Journal of the American Psychiatric Nurses Association最新文献_第10页

The Impact of Measurement-Based Care in Psychiatry: An Integrative Review. 基于测量的护理对精神病学的影响：综合评述。

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-04-01 Epub Date: 2023-06-01 DOI: 10.1177/10783903231177707

Janine DeSimone, Bryan R Hansen

{"title":"The Impact of Measurement-Based Care in Psychiatry: An Integrative Review.","authors":"Janine DeSimone, Bryan R Hansen","doi":"10.1177/10783903231177707","DOIUrl":"10.1177/10783903231177707","url":null,"abstract":"Background: The quality of mental health treatment has not progressed to the same extent as physical health treatment. Suboptimal mental health outcomes may be attributed to the lack of a systematic approach to tracking and measuring patient progress. In psychiatry, Measurement-Based Care (MBC) offers an objective, systematic approach to monitor clinical progress, evaluate treatment efficacy, and inform clinical decisions, yet remains seldom used in daily practice.Aims: To identify the clinical impact of using MBC in psychiatry.Methods: Using the Johns Hopkins Nursing Evidence-Based Practice Model as a guideline, this integrative review focused on the research query, \"What is the clinical impact of Measurement-Based Care when treating patients with mental illness?\"Results: A total of nine articles met the inclusion criteria for this integrative review. The articles ranged from 2008 to 2021. The following themes were identified from the analysis of these articles: (1) the clinical impact of MBC, (2) provider attitudes about MBC, and (3) barriers to MBC implementation.Conclusions: MBC, augmenting usual standard care, provides an objective, systematic approach using quantifiable data to monitor symptom severity and treatment effectiveness. This review highlights the clinical benefits of MBC, including increased remission rates, lower risk of relapse, improved medication adherence, and strengthening the therapeutic alliance. Although this review provides an overview of the benefits of MBC in psychiatry, there remains a substantial practice gap warranting further investigation. Strategies must be developed to address barriers at the individual and organizational levels which impede the successful adoption of MBC.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"279-287"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9560289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementing Full Practice Authority for Advanced Practice Registered Nurses: A Case for Mitigating Critical Mental Health Services. 实施高级执业注册护士的完全执业权:减轻关键精神卫生服务的案例。

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-04-01 Epub Date: 2022-05-16 DOI: 10.1177/10783903221096341

Johnny R Tice, Whitnee C Brown, Madeleine Boyle, Rebecca A Martin, Rachael Castillo, Mercy N Mumba

{"title":"Implementing Full Practice Authority for Advanced Practice Registered Nurses: A Case for Mitigating Critical Mental Health Services.","authors":"Johnny R Tice, Whitnee C Brown, Madeleine Boyle, Rebecca A Martin, Rachael Castillo, Mercy N Mumba","doi":"10.1177/10783903221096341","DOIUrl":"10.1177/10783903221096341","url":null,"abstract":"The COVID-19 pandemic has highlighted some perverse health disparities that we know have long existed in the United States. Disparities related to access, affordability, and cultural appropriateness of care cannot be overemphasized. More importantly, disparities related to provider shortages continue to contribute to adverse patient outcomes, particularly in rural areas and other socioeconomically deprived communities. Despite the push from the National Council of State Boards of Nursing (NCSBN) to ensure adoption and implementation of full practice authority (FPA) of advanced practice registered nurses (APRNs), currently only 28 states in the United States have achieved this goal. In addition, there are some states such as Florida that recently passed legislation supporting FPA for primary care APRNs, yet still have practice restrictions for specialty APRNs, such as mental health. The evidence is clear that patients managed by APRNs have better or comparable outcomes to those managed by physicians; thus, more advocacy is needed to ensure that all states and territories achieve this very important milestone for the profession as it has the potential to foster a collaborative interdisciplinary approach to patient care, which at the same time produces positive patient outcomes, employee satisfaction, and a work environment in which all members of the care team feel valued and autonomous.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":"1 1","pages":"418-423"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45845306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Heart Rate Variability in Adults With Substance Use Disorder: A Comprehensive Narrative Review. 药物使用障碍成人的心率变异性：综合叙述综述》。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-04-01 Epub Date: 2023-03-01 DOI: 10.1177/10783903221145142

