ArticleTherapeutic advances in drug safety2022
Patients' views on Self-administration of Medication during hospitalisation: a mixed-methods study.
Article in Therapeutic advances in drug safety, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 4 citations in OpenAlex.
- Barriers, facilitators and implementation strategies to implement 'patient's own medication' and 'self-administration of medication' in hospitals.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- Patient-centric decision-making in supplements intake and disclosure in clinical practice: a novel SIDP-12 tool to prevent drug-supplement interaction.Therapeutic advances in drug safety · 2024Article
- Increasing patient involvement through self-administration of medication.Therapeutic advances in drug safety · 2022Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Inpatient Self-administration of Medication (SAM) increases patient involvement in medication management and may increase medication safety. Its implementation is impeded. Successful and sustainable implementation of SAM strongly depends on patients' willingness to participate. This study aimed to identify and quantify patients' views on SAM, related (dis)advantages and prerequisites, patient's willingness to engage in SAM schemes, and their preferences in medication management during hospitalisation. Methods: A mixed-methods study was conducted among hospitalised adult patients in four Dutch hospitals during December 2018 and March 2019. Semi-structured one-to-one interviews were performed to identify patients' views on SAM. Interview transcripts were subjected to thematic-content analysis. These outcomes were used to construct a questionnaire about patient's willingness to engage in SAM schemes, their preferences for inpatient medication management and level of agreement with statements about SAM's (dis)advantages and prerequisites of SAM. Data were descriptively analysed. Results: Nineteen hospitalised patients [mean (standard deviation; SD) age 61.0 (13.4) years old; 52.6% male] were interviewed. Most patients had a positive view on SAM, but some doubted the necessity to change standard care. Also, patients expressed concerns about medication safety. Prerequisites for SAM implementation were identified. These covered four main themes: information provision, accessible and safe storage, assurance of safety, and clear responsibilities. A total of 234 patients [mean (SD), age 65.3 (13.5) years; 54.7% male] participated in the questionnaire. Although 50.0% of the patients were willing to self-administer medication, patients were ambivalent as only 36.5% preferred SAM over nurse-led administration. Conclusion: The majority of patients were positive about SAM. Although half of the patients were willing to perform SAM, most patients did not prefer SAM over standard care. This ambivalent attitude may be overcome when the stated prerequisites are met and patients experience SAM in clinical practice. Based on patients' views, it can be concluded that implementation of SAM seems possible. Plain Language Summary:
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