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Redalyc.Information on Antidepressants for Psychiatric Inpatients Pharmacy Practice ISSN: 1885-642X [email protected] Centro de investigaciones y Publicaciones Farmacéuticas España DESPLENTER, Franciska A.; LAEKEMAN, Gert J.; DE COSTER, Sandra; VZA Psychiatry Research Group; SIMOENS, Steven R. Information on antidepressants for psychiatric inpatients: the divide between patient needs and professional practice Pharmacy Practice, vol. 11, núm. 2, abril-junio, 2013, pp. 81-89 Centro de investigaciones y Publicaciones Farmacéuticas Granada, España Available in: http://www.redalyc.org/articulo.oa?id=69028370005 How to cite Complete issue Scientific Information System More information about this article Network of Scientific Journals from Latin America, the Caribbean, Spain and Portugal Journal's homepage in redalyc.org Non-profit academic project, developed under the open access initiative Desplenter FA, Laekeman GJ, De Coster S, Simoens SR; VZA Psychiatry Research Group. Information on antidepressants for psychiatric inpatients: the divide between patient needs and professional practice. Pharmacy Practice 2013 Apr-Jun;11(2):81-89. Original Research Information on antidepressants for psychiatric inpatients: the divide between patient needs and professional practice Franciska A. DESPLENTER, Gert J. LAEKEMAN, Sandra DE COSTER, VZA Psychiatry Research Group, Steven R. SIMOENS. Received (first version): 23-Oct-2012 Accepted: 1-Apr-2013 ABSTRACT* verbal cues of patients to verify if information has Background: Medicine information is an integral been understood. Health care professionals part of patient care and a patient right. In particular, reported lack of time and lack of interdisciplinary patients with a mental health diagnosis have a need contacts as negative aspects. Patients indicated for information on medicines. that health care professionals take too little initiative Objective: This study aims to describe the current to provide medicine information. practice on information provision on antidepressants Conclusions: Patients are informed about their to inpatients in psychiatric hospitals. antidepressants through various pathways. Methods: A qualitative study was conducted Although the awareness is present of the consisting of semi-structured interviews with health importance of the individual approach and efforts care professionals (n=46) and patients (n=17) in 11 are done to tailor information to the individual Flemish psychiatric hospitals. Two topic guides patient, improvement is still possible. Tailoring were designed for conducting the interviews with communication; assessing patient needs and these respective stakeholders. The issues preferences; matching of health care professional addressed in the topic guides related to: style and patient needs; and achieving organization of information provision in the hospital, concordance, is a complex and challenging task for information on demand of the patient, information health care professionals in mental health care. provision by health care professionals, information for relatives, evaluation of provided information, Keywords: Drug Information Services; interdisciplinary contacts on information provision Antidepressive Agents; Depressive Disorder; and satisfaction on current practice of information Inpatients; Qualitative Research; Belgium provision. The interviews were analysed according to the five stages of the framework analysis. INFORMACIÓN SOBRE ANTIDEPRESIVOS Results: Psychiatrists and nurses are the key PARA PACIENTES PSIQUIÁTRICOS players to provide information on antidepressants. HOSPITALIZADOS: EL ESPACIO ENTRE Their approach depends on patient characteristics LAS NECESIDADES DEL PACIENTE Y LA and mental state. Information is provided mainly orally. Health care professionals consider non- PRÁCTICA PROFESIONAL * RESUMEN Franciska A. DESPLENTER. PhD . Department of Antecedentes: La información sobre medicamentos Pharmaceutical and Pharmacological Sciences, KU es parte integral de la atención al paciente y un Leuven, Leuven (Belgium). derecho del paciente. En particular, los pacientes Gert J. LAEKEMAN. PhD. Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven con diagnóstico de enfermedad mental necesitan (Belgium). información sobre los medicamentos. Sandra DE COSTER. PharmD. Department of Objetivo: Este estudio intenta describir la práctica Pharmaceutical and Pharmacological Sciences, KU actual de provisión de información sobre Leuven, Leuven (Belgium). antidepresivos a pacientes psiquiátricos VZA Psychiatry Research Group: Reyntens Johan hospitalizados. (Psychiatric Hospital Sint Jan, Eeklo, Belgium), De Baere Métodos: Se realizó un estudio cualitativo Sheila (Psychiatric Hospital Sleidinge, Sleidinge, Belgium), consistente en entrevistas semi-estructuradas con De Boever Willy (Psychiatric Hospital Sint Hiëronymus, Sint-Niklaas, Belgium), De Vos Marc (Psychiatric Hospital profesionales de la salud (n=46) y pacientes (n=17) Sint Jan Baptist, Zelzate, Belgium), Vrijders Danny en 11 hospitales psiquiátricos flamencos. Se (Psychiatric Hospital Zoete Nood Gods, Lede, Belgium), diseñaron dos guías de asuntos para realizar las De Fré Claudine (Psychiatric Hospital Sint Jan DeDeo, entrevistas con los respectivos decisores. Los Gent, Belgium), De Keyster Cécile (Psychiatric Hospital asuntos tratados en las guías estaban relacionados Heilige Familie, Kortrijk, Belgium), De Meulemeester con: la organización de la provisión de información Katharina (Psychiatric Hospital Sint Camillus, Sint Denijs en el hospital, información a demanda del paciente, Westrem, Belgium), Heremans Marise (University provisión de información por los profesionales de Psychiatric Centre Sint Jozef, Kortenberg, Belgium), Rutgeerts Cathérine (Psychiatric Hospital Broeders la salud, información para familiares, evaluación de Alexianen, Tienen, Belgium). la información proporcionada, contactos Steven R. SIMOENS. MSc PhD. Department of interdisciplinarios en la provisión de información, y Pharmaceutical and Pharmacological Sciences, KU satisfacción con la práctica actual de provisión de Leuven, Leuven (Belgium). www.pharmacypractice.org (ISSN: 1886-3655) 81 Desplenter FA, Laekeman GJ, De Coster S, Simoens SR; VZA Psychiatry Research Group. Information on antidepressants for psychiatric inpatients: the divide between patient needs and professional practice. Pharmacy Practice 2013 Apr-Jun;11(2):81-89. información. Las entrevistas se analizaron de higher need for information than patients with other acuerdo a los cinco etapas del análisis contextual. diseases (e.g. cardiovascular diseases).8 Through Resultados: Los psiquiatras y enfermeras son los this, health care professionals (HCPs) have a actores principales en la provisión de información challenging task to identify the needs of the sobre antidepresivos. Su abordaje depende de las individual patient and to tailor the information to características del paciente y de su estado mental. patient needs. La información se proporciona fundamentalmente In particular, patients with a mental health diagnosis oral. Los profesionales de la salud tienen en cuenta 9-11 señales no verbales para verificar si la información have a need for information on medicines. A fue entendida. Los profesionales reportaron falta de literature review on educational interventions on tiempo y falta de contactos interdisciplinarios como medicines in a population of psychiatric patients aspectos negativos. Los pacientes indicaron que los showed that medication information positively impacts patient knowledge on and adherence to profesionales de la salud tienen demasiado poca 5 iniciativa en proporcionar información sobre psychotropic pharmacotherapy. A review on the medicamentos. influence of communication on treatment outcomes Conclusiones: Los pacientes están informados in a psychiatric setting showed that there were sobre sus antidepresivos por varios caminos. associations between the physician’s Aunque existe una conciencia de la importancia del communication skills and patient satisfaction, adherence to treatment recommendations and abordaje individual y se realizan esfuerzos para 12 adaptar la información a cada paciente, es posible treatment outcomes. Two reports on patient mejorar. Adaptar la comunicación; evaluar las education in Flemish hospitals showed that a lot of effort is needed to increase and to improve patient necesidades y las preferencias del paciente; 2,13 alcanzar la concordancia son tareas complejas y education. No specific information was available desafiantes para los profesionales de la salud en on the situation in Flemish psychiatric hospitals. cuidados de salud mental. Communication is a prerequisite in psychiatry. Only by means of verbal communication and by Palabras clave: Servicios de Información sobre observations of the behaviour of a patient, essential Medicamentos; Antidepresivos; Trastorno information for understanding the patient and for the Depresivo; Pacientes Internos; Investigación diagnosis can be gathered. This depends also on Cualitativa; Bélgica the behaviour of the HCP to ask the right questions for clarifying facts and values. Creating an atmosphere of trust and openness in which such communication can take place is needed.14 Good INTRODUCTION communication is not only important to gather In Belgium, a law describing patient rights was information but also to provide information to the approved on August 22nd, 2002.1 The law describes patient on diagnosis and treatment. the commitments of health care professionals and The aim of this study is to explore current
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