Department of Healthcare, Thomas More University College, Lier, Belgium.
Department of Nursing Science and Midwifery, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhac), Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.
J Clin Nurs. 2018 Feb;27(3-4):753-768. doi: 10.1111/jocn.14084. Epub 2017 Nov 20.
To explore healthcare providers' and patients' perspectives on self-management of medication during the patients' hospital stay.
Self-administration of medications relates to the process in which hospitalised patients-instead of healthcare 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.
A qualitative descriptive study design was adopted, using semistructured interviews and qualitative content analysis to examine data.
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-January 2015.
Strengths of medication self-management were described by participants, relating to benefits of self-management for patients, time-saving benefits for nurses and benefits for better collaboration between patients and healthcare 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.
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.
A medication management process for self-management of medication was proposed. Further interventional studies are needed to test and refine this process before implementing it in daily practice.
探讨医疗保健提供者和患者对患者住院期间药物自我管理的看法。
药物自我管理涉及到住院患者-而不是医疗保健专业人员-自己准备和服用药物的过程。文献表明，药物自我管理可能具有增加患者满意度、遵循药物治疗和自我护理能力等优势。
采用定性描述性研究设计，使用半结构式访谈和定性内容分析来检查数据。
从比利时的一家地区医院和两家大学医院招募了 6 名医生、11 名护士、6 名医院药剂师和 7 名患者。访谈于 2014 年 10 月至 2015 年 1 月进行。
参与者描述了药物自我管理的优势，涉及自我管理对患者的益处、对护士节省时间的益处以及对患者与医疗保健提供者更好合作的益处。患者、护士和医生也存在弱点。还描述了药物自我管理的机会，涉及组织、患者和实施自我管理的过程。药物自我管理的威胁包括与实施自我管理药物和提供药物自我管理的实际过程相关的障碍。一个关于在允许药物自我管理之前应满足的条件的结构化概述涉及与患者相关的条件、自我管理的药物和自我管理的组织。
本研究从主要利益相关者的角度提供了对优势、劣势、机会和威胁的新见解。对这些发现的解释导致了对药物管理过程的适应的概述，以促进药物自我管理的实施。
提出了一种用于药物自我管理的药物管理过程。需要进一步的干预研究来测试和完善这个过程，然后才能在日常实践中实施。
