Mental Health Nurses’ Tacit Knowledge of Strategies for Improving Medication Adherence for Schizophrenia: A Qualitative Study
Open accessAbstract
Non-adherence to medication among patients with schizophrenia is an important clinical issue with very complex reasons. Since medication administration is an essential nursing responsibility, improving strategies for patient medication compliance must be fully understood. This study aimed to explore the strategies mental health nurses (MHNs) implement in clinically improving patients with schizophrenia and to describe the nurses’ tacit knowledge of application strategies. A qualitative study with purposeful sampling was used. Twenty-five experienced MHNs in a psychiatric hospital in central Taiwan were given an in-depth interview. The texts were content-analyzed using NVivo 12 Pro software. MHNs promote medication adherence among patients with schizophrenia using the following strategies: establishing a conversational relationship, overall assessment of non-adherence to medication, understanding the disease and adjusting the concept of medication, incorporating interpersonal connection feedback, and building supportive resources. This study explored the strategies of MHNs that incorporated knowledge in managing treatment adherence in patients with schizophrenia. The findings add knowledge to clinical nursing practice about medication adherence among patients with schizophrenia.
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Patient-HCP therapeutic engagement antecedents include the healthcare provider's influence, friendly and non-judgmental behavior, quality of care of psychiatric patients, and attitudes of caregivers/relatives/families about medication and illness.
“The second category is related to patient-HCP therapeutic engagement and included factors that reported the healthcare provider’s influence [39], how their friendly and non-judgmental behavior facilitates growth [52], how this affects the quality of care of psychiatric patients, and the attitudes of caregivers/relatives/families about the medication and illness [39,73].”
From Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis (2023) · cites this paper as [39]
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Influential
- Authors
- Lin, Y.-Y., Yen, W.-J., Hou, W.-L., Liao, W.-C., & Lin, M.-L.
- Affiliations
- Ministry of Health and Welfare (TW)
- Chung Shan Medical University Hospital (TW)
- Kaohsiung Medical University (TW)
- Internship Counselling Office, Taichung School for the Visually Impaired, Taichung 421, Taiwan
- Hungkuang University (TW)
- Corresponding author
- Lin, Mei-Ling
- Venue
- Healthcare
- Publisher
- MDPI AG
- Published
- 2022-03-07
- Volume
- 10
- Issue
- 3
- Pages
- 492
- ISSN
- 2227-9032 (ISSN-L)
- PMC
- PMC8955025
- OpenAlex
- W4220794073
- Cited by
- 32
- References
- 39
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 5 · 2023: 6 · 2022: 8
- FWCI
- 6.70
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Healthcare (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Ministry of Health and Welfare (10556)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Keywords
- psychiatric nurses, tacit knowledge, medication adherence, schizophrenia, nursing strategies, therapeutic relationship, patient assessment, psychiatric nursing
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