Seol Ju Esther Moon, Elizabeth A Schlenk, Heeyoung Lee

{"title":"Heart Rate Variability in Adults With Substance Use Disorder: A Comprehensive Narrative Review.","authors":"Seol Ju Esther Moon, Elizabeth A Schlenk, Heeyoung Lee","doi":"10.1177/10783903221145142","DOIUrl":"10.1177/10783903221145142","url":null,"abstract":"Background: Heart rate variability (HRV) is an indicator of autonomic abnormalities. However, little is known about the role of HRV related to substance use behavior and the association between the changes in HRV and signs of relapse in substance use.Aim: The purpose of this study was to review the existing literature on autonomic response to substance use (i.e., opioids, cocaine, and methamphetamine) measured by HRV and its outcomes related to the risk factors of relapse.Methods: A systematic search of the literature was conducted using PubMed, PsychINFO, and Ovid Medline databases. The study includes full-text articles published in English from 2010 to 2020, using measures of HRV in human subjects who use substances.Results: A total of 14 studies were reviewed. Studies included outpatients with a prescription or nonprescription opioid misuse behavior with a primary diagnosis being chronic pain or substance use disorder (SUD). Significantly decreased resting HRV was found in substance users compared to healthy controls. Lower resting HRV has been significantly associated with stress, craving, and greater symptom severities in individuals with SUD and other substance dependence. HRV indices can be potential measures of homeostatic imbalance and self-regulation flexibility.Conclusion: HRV may be a useful tool for monitoring early indication of relapse so that relapse prevention measures can be implemented in a timely manner. Future studies in substance use may benefit from examining HRV in relations to substance use and relapse signs and symptoms in a larger population to guide future relapse prevention strategies.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"240-251"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10794281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient Activation of Persons With Opioid Use Disorder in Intensive Outpatient Treatment. 阿片类药物使用障碍患者在强化门诊治疗中的激活。

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-04-01 Epub Date: 2022-05-17 DOI: 10.1177/10783903221096473

Alyson Keen, Yvonne Lu, Ukamaka M Oruche, Olena Mazurenko, Claire Burke Draucker

{"title":"Patient Activation of Persons With Opioid Use Disorder in Intensive Outpatient Treatment.","authors":"Alyson Keen, Yvonne Lu, Ukamaka M Oruche, Olena Mazurenko, Claire Burke Draucker","doi":"10.1177/10783903221096473","DOIUrl":"10.1177/10783903221096473","url":null,"abstract":"Background: High patient activation is associated with a variety of positive health outcomes. Although increasing patient activation in persons with opioid use disorder (OUD) in intensive outpatient treatment (IOT) programs may increase engagement and improve outcomes, little is known about how patient activation is manifested in these programs.Aims: To describe types of instances in which persons play an active role in their IOT or show self-determination in their recovery generally (patient activation) and types of instances in which they play a passive role in their IOT or have recovery directed by others (patient nonactivation).Methods: A qualitative descriptive study using data from a larger grounded theory study was conducted. Interviews were completed with 14 persons with OUD who attended an IOT program within a large health care system in the Midwest. Content analysis was used to create a typology of instances of patient activation or nonactivation in participants' IOT experiences.Results: Six types of instances were identified: (1) making and enacting one's own treatment decisions, (2) actively collaborating with staff, (3) self-determining one's disclosure in groups, (4) making a commitment to treatment, (5) taking responsibility for one's recovery, and (6) taking actions to avoid return to use.Conclusions: Patient activation is multidimensional and plays a salient role in IOT experiences. IOT staff should engage patients as active participants in their treatment and encourage mutual goal-setting and shared-decision but should be aware that some approaches used too early in treatment may impede recovery.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":"1 1","pages":"333-342"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43271586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Connection Insights From Spirituality. 来自灵性的连接启示

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-04-01 Epub Date: 2024-02-19 DOI: 10.1177/10783903241230460

