Richardson, Michelle;
Brennan, Geoffrey;
James, Karen;
Lavelle, Mary;
Renwick, Laoise;
Stewart, Duncan;
Bowers, Len;
(2015)
Describing the precursors to and management of medication nonadherence on acute psychiatric wards.
General Hospital Psychiatry
, 37
(6)
pp. 606-612.
10.1016/j.genhosppsych.2015.06.017.
Preview |
Text
Richardson_m_general hospital psychiatry.pdf Download (597kB) | Preview |
Abstract
Objective: This study aims to (a) describe what conflict (aggression, absconding etc.) and containment (de-escalation, restraining etc.) events occur before and after events of medication nonadherence on acute psychiatric wards and (b) identify which patient characteristics are associated with medication nonadherence. Method: Conflict and containment events for each shift over the first 2 weeks of admission were coded retrospectively from nursing records for a sample of 522 adult psychiatric inpatients. The frequency and order of the conflict and containment events were identified. Univariate logistic regression models were conducted to examine which patient characteristics were linked with medication noncompliance. Results: Medication refusals were commonly preceded by aggression whereas demands for pro re nata (PRN) (psychotropic) were commonly preceded by the same patient having been given PRN medication. Refusals and demands for medication were commonly followed by de-escalation and given PRN (psychotropic) medication. Only refusal of PRN medication was commonly followed by forced (intramuscular) medication. Ethnicity, previous self-harm and physical health problems were also linked to nonadherence. Conclusions: Greater attention to the conflict and containment events that precede and follow medication nonadherence may reduce the likelihood of medication nonadherence.
| Type: | Article |
|---|---|
| Title: | Describing the precursors to and management of medication nonadherence on acute psychiatric wards |
| Location: | United States |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.genhosppsych.2015.06.017 |
| Publisher version: | https://doi.org/10.1016/j.genhosppsych.2015.06.017 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Psychiatry, Medication, Nonadherence, Conflict, Containment, Psychiatric, BENZODIAZEPINE DEPENDENCE, REFUSAL |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10183644 |
Archive Staff Only
 |
View Item |
