Table 2.
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.