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Title
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An evidence-based procedure for self-management of medication in hospital : development and validation of the SelfMED procedure
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Author
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Abstract
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| Aim: To develop and validate a procedure for self-management of medication by patients whilst in hospital. Background: Self-management of medication allows patients to self-manage their medication in a controlled and supportive hospital environment. This practice is encouraged worldwide, yet an evidence-based procedure to evaluate the ability of patients to self-manage and to monitor and support self-management are absent. Methods: The evidence-based procedure for self-management of medication (SelfMED) was developed based on previous conducted qualitative research, literature review, and the current regulation. It was validated by healthcare providers and a multidisciplinary expert meeting. Questions within the procedure that could be biased were tested for inter-rater reliability. Results: First, the SelfMED procedure was developed. It consists of a stepped assessment of patients competencies for self-management performed by healthcare providers and the patient. When self-management is allowed, the SelfMED monitoring tool monitors the patients intake of self-managed medication. Secondly, the procedure was revised for clarity, appropriateness, and face validity by five healthcare providers and a multidisciplinary expert meeting, resulting in the final version. Thirdly, three questions from the final version were tested for interrater reliability. Cohens Kappa showed moderate to strong levels of agreement. Conclusions: The developed SelfMED procedure provides an evidence based approach of facilitating self-management of medication. The content of the procedure was found valid to evaluate the patients ability to self-manage and to monitor them while self-managing. |
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Language
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English
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Source (journal)
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Pharmacy
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Publication
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2018
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ISSN
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2226-4787
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DOI
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10.3390/PHARMACY6030077
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Volume/pages
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6
:3
(2018)
, 11 p.
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Article Reference
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77
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ISI
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000448399800023
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Pubmed ID
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30049965
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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Full text (open access)
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