outcomes, and (e) medication adherence as requiring team effort. The four categories that emerged from analysis of the documents were: (a) monitoring medication compliance, (b) monitoring medication safety, (c) notifying the physician, and (d) communicating with patient/caregiver. Four out of the five categories representing home health nurses’ views on promoting medication adherence among their elderly patients converged with the language of the official documents examined in this study. Only the category of medication adherence promotion as requiring multiple reinforcements did not converge with the langu…
abstract: Home health nurses are key healthcare providers in all communities, and they have valuable insights on issues such as promoting medication-adherence among community-dwelling elderly patients. Evidence shows that poor adherence to prescribed medication (s) leads to negative health outcomes among community-dwelling elderly patients. Although home health nurses are recognized stakeholders in health care delivery, their perspectives on promoting medication adherence among their elderly patients is sparse in existing literature. The purpose of this study was to describe the views of home health nurses on promoting medication adherence among community-dwelling elderly patients and to explore the sociocultural contexts for the formation of these home health nurses’ views. The study utilized Fairclough’s (2003) critical discourse analysis (CDA) methodology. Data analyzed included 13 in-depth interviews with home health nurses and analysis of four official documents relevant to medication adherence promotion among community-dwelling elderly patients. The five categories identified from the interview analysis include: (a) medication adherence promotion as providing nursing care, (b) medication adherence promotion as engaging patients/caregivers, (c) medication adherence promotion as requiring multiple reinforcements, (d) medication adherence promotion as preventing adverse outcomes, and (e) medication adherence as requiring team effort. The four categories that emerged from analysis of the documents were: (a) monitoring medication compliance, (b) monitoring medication safety, (c) notifying the physician, and (d) communicating with patient/caregiver. Four out of the five categories representing home health nurses’ views on promoting medication adherence among their elderly patients converged with the language of the official documents examined in this study. Only the category of medication adherence promotion as requiring multiple reinforcements did not converge with the langu…
author: Adeniran, Olusola
language: en
keywords: Home health nurses, Medication adherence promotion, Community-dwelling elderly patients, CDA, Critical discourse analysis, Norman Fairclough, Discourse theory, Habermas critical social theory, NVivo.
date published: 7/5/2018
date modified: 2026-07-24T05:05:01Z
provider: Texas Woman's University
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: Texas Woman's University

PropertyValue
property ID: Handle
value: https://hdl.handle.net/11274/10723