Group | Ranking |
---|---|
Residents | |
Well-being of the resident | 1 |
Continuity of nursing staff | 2 |
Feeling of wellness due to medication | 3 |
Burden of medication administration | 4 |
Residents have the right to question their GP | 4 |
Voice of the resident is not heard | 6 |
Respect the GP and do as I am told | 6 |
GPs | |
Evidence for deprescribing | 1 |
Communication with resident/family | 2 |
GP funding | 3 |
Health system structure | 3 |
Adequacy of medical and medication history | 5 |
Fear of deterioration | 5 |
Residents willingness to deprescribe | 7 |
Nurses | |
GP receptivity | 1 |
Nurses ability to advocate for residents | 2 |
Regular review of medical conditions | 3 |
Understanding of medications by nurse, family and resident | 4 |
Nurses understanding of the residents medical conditions | 5 |
Family—support, beliefs and conflicts | 6 |
Communication between nurses | 6 |
Health literacy of resident and family | 6 |
Pharmacists | |
Clinical appropriateness of prescribed therapy | 1 |
Resident's goals of care | 2 |
Opportunity and funding for pharmacist follow-up monitoring | 3 |
Resident's frailty status and other medical conditions | 4 |
Presence of ADEs | 4 |
Attitudes of prescribers | 6 |
Burden of medication administration | 7 |
Multidisciplinary—regional | |
Resident's goals of care | 1 |
Well-being of the resident | 2 |
Health system structure | 3 |
Clinical appropriateness of prescribed therapy | 4 |
Evidence for deprescribing | 5 |
Resident's frailty status and other medical conditions | 5 |
Regular review of medical conditions | 7 |
Multidisciplinary—metropolitan | |
Adequacy of medical and medication history | 1 |
Health system structure | 2 |
Evidence for deprescribing | 3 |
Communication with resident/family | 4 |
GP receptivity | 5 |
Continuity of nursing staff | 6 |
Resident's goals of care | 6 |
Understanding of medications by nurse, family and resident | 6 |
Some factors received equal scores and are therefore ranked the same importance.
ADEs, adverse drug events; GP, general medical practitioner.