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A narrative meta-synthesis of how people with schizophrenia experience facilitators and barriers in using antipsychotic medication - Implications for healthcare professionals
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.ORCID iD: 0000-0002-2610-8998
Northern Stockholm Psychiatry, Section for Affective Disorders, Inpatient care unit for patients with bipolar disorder, Stockholm, Sweden.
2018 (English)In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 85, p. 7-18, article id S0020-7489(18)30115-9Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: It is recognized that people who are diagnosed with schizophrenia often do not fully adhere with their antipsychotic prescription. The vast majority of previous research on the topic of medical adherence is limited to quantitative research methods, and in particular, to determining correlations.

OBJECTIVES: The present review was designed to describe how people who are diagnosed with schizophrenia experience and narrate pharmacological treatment with antipsychotic medication.

DESIGN: A narrative meta-synthesis.

DATA SOURCES/REVIEW METHOD: A search was conducted in three databases, PubMed, CINAHL and PsycINFO, to identify qualitative original research. Nine articles met the criteria for inclusion and were subjected to a qualitative interpretive meta-synthesis.

RESULTS: The findings showed that patients were uninformed about medication but valued talks about medication with professionals. The findings also demonstrated that patients are motivated to take medication in order to gain stability in their life and to be able to participate in life activities and in relationships. Good support, both from relatives and professionals, also motivates them to continue taking medication. The obstacles were side-effects, pressure and compulsion, and rigid organizations.

CONCLUSIONS: We advise professionals to adopt a person-centered approach to healthcare when encountering these patients and to transform the language used to describe patients from terms denoting compliance and adherence to terms denoting cooperation and alliance. Labeling patients as compliant or non-adherent may risk fortifying preconception of patients as static beings and obscure the patients' individual recovery process.

Place, publisher, year, edition, pages
2018. Vol. 85, p. 7-18, article id S0020-7489(18)30115-9
Keywords [en]
Antipsychotic agents, Emotions, Lived experiences, Medication adherence, Patient compliance, Person-centered therapy, Schizophrenia Spectrum and Other Psychotic Disorders
National Category
Nursing Psychology
Identifiers
URN: urn:nbn:se:hig:diva-26790DOI: 10.1016/j.ijnurstu.2018.05.003ISI: 000447570800003PubMedID: 29803018Scopus ID: 2-s2.0-85047381706OAI: oai:DiVA.org:hig-26790DiVA, id: diva2:1213638
Available from: 2018-06-05 Created: 2018-06-05 Last updated: 2018-11-26Bibliographically approved

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