Ian D Maidment1, Patrick Brown, Michael Calnan. 1. Pharmacy Department, Kent and Medway NHS and Social Care Partnership Trust, Eastern and Area Coastal Office, St Martin's Hospital, Littlebourne Rd., Canterbury, Kent CT1 1AZ, UK. ian.maidment@nhs.net
Abstract
OBJECTIVE: To develop understandings of the nature and influence of trust in the safe management of medication within mental health services. SETTING: Mental health services in the UK. METHOD: Qualitative methods were applied through focus groups across three different categories of service user--older adult, adults living in the community and forensic services. An inductive thematic analysis was carried out, using the method of constant comparison derived from grounded theory. MAIN OUTCOME MEASURE: Participants' views on the key factors influencing trust and the role of trust in safe medication management. RESULTS: The salient factors impacting trust were: the therapeutic relationship; uncertainty and vulnerability; and social control. Users of mental health services may be particularly vulnerable to adverse events and these can damage trust. CONCLUSION: Safe management of medication is facilitated by trust. However, this trust may be difficult to develop and maintain, exposing service users to adverse events and worsening adherence. Practice and policy should be oriented towards developing trust.
OBJECTIVE: To develop understandings of the nature and influence of trust in the safe management of medication within mental health services. SETTING: Mental health services in the UK. METHOD: Qualitative methods were applied through focus groups across three different categories of service user--older adult, adults living in the community and forensic services. An inductive thematic analysis was carried out, using the method of constant comparison derived from grounded theory. MAIN OUTCOME MEASURE: Participants' views on the key factors influencing trust and the role of trust in safe medication management. RESULTS: The salient factors impacting trust were: the therapeutic relationship; uncertainty and vulnerability; and social control. Users of mental health services may be particularly vulnerable to adverse events and these can damage trust. CONCLUSION: Safe management of medication is facilitated by trust. However, this trust may be difficult to develop and maintain, exposing service users to adverse events and worsening adherence. Practice and policy should be oriented towards developing trust.
Authors: Ian D Maidment; Camilla Haw; Jean Stubbs; Chris Fox; Cornelius Katona; Bryony Dean Franklin Journal: Int J Geriatr Psychiatry Date: 2008-06 Impact factor: 3.485
Authors: Abha Agrawal; Jeffrey K Aronson; Nicky Britten; Robin E Ferner; Peter A de Smet; Daniela Fialová; Richard J Fitzgerald; Robert Likić; Simon R Maxwell; Ronald H Meyboom; Pietro Minuz; Graziano Onder; Michael Schachter; Giampaolo Velo Journal: Br J Clin Pharmacol Date: 2009-06 Impact factor: 4.335