Résumé
Introduction : l’utilisation d’un plan de médication standardisé (PMS) permet d’améliorer les soins pharmacologiques de préparation à la sortie et l’autogestion des médicaments par les patients. Objectifs : évaluer le contexte d’une unité hospitalière en termes de barrières et facilitateurs à l’implantation d’un PMS (objectif 1) et évaluer le processus d’implantation en termes d’acceptabilité, de faisabilité et de fidélité (objectif 2). Méthode : étude d’implantation basée sur un devis de faisabilité de type « pré-post ». La collecte de données a été réalisée auprès d’infirmières sur trois temps de mesure (avant (TO), pendant (T1), après l’implantation (T2)), et a intégré des focus groups et des questionnaires. Des analyses statistiques descriptives et une analyse thématique rapide ont été effectuées. Résultats : des barrières et facilitateurs à l’implantation ont été mis en évidence. Le PMS montre une plusvalue ; la faisabilité de son utilisation reste limitée, se traduisant par un niveau faible de fidélité. Discussion : si le PMS a le potentiel de soutenir les soins pharmacologiques (SP) infirmiers de préparation à la sortie, son implantation en situation réelle nécessite de réduire les barrières et d’adapter sa procédure d’utilisation.
Introduction: The use of a standardized medication plan is intended to improve pharmaceutical care prior to hospital discharge and to enhance patients’ self-management of medications. Objectives: To evaluate the context of a hospital unit regarding barriers and facilitators to implementing a standardized medication plan (objective 1) and to assess the implementation process in terms of acceptability, feasibility, and fidelity (objective 2). Method: An implementation study using a “pre-post” feasibility design. Data were collected from nurses at three time points: before (T0), during (T1), and after implementation (T2), using focus groups and questionnaires. Descriptive statistical analyses and a rapid thematic analysis were performed. Results: Barriers and facilitators to implementation were systematically identified. The standardized medication plan demonstrated added value, but its feasibility remained limited, leading to a low level of fidelity to the intervention. Discussion: Although a standardized medication plan has the potential to support pharmaceutical nursing care before discharge, its implementation in real-world settings requires addressing barriers and adapting its usage procedures.
Introduction: The use of a standardized medication plan is intended to improve pharmaceutical care prior to hospital discharge and to enhance patients’ self-management of medications. Objectives: To evaluate the context of a hospital unit regarding barriers and facilitators to implementing a standardized medication plan (objective 1) and to assess the implementation process in terms of acceptability, feasibility, and fidelity (objective 2). Method: An implementation study using a “pre-post” feasibility design. Data were collected from nurses at three time points: before (T0), during (T1), and after implementation (T2), using focus groups and questionnaires. Descriptive statistical analyses and a rapid thematic analysis were performed. Results: Barriers and facilitators to implementation were systematically identified. The standardized medication plan demonstrated added value, but its feasibility remained limited, leading to a low level of fidelity to the intervention. Discussion: Although a standardized medication plan has the potential to support pharmaceutical nursing care before discharge, its implementation in real-world settings requires addressing barriers and adapting its usage procedures.