Journal of the American Psychiatric Nurses Association最新文献_第2页

Clinical, Quality of Life, and Health Care Utilization Outcomes of Switching the Administration Route of Antipsychotic Medications Among People With Schizophrenia Spectrum Disorder: A Systematic Review and Meta-Analysis. 精神分裂症谱系障碍患者更换抗精神病药物给药途径的临床、生活质量和医疗保健使用结果：系统回顾与元分析》。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-03-01 Epub Date: 2024-10-23 DOI: 10.1177/10783903241279605

Amani Kappi, Tianyi Wang, Bassema Abu Farsakh, Chizimuzo T C Okoli

{"title":"Clinical, Quality of Life, and Health Care Utilization Outcomes of Switching the Administration Route of Antipsychotic Medications Among People With Schizophrenia Spectrum Disorder: A Systematic Review and Meta-Analysis.","authors":"Amani Kappi, Tianyi Wang, Bassema Abu Farsakh, Chizimuzo T C Okoli","doi":"10.1177/10783903241279605","DOIUrl":"10.1177/10783903241279605","url":null,"abstract":"Background: Using long-acting injectable (LAI) antipsychotic medications can improve the outcomes of patients with schizophrenia, such as reducing symptom severity and hospitalization risk. However, the outcomes of switching from oral to LAI antipsychotic medications are unclear.Aims: The purpose of this review is to provide a summary of the clinical, quality of life, and health care utilization outcomes of switching from oral to LAI antipsychotics among patients with Schizophrenia Spectrum Disorder.Methods: We thoroughly searched the PubMed, Scopus, PsycInfo, and CINAHL databases. To conduct the meta-analysis, we used the Comprehensive Meta-Analysis Program.Results: Forty-one articles met our inclusion criteria. After switching to LAIs, symptom severity, the number of rehospitalizations, emergency department visits, and overall health care costs were reduced. Also, social functioning significantly improved. However, no differences were observed in the frequency of outpatient visits. Pharmacy costs were increased between pre- and post-LAI initiation.Conclusion: Our findings support evidence that changing the route of administration of antipsychotic medications from oral to long-acting intramuscular injections can improve the clinical, quality of life, and health care utilization outcomes in people with schizophrenia. Health care practitioners might consider encouraging LAI use earlier during treatment for schizophrenia for better clinical outcomes and to reduce health care utilization associated with treatment.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"138-164"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502834","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

SPIN-IT and Quit It: A Nurse-Driven Protocol to Improve Inpatient Interventions for Tobacco Use Disorder [Formula: see text]. SPIN-IT and Quit It：一项由护士主导的方案，以改善对烟草使用障碍的住院干预[公式：见文本]。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-03-01 Epub Date: 2025-02-14 DOI: 10.1177/10783903251315744

James T DeMarco

{"title":"SPIN-IT and Quit It: A Nurse-Driven Protocol to Improve Inpatient Interventions for Tobacco Use Disorder [Formula: see text].","authors":"James T DeMarco","doi":"10.1177/10783903251315744","DOIUrl":"10.1177/10783903251315744","url":null,"abstract":"IntroductionTobacco smoking remains a leading cause of preventable disease and death in the U.S., with a high prevalence among individuals with mental health disorders (MHD). Despite regulatory efforts to increase tobacco use disorder (TUD) treatment in psychiatric inpatient units (an ideal setting), compliance of offering and using these interventions remains suboptimal.AimsThis project aimed to examine the effectiveness of a nurse-driven protocol, Smoking treatment Protocol for Inpatients via Nurse-driven Interventions & Teaching (SPIN-IT), on improving compliance with evidence-based TUD treatment interventions in an inpatient psychiatric unit.MethodsSPIN-IT was developed and implemented in a 20-bed inpatient psychiatric unit. The protocol allowed registered nurses (RNs) to deliver TUD counseling and prescribe nicotine replacement medication based on an algorithm without an independently licensed provider (LIP). Data on compliance with CMS tobacco measures (TOB-2 and TOB-2a) were collected for 12 months before and after SPIN-IT implementation and analyzed for statistical significance.ResultsThe project included 835 patients over 2 years. Post-intervention TOB-2 compliance increased significantly from 84.7% to 99.3% (p < .001), and TOB-2a compliance rose from 24% to 56% (p < .001). The protocol resulted in more patients being offered and receiving TUD treatment counseling and medications.ConclusionThe SPIN-IT protocol significantly improved TUD treatment compliance in an inpatient psychiatric setting. It supports the effectiveness of nurse-driven protocols in enhancing patient outcomes and adherence to TUD treatment measures. Further research is needed to evaluate the long-term impact on TUD treatment and to explore the perceptions of nursing staff, physicians, and patients related to the protocol.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"131-137"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414608","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

