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Background <p>In the hospital setting healthcare professionals (HCPs) are involved in medicines management for patients with difficulty swallowing solid oral dose forms (SODF), which can present unique challenges.</p> Aim <p>To investigate HCPs’ views and identify resulting appropriate behaviour change strategies for HCPs to optimise the care of patients with difficulty swallowing SODF in an acute hospital setting.</p> Method <p>Between 3rd June and 12th July 2024 qualitative, semi-structured, in-person/online interviews with HCPs working in an Irish hospital, were conducted. Initial open coding of transcripts generated non-hierarchical codes with subsequent categorisation into themes. The Theoretical Domains Framework (TDF) provided predetermined codes and facilitated a directed content analysis. Dominant TDF domains were identified and mapped to the Capability Opportunity Motivation-Behaviour (COM-B) model and Behavioural Change Wheel.</p> Results <p>A total of 13 HCPs participated in the study (n = 12 female; n = 4 doctors, n = 3 nurses, and n = 2 dietitians, speech &amp; language therapists and pharmacists respectively), with average interview length of 22&#xa0;min (range 12–32&#xa0;min). Eight TDF domains were found to be dominant: Memory Attention &amp; Decision Processes; Environment, Context and Resources; Knowledge; Social/Professional Role and Identity; Goals; Beliefs about Consequences; Behavioural Regulation and Intentions. HCPs identified swallow assessments for medicines, decision support tools and multidisciplinary team (MDT) input as important enablers of safe patient care.</p> Conclusion <p>HCPs require the provision of education, and training, suitable infrastructure and access to evidence-based information to appropriately care for patients with difficulty swallowing SODF in the acute hospital setting. Future work should seek to address these issues through tailored interventions.</p>

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A qualitative study exploring the views of healthcare professionals regarding patients who have difficulty swallowing medicines

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  • 出版模式：

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  • 发表日期：

    2026年4月1日

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  • A. Harnett,
  • C. Murphy,
  • L. J. Sahm,
  • S. Byrne,
  • D. Lyons,
  • M. O’Driscoll

摘要

Background

In the hospital setting healthcare professionals (HCPs) are involved in medicines management for patients with difficulty swallowing solid oral dose forms (SODF), which can present unique challenges.

Aim

To investigate HCPs’ views and identify resulting appropriate behaviour change strategies for HCPs to optimise the care of patients with difficulty swallowing SODF in an acute hospital setting.

Method

Between 3rd June and 12th July 2024 qualitative, semi-structured, in-person/online interviews with HCPs working in an Irish hospital, were conducted. Initial open coding of transcripts generated non-hierarchical codes with subsequent categorisation into themes. The Theoretical Domains Framework (TDF) provided predetermined codes and facilitated a directed content analysis. Dominant TDF domains were identified and mapped to the Capability Opportunity Motivation-Behaviour (COM-B) model and Behavioural Change Wheel.

Results

A total of 13 HCPs participated in the study (n = 12 female; n = 4 doctors, n = 3 nurses, and n = 2 dietitians, speech & language therapists and pharmacists respectively), with average interview length of 22 min (range 12–32 min). Eight TDF domains were found to be dominant: Memory Attention & Decision Processes; Environment, Context and Resources; Knowledge; Social/Professional Role and Identity; Goals; Beliefs about Consequences; Behavioural Regulation and Intentions. HCPs identified swallow assessments for medicines, decision support tools and multidisciplinary team (MDT) input as important enablers of safe patient care.

Conclusion

HCPs require the provision of education, and training, suitable infrastructure and access to evidence-based information to appropriately care for patients with difficulty swallowing SODF in the acute hospital setting. Future work should seek to address these issues through tailored interventions.