Lora Peppard

引用次数: 0

The Effects of Shared Decision-Making on Patient Participation in Discharge Meetings in a Behavioral Health Unit. 共同决策对行为健康单位出院会议患者参与的影响。

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 Epub Date: 2022-04-10 DOI: 10.1177/10783903221085597

Shana Williams, Julee Waldrop

{"title":"The Effects of Shared Decision-Making on Patient Participation in Discharge Meetings in a Behavioral Health Unit.","authors":"Shana Williams, Julee Waldrop","doi":"10.1177/10783903221085597","DOIUrl":"10.1177/10783903221085597","url":null,"abstract":"Introduction: Research suggests that persons diagnosed with behavioral health illnesses can benefit from shared decision-making. On an inpatient behavioral health unit, low Press Ganey scores related to satisfaction with involvement in care triggered a root cause analysis that identified patients did not feel engaged by nursing during their time together; and discharge meetings with the health care team were not required.Aims: The purpose of this quality improvement project was to improve patient perception of involvement in their care as evidenced by increased Press Ganey scores and increased number of patients involved in discharge meetings.Methods: Nurses used an evidence-based model for nurse-patient communication: the Seeking information, Engaging in conversation, Exploring options, and Deciding on treatment (SEED) and use of a Control Preferences Scale (CPS) to increase communication about treatment and discharge decisions.Results: A total of 120 patients engaged in the intervention. Patient presence at discharge meetings increased from 39% to 82% (p < .001), and Press Ganey scores evidenced minimal change.Conclusions: Use of the SEED model and CPS by nurses was effective in increasing patients' involvement in their treatment. Although findings were limited due to COVID-19, the study suggests that improving patient involvement from admission through discharge throughout hospitalization can improve patient experience scores.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":"1 1","pages":"180-186"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43775551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Associated With Psychosocial Illness Impact Among Black/African American and Hispanic Older Women Living With HIV. 感染艾滋病毒的黑人/非裔美国人和西班牙裔老年妇女中与社会心理疾病影响相关的因素。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 Epub Date: 2021-11-19 DOI: 10.1177/10783903211058786

Evelyn Iriarte, Rosina Cianelli, Natalia Villegas, Giovanna De Oliveira, Christine Toledo, Lindsay Smith, Jose Guillermo Castro

{"title":"Factors Associated With Psychosocial Illness Impact Among Black/African American and Hispanic Older Women Living With HIV.","authors":"Evelyn Iriarte, Rosina Cianelli, Natalia Villegas, Giovanna De Oliveira, Christine Toledo, Lindsay Smith, Jose Guillermo Castro","doi":"10.1177/10783903211058786","DOIUrl":"10.1177/10783903211058786","url":null,"abstract":"Background: In 2018, one in six newly diagnosed individuals with HIV in the United States were adults aged 50 years and older, 24% were women, and 60% were Black/African American and Hispanic (42% and 18%, respectively).Aims: This study aims to examine the factors associated with HIV psychosocial illness impact among Black/African American and Hispanic older women living with HIV.Method: Guided by the socioecological model, a secondary data analysis design with cross-sectional data that included 138 Black/African American and Hispanic women aged 50 years and older was conducted.Results: Higher levels of avoidant coping, depressive symptoms, negative self-perception of health, and decreased social support were significant factors associated with HIV psychosocial illness impact among this sample.Conclusions: Findings from this study can contribute to identifying solutions to prevent and decrease these negative factors associated with HIV psychosocial illness impact among Black/African American and Hispanic older women.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"52-62"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39748323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceptions of ACT Team Members on the Implementation of Physical Health Services: A Qualitative Study. ACT团队成员对实施身体健康服务的看法:一项定性研究。

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 Epub Date: 2022-02-26 DOI: 10.1177/10783903221079800

