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Project File: SelfMED

Self-management of medication during hospitalisation

The University of Antwerp and the Thomas More University College (Lier) collaborated in this project. The project is under supervision of prof. dr. Tinne Dilles and prof. dr. Koen Boussery. Toke Vanwesemael participated in this project as a PhD student, her PhD dissertation was defended on December 19th 2018 at the University of Antwerp.

Self-management is a key element in regaining and maintaining health. However, during hospitalization it becomes less obvious. Self-management of medication during hospitalization has advantages compared to administration of medication by nurses, for example, increased patient satisfaction and an improvement of adherence to pharmacotherapy and self-care competence. Current evidence based approaches of self-management of medication in hospital are lacking. Therefore, the need for further studying the topic of self-administration of medication in Belgian hospitals was confirmed and the SelfMED study was launched.

The SelfMED study aimed:

Aim 1

To describe the legal context of self-administration of medication and current practices including the prevalence of self-administration of medication in Flemish hospitals.

Aim 2

To explore and describe the willingness of patients, nurses, physicians and hospital pharmacists to perform or allow self-administration of medication, their attitude towards it, and prerequisites and perceived consequences of self-administration in hospital.

Aim 3

To develop and validate an evidence based SelfMED procedure for self-management of medication by patients whilst in hospital, and to evaluate the number of medication administration errors and registration errors, and the feasibility after the implementation of the SelfMED procedure.

An Evidence-Based Procedure for Self-Management of Medication in Hospital: Development and Validation of the SelfMED Procedure.

Vanwesemael T, Dilles T, Van Rompaey B, Boussery K.

Pharmacy (Basel). 2018 Jul 26;6(3). pii: E77. doi: 10.3390/pharmacy6030077.

PMID: 30049965


The willingness and attitude of patients towards self-administration of medication in hospital.

Vanwesemael T, Boussery K, van den Bemt P, Dilles T.

Ther Adv Drug Saf. 2018 Jun;9(6):309-321. doi: 10.1177/2042098618764536. Epub 2018 Mar 26.

PMID: 29854392


Self-management of medication during hospitalisation: Healthcare providers' and patients' perspectives.

Vanwesemael T, Boussery K, Manias E, Petrovic M, Fraeyman J, Dilles T.

J Clin Nurs. 2018 Feb;27(3-4):753-768. doi: 10.1111/jocn.14084. Epub 2017 Nov 20.

PMID: 28960641

SelfMED: Self-Administration of Medication in Hospital: A Prevalence Study in Flanders, Belgium.

Vanwesemael T, Van Rompaey B, Petrovic M, Boussery K, Dilles T.

J Nurs Scholarsh. 2017 May;49(3):277-285. doi: 10.1111/jnu.12290. Epub 2017 Apr 4.

PMID: 28376562


Special thanks to the hospitals, healthcare providers and students who participated in the study. We would also like to thank the members of the advisory board and all partners mentioned on the partner weblink. 

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