RNQualitativeJournal of clinical nursing2026

Engagement in Medication Communication During Transitions of Care for Rural Aged Care Residents and Family Caregivers: A Qualitative Study.

Alison Dowling, Elizabeth Manias

PMID 40709527

WHAT IT FOUND

Rural aged care residents and family caregivers often learned about medication changes only after the fact, and many felt excluded from decisions.

They wanted written lists, simple explanations, and staff who knew them.

Key findings

01Residents and caregivers often received medication information only after changes were made or when discharge was near.

02They wanted written medication lists in simple English and explanations of why medicines changed and possible side effects.

03Staff turnover, unfamiliar agency staff, and language barriers reduced trust and made medication communication harder.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only two rural homes took part, and recruitment was limited by staffing shortages and COVID-19 outbreaks. The researchers relied on home staff to find participants because of distance, which may have caused inconsistencies. Interviews were scheduled in blocks, which may have limited diversity. Findings may not transfer to urban, non-Australian, or other aged care settings. Residents with significant communication impairments, life expectancy under six months, or inability to communicate in English were excluded, so the study does not represent people with severe cognitive or language difficulties.

Declared interests

The authors declare no conflicts of interest.

The easy way to misread this

Do not read these findings as proof that a written medication list or staff meeting reduces medication errors. The study asked residents and caregivers about their experiences and did not measure medication errors, adverse events, or outcomes of any communication strategy.

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