Are patients who self‐administer their medicines in hospital more satisfied with their care?

Deeks, Philip A.; Byatt, Kay

doi:10.1046/j.1365-2648.2000.01286.x

Cited by 18 publications

(37 citation statements)

References 10 publications

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“…Ptashnick [53] Satisfaction 87% patients who self-administered felt they had benefited from the programme Sutherland [54] Satisfaction Most patients who self-administered were satisfied with the programme Deeks [55] Satisfaction SAG reported significantly better overall impression of care, and scored higher on feelings on discharge, with significantly higher mean discharge satisfaction indices versus controls. No difference between mean satisfaction indices for the provision of information about medicines for each group.…”

Section: Resultsmentioning

confidence: 99%

“…Details of questions were not provided in seven of the seventeen papers [23,29,37,48,49,50,53]. Five studies were postal surveys [40,45,47,51,55]. Those using multiple choice or yes/no/ indifferent answers had higher response rates [40,47] than those using open or mixed questions [51,55].…”

Section: Do Saps Improve Patients' Knowledge Of Their Medicines?mentioning

confidence: 97%

“…Five studies were postal surveys [40,45,47,51,55]. Those using multiple choice or yes/no/ indifferent answers had higher response rates [40,47] than those using open or mixed questions [51,55]. High numbers of patients who had experienced SAPs responded in favour of self-administration compared to nurse-administration: 76-100% [23,39,40,46,49,50].…”

Section: Do Saps Improve Patients' Knowledge Of Their Medicines?mentioning

confidence: 97%

“…All used a questionnaire or structured interview; one was an informal survey [48]. One study [46] used a mixture of multiple choice and open questions, four used questions requiring yes/no/indifferent answers [40,45,47,52], three used Likert rating scales [25,52,54], two, [39,51] used open questions and Deeks and Byatt [55] used a variety of questioning methods. Details of questions were not provided in seven of the seventeen papers [23,29,37,48,49,50,53].…”

Section: Do Saps Improve Patients' Knowledge Of Their Medicines?mentioning

confidence: 99%

“…Seventeen papers [23,25,29,37,39,40,[45][46][47][48][49][50][51][52][53][54][55] were selected for review that had undertaken some measure of patient satisfaction. Five were controlled studies [25,37,39,45,55]. All used a questionnaire or structured interview; one was an informal survey [48].…”

Section: Do Saps Improve Patients' Knowledge Of Their Medicines?mentioning

confidence: 99%

See 4 more Smart Citations

Hospital inpatient self-administration of medicine programmes: a critical literature review

Wright¹,

Emerson²,

Stephens³

et al. 2006

Pharm World Sci

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The paucity of well-designed studies, flawed methodology and inadequate reporting in many papers make conclusions hard to draw. Conclusive evidence that SAPs improve compliance was not provided. Although patients participating in SAPs make errors, small numbers of patients are often responsible for a large number of errors. Whilst most studies suggest that SAPs increase patient's knowledge in part, it is difficult to separate out the effect of the educational component of many SAPs. Most patients who participated in SAPs were satisfied with their care and many would choose to take part in a SAP in the future. No studies measured the total resource requirement of implementing and maintaining a SAP.

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Section: Resultsmentioning

confidence: 99%

Section: Do Saps Improve Patients' Knowledge Of Their Medicines?mentioning

confidence: 97%

Section: Do Saps Improve Patients' Knowledge Of Their Medicines?mentioning

confidence: 97%

Section: Do Saps Improve Patients' Knowledge Of Their Medicines?mentioning

confidence: 99%

Section: Do Saps Improve Patients' Knowledge Of Their Medicines?mentioning

confidence: 99%

See 3 more Smart Citations

Hospital inpatient self-administration of medicine programmes: a critical literature review

Wright¹,

Emerson²,

Stephens³

et al. 2006

Pharm World Sci

View full text Add to dashboard Cite

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Patient involvement in medication safety in hospital: an exploratory study

2014

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Background Medication errors are common in hospital inpatients. While many interventions have been proposed to address these problems, few have been shown to have significant benefits. A complementary approach is to facilitate greater involvement of patients with their inpatient medication. However, there is relatively little research in this area and it is not known which interventions lead to improved healthcare outcomes. Work is therefore needed to investigate the roles that healthcare professionals and patients believe are appropriate for hospital inpatients to take relating to safety. Objective To explore the extent to which hospital inpatients reported that they engaged with medication safety-related behaviours, the extent to which they would like to, and the extent to which healthcare professionals reported that they would support such engagement. Setting An NHS hospital Trust in West London. Methods 100 Patients and healthcare professionals were recruited on ten wards within the Trust and invited to complete quantitative questionnaires. Data were analysed descriptively and exploratory comparisons made between different groups of respondents. Main outcome measures inpatient medication safety involvement scale and control preference scale for patient involvement in decision making. Results 100 patients (98 % response rate) and 104 healthcare professionals (59 % response rate) were recruited. The majority of patients and healthcare professionals were supportive of hospital inpatients being involved with their medication. However there was a significant gap between desire for patient involvement and what patients reported having experienced. Female patients and those under 65 wanted a significantly higher level of involvement than males and over 65s. Few associations were found between healthcare professionals' reported support for involvement and their profession or gender. However, pharmacists and nurses were significantly more likely to report supporting patients asking questions about their medicines and self administering their own medicines than doctors. Conclusion Healthcare professionals and patients desire a higher level of patient involvement with their medication while in hospital than patients currently report. Interventions need to be developed to bridge the gap between desired and actual patient involvement.

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Patients' willingness and ability to participate actively in the reduction of clinical errors: A systematic literature review

Doherty

Stavropoulou

2012

Social Science & Medicine

148

149

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This systematic review identifies the factors that both support and deter patients from being willing and able to participate actively in reducing clinical errors. Specifically, we add to our understanding of the safety culture in healthcare by engaging with the call for more focus on the relational and subjective factors which enable patients' participation (Iedema, Jorm & Lum, 2009; Ovretveit, 2009). A systematic search of six databases, ten journals and seven healthcare organisations' web sites resulted in the identification of 2714 studies of which 68 were included in the review. These studies investigated initiatives involving patients in safety or studies of patients' perspectives of being actively involved in the safety of their care. The factors explored varied considerably depending on the scope, setting and context of the study. Using thematic analysis we synthesized the data to build an explanation of why, when and how patients are likely to engage actively in helping to reduce clinical errors. The findings show that the main factors for engaging patients in their own safety can be summarised in four categories: illness; individual cognitive characteristics; the clinician-patient relationship; and organisational factors. We conclude that illness and patients' perceptions of their role and status as subordinate to that of clinicians are the most important barriers to their involvement in error reduction. In sum, patients' fear of being labelled 'difficult' and a consequent desire for clinicians' approbation may cause them to assume a passive role as a means of actively protecting their personal safety. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63

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Are patients who self‐administer their medicines in hospital more satisfied with their care?

Cited by 18 publications

References 10 publications

Hospital inpatient self-administration of medicine programmes: a critical literature review

Hospital inpatient self-administration of medicine programmes: a critical literature review

Patient involvement in medication safety in hospital: an exploratory study

Patients' willingness and ability to participate actively in the reduction of clinical errors: A systematic literature review

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