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. 2023 Oct 17;31(11):636. doi: 10.1007/s00520-023-08084-9

Table 2.

Emotional facilitators of deprescribing

Subtheme Group Example quotes
Onc PCP Nurse Pharm Pts
Pharmacists as open, neutral experts X X X X X

• Patient 1: “I think [pharmacists] would be one of the best people to do this, if in fact you gave them a list of everything you take both, um, over-the-counter and prescribed.” Patient 2: “I have done that sometimes because I realize that they don’t have a—um…” Patient 3: “Skin in the game.” Patient 2: “Yeah, they don’t have skin in the game. I mean, they can give you an independent opinion. So, even if—I always check it with the pharmacist, actually—even if the docs have said yeah.” (Patients)

• “I bounce ideas off of them. Hey, is this okay. Does this interact. And they are always so open to answering questions.” (Nurse)

Emotionally aware communication X • “I think one of the things that we’re taught in pharmacy school is to take kind of that soft approach, because we never want to look like we’re overstepping. And so I was always taught when I make my recommendations, that it would be phrased as either a recommendation or ‘consider doing XYZ.’” (Pharmacists)
Understanding patient context X X

• “I think it just adds complexity to [patients] from my perspective of providing care to them, but also complexity to their life for having to manage all these different medications. It makes it more challenging for everyone that’s involved with their care, to make sure that they get all the ones that they need, that there’s no mistakes made, that they are on all the right things, that nothing interacts.” (Pharmacist)

• "We have to be careful we’re not grouping everyone into the same category.” (Patient)