Title
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Self-management of medication during hospitalisation : health care providers and patients perspectives
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Author
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Abstract
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Aims and objectives This study aimed to explore health care providers and patients perspectives on self-management of medication during the patients hospital stay. Background Self-administration of medications relates to the process in which hospitalised patients -instead of health care professionals - prepare and consume medications by themselves. Literature suggests possible advantages of medication self-management such as increased patient satisfaction, adherence to pharmacotherapy, and self-care competence. Design A qualitative descriptive study design was adopted, using semi-structured interviews and qualitative content analysis to examine data. Methods Six physicians, 11 nurses, six hospital pharmacists and seven patients were recruited from one regional hospital and two university hospitals, situated in Belgium. Interviews were conducted between October 2014 and January 2015. Results Strengths of medication self-management were described by participants, relating to benefits of self-management for patients, timesaving benefits for nurses and benefits for better collaboration between patients and health care providers. Weaknesses were also apparent for patients as well as for nurses and physicians. Opportunities for self-management of medication were described, relating to the organisation, the patient and the process for implementing self-management. Threats for self-management of medication included obstacles related to implementation of self-managed medications and the actual process of providing medication self-management. A structured overview of conditions that should be fulfilled before allowing self-management of medication concerned patient-related conditions, the self-managed medication and the organisation of self-management of medication. Conclusions This study provides new insights on the strengths, weaknesses, opportunities and threats from the perspectives of key stakeholders. Interpretation of these findings resulted in an overview of adaptations in the medication management process to facilitate implementation of self-management of medication. |
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Language
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English
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Source (journal)
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Journal of clinical nursing. - Oxford
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Publication
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Oxford
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2018
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ISSN
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0962-1067
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DOI
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10.1111/JOCN.14084
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Volume/pages
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27
:3-4
(2018)
, p. 753-768
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ISI
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000425733600057
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Pubmed ID
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28960641
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Full text (Publisher's DOI)
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Full text (open access)
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Full text (publisher's version - intranet only)
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