Change search
ReferencesLink to record
Permanent link

Direct link
Unlicensed personnel administering medications to older persons living at home: a challenge for social and care services
Sophiahemmet Högskola.ORCID iD: 0000-0002-0553-199X
Mälardalens högskola.ORCID iD: 0000-0003-2511-9502
Sophiahemmet Högskola.ORCID iD: 0000-0003-0971-5283
Show others and affiliations
2015 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 10, no 3, 201-210 p.Article in journal (Refereed) PublishedText
Abstract [en]

BACKGROUND: Administration of medication to care recipients is delegated to home-care assistants working in the municipal social care, alongside responsibility for providing personal assistance for older people. Home-care assistants have practical administration skills, but lack formal medical knowledge.

AIM: The aim of this study was to explore how home-care assistants perceive administration of medication to older people living at home, as delegated to them in the context of social care.

METHODS: Four focus groups consisting of 19 home-care assistants were conducted. Data were analysed using qualitative content analysis.

RESULTS: According to home-care assistants, health and social care depends on delegation arrangements to function effectively, but in the first place it relieves a burden for district nurses. Even when the delegation had expired, administration of medication continued, placing the statutes of regulation in a subordinate position. There was low awareness among home-care assistants about the content of the statutes of delegation. Accepting delegation to administer medications has become an implicit prerequisite for social care work in the municipality.

CONCLUSIONS: Accepting the delegation to administer medication was inevitable and routine. In practice, the regulating statute is made subordinate and consequently patient safety can be threatened. The organisation of health and social care relies on the delegation arrangement to meet the needs of a growing number of older home-care recipients.

IMPLICATIONS FOR PRACTICE: This is a crucial task which management within both the healthcare professions and municipal social care needs to address, to bridge the gap between statutes and practice, to create arenas for mutual collaboration in the care recipients' best interest and to ensure patient safety.

Place, publisher, year, edition, pages
2015. Vol. 10, no 3, 201-210 p.
Keyword [en]
Administration of medication, Delegation, District nurse, Home-care assistants, Knowledge
National Category
URN: urn:nbn:se:du-21506DOI: 10.1111/opn.12073PubMedID: 25515934OAI: diva2:932313
Available from: 2016-06-01 Created: 2016-06-01 Last updated: 2016-06-01

Open Access in DiVA

fulltext(364 kB)19 downloads
File information
File name FULLTEXT01.pdfFile size 364 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Craftman, ÅsaMarmstål Hammar, LenaHillerås, PernillaWesterbotn, Margareta
In the same journal
International Journal of Older People Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 19 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 174 hits
ReferencesLink to record
Permanent link

Direct link