Literature DB >> 19665339

'It's not my job. I'm the patient not the doctor': patient perspectives on medicines management in the treatment of schizophrenia.

Derek C Stewart1, Geraldine B Anthony, Rosemary Chesson.   

Abstract

OBJECTIVES: Medicines management plays a key role in schizophrenia treatment. Objectives were to investigate the feasibility of undertaking in-depth research involving in-patients with a diagnosis of schizophrenia and to determine patients' views and experiences of medicines management.
METHODS: Research was carried out in the forensic ward of a psychiatric hospital and two rehabilitation settings in north-east Scotland. A qualitative methodology was adopted incorporating semi-structured interviews. Full text transcripts were produced and analysed.
RESULTS: Fifteen of 16 patients approached were willing to participate. Ages ranged from 27 to 70 years and they had been prescribed antipsychotics from six months to 27 years. Nearly everyone was aware of their medication regimen. Most relied on staff for information, but this was supplemented by learning from other patients' experiences. Most were happy to leave decisions to staff and few sought any role in shared decision making.
CONCLUSION: The research demonstrated the feasibility of undertaking qualitative work with patients with schizophrenia. Findings indicated that it should not be assumed that all patients want to take responsibility for their medications. PRACTICE IMPLICATIONS: Patients' reluctance to assume responsibility needs to be explored and patients' wishes taken into account when planning future medicine related education. Copyright 2009. Published by Elsevier Ireland Ltd.

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Year:  2009        PMID: 19665339     DOI: 10.1016/j.pec.2009.06.016

Source DB:  PubMed          Journal:  Patient Educ Couns        ISSN: 0738-3991


  5 in total

1.  The right perspective on responsibility for ill health.

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2.  Experiences of taking neuroleptic medication and impacts on symptoms, sense of self and agency: a systematic review and thematic synthesis of qualitative data.

Authors:  Jemima Thompson; Jacki L Stansfeld; Ruth E Cooper; Nicola Morant; Nadia E Crellin; Joanna Moncrieff
Journal:  Soc Psychiatry Psychiatr Epidemiol       Date:  2019-12-24       Impact factor: 4.328

Review 3.  Evaluating the effectiveness of self-administration of medication (SAM) schemes in the hospital setting: a systematic review of the literature.

Authors:  Suzanna J Richardson; Hannah L Brooks; George Bramley; Jamie J Coleman
Journal:  PLoS One       Date:  2014-12-02       Impact factor: 3.240

4.  Confirming mental health care in acute psychiatric wards, as narrated by persons experiencing psychotic illness: an interview study.

Authors:  Karina Sebergsen; Astrid Norberg; Anne-Grethe Talseth
Journal:  BMC Nurs       Date:  2016-01-13

5.  Qualitative systematic review of barriers and facilitators to patient-involved antipsychotic prescribing.

Authors:  Rebecca Pedley; Caitlin McWilliams; Karina Lovell; Helen Brooks; Kelly Rushton; Richard J Drake; Barnaby Rumbold; Vicky Bell; Penny Bee
Journal:  BJPsych Open       Date:  2018-01
  5 in total

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