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dc.creatorOwiti, J Aen
dc.creatorBowers, Len
dc.date.accessioned2016-01-09T00:33:25Zen
dc.date.available2016-01-09T00:33:25Zen
dc.date.created2011-09en
dc.date.issued2011-09en
dc.identifierdoi:10.1111/j.1365-2850.2011.01713.xen
dc.identifier.bibliographicCitationJournal of psychiatric and mental health nursing 2011 Sep; 18(7): 637-47en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=A+narrative+review+of+studies+of+refusal+of+psychotropic+medication+in+acute+inpatient+psychiatric+care.&title=Journal+of+psychiatric+and+mental+health+nursing+&volume=18&issue=7&date=2011-09&au=Owiti,+J+A;+Bowers,+Len
dc.identifier.urihttp://dx.doi.org/10.1111/j.1365-2850.2011.01713.xen
dc.identifier.urihttp://hdl.handle.net/10822/1015772en
dc.description.abstractThis paper offers a narrative review of the 22 studies of medication refusal in acute psychiatry. Because of varied definitions of medication refusal, diverse methodologies and few rigorous studies, it has not been possible to draw firm conclusions on the average rate of refusal of psychotropic medications in acute psychiatry. However, it is clear that medication refusal is common and leads to poor outcomes characterized by higher rates of seclusion, restraint, threats of, and actual, assaults and longer hospitalizations. There are no statistically significant differences between refusers and acceptors in gender, marital status and preadmission living arrangements. Although no firm conclusions on the influence of ethnicity, status at admission and diagnosis on refusal, the refusers are more likely to have higher number of previous hospitalizations and history of prior refusal. The review indicates that staff factors such as the use of temporary staff, lack of confidence in ward staff and ineffective ward structure are associated with higher rates of medication refusal. Comprehensive knowledge of why, and how, patients refuse medication is lacking. Research on medication refusal is still fragmented, of variable methodological quality and lacks an integrating model.en
dc.formatArticleen
dc.languageenen
dc.sourceeweb:340584en
dc.subjectDiagnosisen
dc.subjectKnowledgeen
dc.subjectPatientsen
dc.subjectPsychiatryen
dc.subjectResearchen
dc.subjectReviewen
dc.subject.classificationPsychopharmacologyen
dc.subject.classificationRight to Refuse Treatmenten
dc.titleA Narrative Review of Studies of Refusal of Psychotropic Medication in Acute Inpatient Psychiatric Careen
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


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