Brandy Reardon, Mark Toles, Gary Cuddeback, Debbie Travers

{"title":"Perceptions of ACT Team Members on the Implementation of Physical Health Services: A Qualitative Study.","authors":"Brandy Reardon, Mark Toles, Gary Cuddeback, Debbie Travers","doi":"10.1177/10783903221079800","DOIUrl":"10.1177/10783903221079800","url":null,"abstract":"Background: Adults with severe mental illnesses have mortality rates 2.5 to 3 times higher than the general population, largely due to medical illnesses. Those with the most profound mental illnesses are served by assertive community treatment (ACT) teams that provide intensive mental health care; however, there are no clearly established models to integrate physical health treatment into ACT and this is a critical gap in the literature.Aims: To describe perceptions of ACT team members regarding services provided for their clients to treat physical health, how those services can be improved, and what implementation strategies would likely be needed to promote uptake and sustainability of those services on ACT teams.Method: Qualitative interviews were conducted via Zoom using a semistructured interview guide with 19 employees from three ACT teams in a southeastern state. Interview transcripts were analyzed, using manifest content analysis, a form of qualitative analysis, to identify key themes in the interview transcripts.Results: ACT team members described limited physical health services for their clients. They reported (1) system-level barriers to improving physical health care, such as inadequate tools and training; and (2) patient-level barriers, such as limited awareness of physical care needs. ACT team members reported the need for additional medical staff and strengthened relationships with primary care providers. They also recommended changes in policy, education, and quality monitoring to implement new physical health care services.Conclusions: Findings suggest intervention components and implementation strategies for improving physical health care of ACT consumers.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":"1 1","pages":"108-120"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41888280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Telehealth and the Psychiatric Mental Health Nurse Practitioner: Beyond the COVID-19 Pandemic. 远程医疗与精神心理健康执业护士：超越 COVID-19 大流行。

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 Epub Date: 2021-09-05 DOI: 10.1177/10783903211045119

Jessica L Zemlak, Patty Wilson, Brigit VanGraafeiland, Tamar Rodney

引用次数: 0

Effectiveness of a Sexual Health Care Training to Enhance Psychiatric Nurses' Knowledge, Attitude, and Self-Efficacy: A Quasi-Experimental Study in Southern Taiwan. 性健康护理培训对提高精神科护士知识、态度和自我效能的效果：台湾南部的一项准实验研究。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 Epub Date: 2021-09-17 DOI: 10.1177/10783903211045733

Mei-Jou Lu, Jin-Biau Li, Chia-Yi Wu, Pham Thi Thu Huong, Pei-Chen Hsu, Chiou-Rong Chang

{"title":"Effectiveness of a Sexual Health Care Training to Enhance Psychiatric Nurses' Knowledge, Attitude, and Self-Efficacy: A Quasi-Experimental Study in Southern Taiwan.","authors":"Mei-Jou Lu, Jin-Biau Li, Chia-Yi Wu, Pham Thi Thu Huong, Pei-Chen Hsu, Chiou-Rong Chang","doi":"10.1177/10783903211045733","DOIUrl":"10.1177/10783903211045733","url":null,"abstract":"Background: Sexual health is a taboo issue in some societies. Limited assessments were conducted during nursing care in mental health services. It is unknown whether psychiatric nurses' competencies would be enhanced through short training courses.Aims: The present study employed a quasi-experimental design to evaluate the effectiveness of an 8-hour sexual health care training for psychiatric nurses to improve sexual health knowledge, attitude, and self-efficacy in a teaching psychiatric hospital in southern Taiwan.Method: Volunteered psychiatric nurses were randomly assigned to the experimental or control group. The 8-hour training program contained sexual health knowledge and attitudes, case discussion, role play, and sexual identity or harassment issues. Each nurse received a pretest and a posttest in the 1-month period between August and September 2019. Descriptive and multivariate statistical analyses were used to evaluate the effects.Results: Among the 75 psychiatric nurses, 43 were in the control group and 32 were in the experimental group. The two groups were not significantly different in the working year, gender, education, marriage, and other psychosocial variables. After the training, the overall performance of sexual health care knowledge, attitudes, and self-efficacy of the experimental group improved significantly than the controls.Conclusions: The sexual health care training program enhanced psychiatric nurses' confidence and generally improved their sexual knowledge and attitudes. It is suggested that sexual health care needs to be highlighted during in-job training to augment the well-being and life quality of psychiatric patients.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"17-29"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39425150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0