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. 2021 Apr 20;11(4):254. doi: 10.3390/metabo11040254

Table 2.

Key themes of shared barriers and facilitators for deprescribing BZRA and frequency of themes for each individual stakeholder.

Shared Barriers
Patients Physicians Nurses
Themes Frequency [Ref. No.] Frequency [Ref. No.] Frequency [Ref. No.]
Finding BZRA to be an effective treatment 4 [16,17,19] 2 [20] 2 [22]
Finding BZRA provide comfort for the patient 5 [8,15,16] No data 1 [22]
Conceive that BZRA does not harm the patient 3 [17,18,19] 2 [20] No data
Concern about withdrawal symptoms 4 [8,17,19] 2 [20] No data
Ageism: Finding deprescribing BZRA as unnecessary due the age of the patient 3 * [8,16,17] 2 [20] No data
Lack of knowledge 6 [8,16,19]
Including side effects, alternative treatments, dependence
No data 9 [22]
Including side effects, effects, sleep in general
Working environment and procedures No data 10 [20,21]
Incl. lack of time, deprescribing not being prioritized, concern about losing patients, lacking strategies to taper, and cooperation with specialists/psychiatrists
14 [22]
Incl. lack of time, lacking assessment and observations of the need for continued BZRA treatment, staff shortage, high work pressure, task-oriented work, lack of involvement in medicine
Shared Facilitators
Patients Physicians Nurses and Caregivers
Themes Frequency [Ref. No.] Frequency [Ref. No.] Frequency [Ref. No.]
Education 1 [17]
Education tool: deprescribing brochure on benzodiazepines
1 [21]
Education about psychiatric disorder from psychiatrists
1 [22] Nurses
Education about sleep hygiene
Improving cooperation between healthcare personnel No data 2 [21]
Cooperation and clear instructions from psychiatrists
2 [22] Nurses
Address sleep problems by interdisciplinary team
Patient-motivation 3 [8,17]
Motivation from the physician/pharmacist
1 [21]
Physicians providing motivation to the patients
No data
Awareness of side effects 1 [8]
Describe
BZRA side effects relevant to the patient’ complaints
No data 1 [23] Caregivers
Benzodiazepines are of low value due to of their side effects

* Mentioned a 4th time in Martin et al. [17], the patients mention that the physician will not deprescribe due to the patients’ old age.