Table 2 Codes and themes
Theme | Code |
|---|---|
Not following procedures | self-check of residents’ faces/residents’ names/residents’ medicine envelopes |
double-check with other staff | |
using a device for medication intake | |
Individual resident factor | |
Decreased ability to understand medications | recognizing others’ drugs as their own drugs |
a decline of the residents’ understanding about their medication | |
Refusal to take medicines | refusal to take their medicines |
Individual staff factor | |
Lack of knowledge related to medication | not knowing the resident’s medication |
can’t understand the information on medicines even if they access it | |
not afraid of not knowing about the medication | |
Mental burden | impatience |
assumptions | |
decline in concentration | |
Experience in medication assistance | unfamiliarity with medication assistance |
familiarity with medication assistance | |
medication assistance after vacation | |
Team factor | |
Failure to communicate with other staff | expectations of support from other staff |
lack of communication | |
Work environment factor | |
Presence of other residents | worrying about other residents |
similarity with other resident’s face or name | |
Other work besides medication assistance | presence of other tasks |
No enough time to spare | heavy workload |
delay in tasks | |
Lack of manpower | burden of delivering medication assistance alone |
lack of manpower | |
Spatial arrangement of residents | spatial arrangement of residents |
Little understanding of fostering a safety culture at the facility | an environment that makes it difficult for staff to follow the manual |
awareness of avoiding making mistakes | |
sharing of accident details in the facility | |
the occurrence of near-misses | |