A concept analysis of patient participation in medication safety among older adults with stroke in China: a hybrid model

AIM: To define the concept of participation in medication safety among older adults with stroke and identify its key characteristics. METHODS: This study employs the hybrid model proposed by Schwartz-Barcott and Kim for conceptual analysis. This model comprises three distinct phases. In the theoretical phase, a systematic literature search was conducted across multiple databases, including Web of Science, PubMed, Embase, the Cochrane Library, CINAHL, CNKI, Wanfang Database, VIP Database, and SinoMed. This search identified 34 eligible articles for analysis. During the fieldwork phase, semi-structured interviews were conducted with 18 older adults with stroke; the resulting data were subsequently analyzed. In the final analytic phase, findings from both the theoretical and fieldwork phases were integrated. RESULTS: The findings from the theoretical and fieldwork phases were integrated to identify four conceptual attributes of participation in medication safety among older adults with stroke: patient-centered, autonomous decision-making, medication self-management, and participation support. Antecedents encompass patient factors, healthcare provider factors, family caregiver factors, and organizational factors, while consequences include ensuring medication safety and improving health outcomes. CONCLUSION: This conceptual analysis of participation in medication safety among older adults with stroke provides a basis for developing relevant assessment tools and interventions to help ensure their medication safety.