Differences in beliefs between patients and pharmaceutical specialists regarding medications

Background: The beliefs patients and health care providers have about medicines are important for communication about medicines, which is a central tool for patient-centered care and the quality of care. This study aimed to analyze general beliefs about medicines among prescribing and non-prescribing nurses. Methods:In this cross-sectional study a survey (Beliefs about Medicines Questionnaire, socio-demographic factors, years of professional experience and the right to prescribe) was sent to 303 nurses in Region Västra Götaland, Sweden, in 2007 (response rate: 80.5%). Analyses were made with independent t-tests, analyses of variance and linear regressions. Results:The beliefs about medicines among nurse prescribers did not differ from those of non-prescribing nurses. Professional experience was, however, important for harmful beliefs about medicines. Non-prescribing nurses with 16-30 years of professional experience had more harmful beliefs about medicines compared with non-prescribing nurses with less professional experience. Conclusions:It is important to further examine the possible effects of education and professional experience on beliefs among nurses. During the communication between nurses and patients there is a need for increased awareness of the importance of professional experience for beliefs about medicines.

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“…It has also been used in several Swedish studies, including groups of patients [25,26] and health care professionals [17,20,23,24] .…”

Section: Discussionmentioning

confidence: 99%

“…The Swedish version of the General BMQ has been tested in a pilot study with good face validity and used in different groups [17,20,[23][24][25][26] . In the current study, the internal consistency between the General BMQ statements in the different subparts was tested using Cronbach's alpha.…”

Section: The Outcome Variablementioning

confidence: 99%

Beliefs about medicines among prescribing and non-prescribing nurses in Sweden

Mårdby

Jakobsson

Hedenrud

2014

JNEP

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“…[6] A number of studies have defined the benefit(s) patients perceive that they will gain from their medication. [5,[7][8][9][10] Therefore, in order to improve medication adherence it is essential to understand more about patients' beliefs regarding their medication. [11] There is evidence that adherence may be enhanced by improving patient education and counselling.…”

Section: Introductionmentioning

confidence: 99%

“…[9] Views regarding the benefits of medication should be discussed during the consultation, and at the point of prescribing between the prescriber and patient. [10] Patients will be able to appreciate the benefits of their medication if they have better understanding, especially when they are required to take them for long periods of time. [9,13] Notably, misconceptions surrounding disease states are associated with poorer physical health; [14] in turn, a poor understanding of the disease increases the likelihood that the patient will not understand the benefits of taking their medication.…”

Section: Introductionmentioning

confidence: 99%

Patient-specific factors relating to medication adherence in a post-percutaneous coronary intervention cohort

Rushworth

Cunningham

Mort

et al. 2012

International Journal of Pharmacy Practice

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Objective To explore the association between medication adherence and qualitatively characterised patient-specific themes relating to medication adherence in patients following percutaneous coronary intervention (PCI). Methods Data-collection questionnaires and qualitative topic guides were piloted in two patients. A validated questionnaire generated an adherence score for a convenience sample of 20 patients within 7 days of PCI. Semi-structured qualitative interviews were subsequently carried out with all patients to explore patient-specific themes relating to measured medication adherence. Key findings Fourteen out of 20 patients (70%) had scores indicative of good adherence. Key factors associated with good adherence included having a good relationship with the doctor, having an understanding of the condition, knowledge of the indications and consequences of non-adherence, perceived health benefits and medications eliciting tangible symptom control. There were misconceptions of concern regarding adverse drug reactions and the importance of aspirin, both of which had a negative effect on adherence. The role of the community pharmacist was sometimes, although not always, misunderstood. Conclusion This study suggests there is an association between patients' beliefs, knowledge, understanding and misconceptions about medication and their adherence in a post-PCI cohort. To optimise medication adherence it is vital for prescribers to remain patient-focused and cognisant of patient-specific themes relating to medication adherence.

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“…Drug manufacturers must also take into account how their drug is handled by physicians and patients and what physicians do to support drug treatment. [6][7][8] It is known from the literature that patients feel more comfortable with physicians who use a patient-centered approach. 9 There are theoretically derived concepts and guidelines on what physicians should talk about with their patients that can be found in the WHO guidelines for the treatment of depression in primary health care.…”

Section: Introductionmentioning

confidence: 99%