Sponsor
OHSU-PSU School of Public Health
First Advisor
Paula Carder
Term of Graduation
Fall 2021
Date of Publication
12-16-2021
Document Type
Dissertation
Degree Name
Doctor of Philosophy (Ph.D.) in Community Health
Department
OHSU-PSU School of Public Health
Language
English
Subjects
Antipsychotic drugs -- Therapeutic use, Long-term care facilities -- Pharmaceutical services -- Oregon, Dementia -- Patients -- Long-term care, Alzheimer's disease -- Patients -- Long-term care, Long-term care of the sick
DOI
10.15760/etd.7732
Physical Description
1 online resource (ix, 146 pages)
Abstract
Antipsychotic medication use (APU) in assisted living and residential care (AL/RC) settings is an under-studied and controversial health policy issue. APU in older adults with dementia is associated with an increased risk of falls, hospitalizations, and early mortality. I operationalize the Institutional Analysis and Development Framework using a situational analysis approach, an extension of grounded theory methods, to explore the APU in Oregon AL/RC settings. Regulatory deficiency citations, Oregon AL/RC population data, and semi-structured interviews suggest that staff role clarity, organizational characteristics, and perceived agency influence decision-making around APU. AL/RC providers and caregivers are forced to simultaneously balance and prioritize regulatory goals, organizational constraints, and complex care provision resulting in a multilayered, complicated, and unique situation. Findings highlight the need for creative policy and population health-minded solutions that reflect the practical reality of providing care in AL/RC settings to promote quality of life for residents.
Rights
In Copyright. URI: http://rightsstatements.org/vocab/InC/1.0/ This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s).
Persistent Identifier
https://archives.pdx.edu/ds/psu/36903
Recommended Citation
Dys, Sarah, "Antipsychotic Medication Administration in Oregon Assisted Living/Residential Care Settings: Analyzing an Action Situation" (2021). Dissertations and Theses. Paper 5861.
https://doi.org/10.15760/etd.7732