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Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers

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  • Elke Loots

    (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, 2610 Antwerp, Belgium)

  • Josée Leys

    (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, 2610 Antwerp, Belgium)

  • Shara Proost

    (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, 2610 Antwerp, Belgium)

  • Manuel Morrens

    (Faculty of Medicine and Health Sciences, Collaborative Antwerp Psychiatric Research Institute, University Department of Psychiatry, University of Antwerp, 2610 Antwerp, Belgium)

  • Inge Glazemakers

    (Faculty of Medicine and Health Sciences, Collaborative Antwerp Psychiatric Research Institute, University Centre for Child and Adolescent Psychiatry Antwerp (ZNA-UKJA), University of Antwerp, 2610 Antwerp, Belgium)

  • Tinne Dilles

    (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, 2610 Antwerp, Belgium)

  • Bart Van Rompaey

    (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, 2610 Antwerp, Belgium)

Abstract

Aim(s): The aim of the study was to explore perspectives of hospitalised patients with schizophrenia or a bipolar disorder and their healthcare providers on medication self-management. Methods: In a qualitative descriptive design, semi-structured interviews were used. Forty-nine interviews were completed (nurses n = 18; psychiatrists n = 3; hospital pharmacists n = 2; patients n = 26). Data analysis was iterative using an inductive and thematic approach. Results: From the thematic analysis of the interviews, three main themes emerged: monitoring and shared decision-making, relationship based on trust, and patient satisfaction and rehabilitation; as well as three sub-themes: available tools, patient readiness, and safety. Regular monitoring and follow-ups were considered conditions for medication self-management. All stakeholders considered that the patient, the nursing staff, and the psychiatrist should all be involved in the process of medication self-management. All healthcare providers emphasized the importance of regular re-evaluations of the patient and were worried about medication errors and misuse. Most patients considered medication self-management during hospitalisation to increase their confidence, self-reliance, and satisfaction. Many participants thought it would make a positive contribution to the recovery process. Discussion: All stakeholders were positive towards medication self-management under specific conditions. According to the participants, medication self-management offered many benefits, including the implementation of more structure for the patient, an ameliorated preparatory phase towards discharge, and an actual improvement of future adherence. All participants considered medication self-management to contribute to more profound medication knowledge and an overall improvement of their health literacy. Implications and future perspectives: These findings will be used to develop a medication self-management tool in hospitalised patients with schizophrenia or bipolar disorders.

Suggested Citation

  • Elke Loots & Josée Leys & Shara Proost & Manuel Morrens & Inge Glazemakers & Tinne Dilles & Bart Van Rompaey, 2022. "Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers," IJERPH, MDPI, vol. 19(8), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4835-:d:795141
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    References listed on IDEAS

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    1. Mojtaba Vaismoradi & Hannele Turunen & Terese Bondas, 2013. "Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 398-405, September.
    2. Toke Vanwesemael & Koen Boussery & Elizabeth Manias & Mirko Petrovic & Jessica Fraeyman & Tinne Dilles, 2018. "Self‐management of medication during hospitalisation: Healthcare providers’ and patients’ perspectives," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(3-4), pages 753-768, February.
    3. Allison Williams & Jac Kee Low & Elizabeth Manias & Kimberley Crawford, 2016. "The transplant team's support of kidney transplant recipients to take their prescribed medications: a collective responsibility," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(15-16), pages 2251-2261, August.
    4. Grady, P.A. & Gough, L.L., 2014. "Self-management: A comprehensive approach to management of chronic conditions," American Journal of Public Health, American Public Health Association, vol. 104(8), pages 25-31.
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    1. Jose Ángel Alcalá & Andrés Fontalba-Navas & Miguel Company-Morales & Samuel L. Romero-Guillena & Teófilo Gutiérrez-Higueras & Luis Gutiérrez-Rojas, 2022. "Facilitators and Barriers of Medication Adherence Based on Beliefs of Persons with Bipolar Disorder: A Qualitative Study," IJERPH, MDPI, vol. 19(13), pages 1-12, June.

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