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The Medication Experience: A Concept Analysis.
Lisa A Hillman1, Cynthia Peden-McAlpine2, Djenane Ramalho-de-Oliveira3
1College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USA.
The medication experience, characterized by ambivalence and vulnerability, involves patients pragmatically negotiating their lives. This patient-centered concept analysis clarifies medication experience for advancing pharmaceutical care practice.
Area of Science:
- Pharmaceutical Care
- Patient-Centered Care
- Health Sciences
Background:
- The medication experience is crucial for pharmaceutical care and patient-centered care.
- Despite extensive study across disciplines, a formal concept analysis of medication experience is absent.
- Understanding patient perspectives on medication is vital for advancing pharmaceutical practice.
Purpose of the Study:
- To conduct a concept analysis of the medication experience.
- To define and contextualize the medication experience within pharmaceutical care practice.
- To establish a foundation for future research and theory development in pharmaceutical care.
Main Methods:
- Utilized Rodgers' evolutionary concept analysis method.
- Conducted a comprehensive literature search across multiple databases (Ovid Medline, CINAHL, PsycINFO, Sociological Abstracts, Google Scholar).
- Compiled an international dataset of 66 papers published between 1982 and 2020, supplemented by reference and hand searches.
Main Results:
- Defined medication experience as a state of ambivalence and vulnerability.
- Characterized the patient's engagement as an ongoing, pragmatic negotiation with life.
- Highlighted the contextual and socially constructed nature of individual medication experiences.
Conclusions:
- The concept of medication experience offers a significant contribution to scientific literature.
- A clear definition from the patient's perspective enhances understanding and future research.
- This analysis advances the discipline of pharmaceutical care practice by clarifying a core concept.
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