An Evidence-Based Procedure for Self-Management of Medication in Hospital: Development and Validation of the SelfMED Procedure
Aim: To develop and validate a procedure for self-management of medication by patients whilst in hospital. Background: Self-management of medication allows patients to self-manage their medication in a controlled and supportive hospital environment. This practice is encouraged worldwide, yet an evid...
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| Format: | Article |
| Language: | English |
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MDPI AG
2018-07-01
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| Series: | Pharmacy |
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| Online Access: | http://www.mdpi.com/2226-4787/6/3/77 |
| _version_ | 1818040004574707712 |
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| author | Toke Vanwesemael Tinne Dilles Bart Van Rompaey Koen Boussery |
| author_facet | Toke Vanwesemael Tinne Dilles Bart Van Rompaey Koen Boussery |
| author_sort | Toke Vanwesemael |
| collection | DOAJ |
| description | Aim: To develop and validate a procedure for self-management of medication by patients whilst in hospital. Background: Self-management of medication allows patients to self-manage their medication in a controlled and supportive hospital environment. This practice is encouraged worldwide, yet an evidence-based procedure to evaluate the ability of patients to self-manage and to monitor and support self-management are absent. Methods: The evidence-based procedure for self-management of medication (SelfMED) was developed based on previous conducted qualitative research, literature review, and the current regulation. It was validated by healthcare providers and a multidisciplinary expert meeting. Questions within the procedure that could be biased were tested for inter-rater reliability. Results: First, the SelfMED procedure was developed. It consists of a stepped assessment of patient’s competencies for self-management performed by healthcare providers and the patient. When self-management is allowed, the SelfMED monitoring tool monitors the patient’s intake of self-managed medication. Secondly, the procedure was revised for clarity, appropriateness, and face validity by five healthcare providers and a multidisciplinary expert meeting, resulting in the final version. Thirdly, three questions from the final version were tested for interrater reliability. Cohen’s Kappa showed moderate to strong levels of agreement. Conclusions: The developed SelfMED procedure provides an evidence based approach of facilitating self-management of medication. The content of the procedure was found valid to evaluate the patient’s ability to self-manage and to monitor them while self-managing. |
| first_indexed | 2024-12-10T08:07:38Z |
| format | Article |
| id | doaj.art-434e481db8a74c6f83d1558908366ed7 |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-12-10T08:07:38Z |
| publishDate | 2018-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-434e481db8a74c6f83d1558908366ed72022-12-22T01:56:38ZengMDPI AGPharmacy2226-47872018-07-01637710.3390/pharmacy6030077pharmacy6030077An Evidence-Based Procedure for Self-Management of Medication in Hospital: Development and Validation of the SelfMED ProcedureToke Vanwesemael0Tinne Dilles1Bart Van Rompaey2Koen Boussery3Department of Healthcare, Thomas More University College, 2500 Lier, BelgiumDepartment of Healthcare, Thomas More University College, 2500 Lier, BelgiumDepartment of Nursing Science and Midwifery, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhac), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Wilrijk, BelgiumPharmaceutical Care Unit, Faculty of Pharmaceutical Sciences, Ghent University, 9000 Ghent, BelgiumAim: To develop and validate a procedure for self-management of medication by patients whilst in hospital. Background: Self-management of medication allows patients to self-manage their medication in a controlled and supportive hospital environment. This practice is encouraged worldwide, yet an evidence-based procedure to evaluate the ability of patients to self-manage and to monitor and support self-management are absent. Methods: The evidence-based procedure for self-management of medication (SelfMED) was developed based on previous conducted qualitative research, literature review, and the current regulation. It was validated by healthcare providers and a multidisciplinary expert meeting. Questions within the procedure that could be biased were tested for inter-rater reliability. Results: First, the SelfMED procedure was developed. It consists of a stepped assessment of patient’s competencies for self-management performed by healthcare providers and the patient. When self-management is allowed, the SelfMED monitoring tool monitors the patient’s intake of self-managed medication. Secondly, the procedure was revised for clarity, appropriateness, and face validity by five healthcare providers and a multidisciplinary expert meeting, resulting in the final version. Thirdly, three questions from the final version were tested for interrater reliability. Cohen’s Kappa showed moderate to strong levels of agreement. Conclusions: The developed SelfMED procedure provides an evidence based approach of facilitating self-management of medication. The content of the procedure was found valid to evaluate the patient’s ability to self-manage and to monitor them while self-managing.http://www.mdpi.com/2226-4787/6/3/77hospital medicinemedication managementmedication self-managementinpatients |
| spellingShingle | Toke Vanwesemael Tinne Dilles Bart Van Rompaey Koen Boussery An Evidence-Based Procedure for Self-Management of Medication in Hospital: Development and Validation of the SelfMED Procedure Pharmacy hospital medicine medication management medication self-management inpatients |
| title | An Evidence-Based Procedure for Self-Management of Medication in Hospital: Development and Validation of the SelfMED Procedure |
| title_full | An Evidence-Based Procedure for Self-Management of Medication in Hospital: Development and Validation of the SelfMED Procedure |
| title_fullStr | An Evidence-Based Procedure for Self-Management of Medication in Hospital: Development and Validation of the SelfMED Procedure |
| title_full_unstemmed | An Evidence-Based Procedure for Self-Management of Medication in Hospital: Development and Validation of the SelfMED Procedure |
| title_short | An Evidence-Based Procedure for Self-Management of Medication in Hospital: Development and Validation of the SelfMED Procedure |
| title_sort | evidence based procedure for self management of medication in hospital development and validation of the selfmed procedure |
| topic | hospital medicine medication management medication self-management inpatients |
| url | http://www.mdpi.com/2226-4787/6/3/77 |
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