Self-administration of medication in hospital: patients' perspectives

Manias, Elizabeth, Beanland, Christine, Riley, Robin and Baker, Linda 2004, Self-administration of medication in hospital: patients' perspectives, Journal of advanced nursing, vol. 46, no. 2, pp. 194-203, doi: 10.1111/j.1365-2648.2003.02979.x.

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Title Self-administration of medication in hospital: patients' perspectives
Author(s) Manias, ElizabethORCID iD for Manias, Elizabeth
Beanland, Christine
Riley, Robin
Baker, Linda
Journal name Journal of advanced nursing
Volume number 46
Issue number 2
Start page 194
End page 203
Publisher Wiley Interscience
Place of publication New York, N.Y.
Publication date 2004
ISSN 0309-2402
Keyword(s) self-medication
patient perspective
hospital discharge
Summary Background. Little information is available about patients' perspectives on self- or nurse-related administration of medication.

Aim. The aim of the study was to determine patients' perspectives about self-medication in the acute care setting.

Methods. A qualitative approach, using in-depth semi-structured interviews, was taken. Ten patients with a chronic medical illness who had experienced multiple hospital admissions for treatment were interviewed about their experiences of medication administration in the acute care setting. Participants were recruited from two cardiovascular wards in a private, not-for-profit hospital in Melbourne, Australia. Data collection occurred between August and September 2002.

Findings. Four major themes were identified from the interviews: benefits of self-administration, barriers to self-administration, assessing appropriateness of self-administration and timing of medication administration. Seven participants had previously experienced self-administration of medications and six were in favour of this practice in the clinical setting. Nine managed their own medications at home, and one self-administered with some assistance from his family. Participants were very concerned about how nurses' heavily regulated routines affected delivery of medications in hospital and disrupted individualized plans of care maintained in the home setting.

In planning and implementing self-administration programmes, it is important to consider patients' views. Medication regimes should be simple and flexible enough to adapt to patients' lifestyles and usual routines. Nurses should also take advantage of opportunities to support and facilitate patient autonomy, to enable more effective management of health care needs when patients return home.

Notes Published Online: 30 Mar 2004
Language eng
DOI 10.1111/j.1365-2648.2003.02979.x
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2004 Blackwell Publishing Ltd
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