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Volume 7, Issue 5 (Suppl) J Palliat Care Med, an open access journal
ISSN: 2165-7386 Geriatrics 2017
September 4-5, 2017
September 4-5, 2017 | Edinburgh, Scotland
Geriatrics Gerontology & Palliative Nursing
7th International Conference on
SELF-ADMINISTRATION OF MEDICATION IN HOSPITAL: A MIXED-METHOD STUDY ON THE
PERSPECTIVES OF PATIENTS AND HEALTH CARE PROVIDERS
Tinne Dillesa and Toke Vanwesemaela
aUniversity of Antwerp, Belgium
Background & Aim: Self-administration of medications relates to the process where hospitalized patients prepare and consume
medications themselves rather than a health professional taking over this role. Literatures suggest possible advantages such as
increased patient satisfaction, adherence to pharmacotherapy, and self-care competences. The aim of this study was to explore health
care providers’ and patients’ perspectives concerning self-administration of medication whilst in hospital, and to describe which
adaptations are required for implementation.
Design & Methods: Mixed-method study; qualitative study in one regional and two university hospitals using semi-structured
interviews with nurses, physicians, hospital pharmacists and patients, and a cross-sectional observational study on all hospitalized
patients of 14 randomly selected wards in 3 Belgian hospitals.
Findings: Self-administration of medication was perceived as beneficial for patients, nurses and inter-professional collaboration.
Nevertheless, also disadvantages for patients, nurses and physicians were mentioned. A clear overview of barriers to overcome
in order to increase the prevalence and the quality of self-administration resulted from the interviews. Important conditions
to be fulfilled before allowing patients to self-administer medication were related to the patient, the type of medication and the
organizational structure. Most of the 124 patients who completed the questionnaire had a positive opinion on the implementation
of self-administration, 84% was willing to self-administer their medication whilst in hospital. Patients believed that it would result
in feeling more autonomous (75%) and it would increase medication knowledge (73%). The majority was convinced it would not
jeopardize the safety of other patients (75%).
Conclusion: The study extends our knowledge of the perspectives of all health care providers and patients in the process of self-
administration of medication. General perceptions on self-administration were very positive and the conditions for implementation
can facilitate adaptations to take the step between evidence and practice.
Biography
Tinne Dilles is nurse researcher and lecturer at the University of Antwerp and the Thomas More University College. In 2011, her PhD project entitled
‘Pharmacotherapeutic Care in Nursing Homes: Nurses’ contribution to drug monitoring’ was successfully presented. Her research focuses on nursing and
pharmaceutical care, especially in older persons. In different national and international courses Tinne specialized in research methodology and statistics. She
teaches research methodology, statistics and pharmacotherapy for nurses and midwives at bachelors’ and masters’ level. She is a member of Sigma Theta Tau
International Honor Society in Nursing, het National Verbond voor Katholieke Vlaamse Verpleegkundigen en Vroedvrouwen (NVKVV) and the Belgian Society for
Pharmacoepidemiology. She is president of NuPhaC (Nurse and Pharmaceutical Care) and vice-president of the division of Nursing and Midwifery of the Faculty
of Medicine and Health Care Sciences of the University of Antwerp.
Tinne Dilles et al., J Palliat Care Med 2017, 7:5(Suppl)
DOI: 10.4172/2165-7386-C1-011