APNA Issue Statement: Addressing Workplace Violence in Today's Environment. APNA发表声明：解决当今环境下的工作场所暴力问题。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-03-01 Epub Date: 2025-02-24 DOI: 10.1177/10783903251315741

引用次数: 0

Facilitators of and Barriers to the Therapeutic Nurse-Patient Relationship: Perceptions From Psychiatric Mental Health Nurses. 治疗性护患关系的促进因素和障碍：精神科心理健康护士的看法。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-03-01 Epub Date: 2024-06-24 DOI: 10.1177/10783903241257633

Mary-Jo Curran, Ray Gannon, Reynaldo R Rivera, Ying Li, Joyce J Fitzpatrick

{"title":"Facilitators of and Barriers to the Therapeutic Nurse-Patient Relationship: Perceptions From Psychiatric Mental Health Nurses.","authors":"Mary-Jo Curran, Ray Gannon, Reynaldo R Rivera, Ying Li, Joyce J Fitzpatrick","doi":"10.1177/10783903241257633","DOIUrl":"10.1177/10783903241257633","url":null,"abstract":"Background: The therapeutic relationship serves as a cornerstone in psychiatric mental health nursing practice, providing a basis for implementing various interventions.Aims: This study aimed to explore the perspectives of psychiatric mental health nurses regarding factors that facilitate and impede the therapeutic nurse-patient relationship.Methods: A descriptive study was conducted among psychiatric mental health nurses employed at two community psychiatric hospitals in the northeast area of the United States. A list of facilitators and barriers was developed based on an extensive literature review and subsequently validated by three experts in the field of psychiatric mental health nursing. Participants rated these factors on a 10-point scale.Results: The study included 74 registered nurses from two psychiatric hospitals, yielding a 24% response rate. The highest-ranked facilitator was awareness that the relationship enables collaborative goal setting with patients. The most significant barrier was insufficient time due to administrative tasks.Conclusions: This study highlights the importance of understanding facilitators and barriers in the therapeutic nurse-patient relationship. Replicating the study nationally on a larger scale among psychiatric mental health nurses is recommended.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"176-182"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442951","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

Thematic Analysis of Mental Health Nurses' Views of Contributing Factors Fueling Workplace Violence in Psychiatric Hospitals: Insights From Unsung Soldiers. 心理健康护士对精神病院工作场所暴力助长因素看法的专题分析：来自无名士兵的见解。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-03-01 Epub Date: 2023-09-12 DOI: 10.1177/10783903231199114

Abdallah Abu Khait, Majd T Mrayyan, Abdullah Algunmeeyn

{"title":"Thematic Analysis of Mental Health Nurses' Views of Contributing Factors Fueling Workplace Violence in Psychiatric Hospitals: Insights From Unsung Soldiers.","authors":"Abdallah Abu Khait, Majd T Mrayyan, Abdullah Algunmeeyn","doi":"10.1177/10783903231199114","DOIUrl":"10.1177/10783903231199114","url":null,"abstract":"Background: Workplace violence against mental health nurses is an international phenomenon that sparks concerns for nurses' safety and mental health. This phenomenon has recently arisen as a crucial concern in the Middle East as it has become pervasive and has negative implications, causing nurses to accumulate psychological and emotional distress. However, no research has yet investigated the contributing factors of this phenomenon in Jordanian psychiatric hospitals from the nurses' perspectives.Aims: This study aimed to explore the factors contributing to workplace violence in Jordanian psychiatric hospitals from the perspective of mental health nurses.Methods: An exploratory, qualitative design was utilized. Using audio-recorded, semi-structured, face-to-face interviews, a purposive sample of 24 mental health nurses were interviewed to collect data. Thematic analysis was used to analyze the data.Results: Four overarching themes were identified: Peak Time of Violence, Unavoidable Part of the Job, Poor Organization and Lack of Policy, and Bite the Bullet.Conclusion: From nurses' perspectives, an in-depth understanding of factors contributing to workplace violence provides a foundation for developing preventive interventions, improving work environment safety, and promoting nurses' mental health. Prevention strategies and further studies are warranted to limit this phenomenon.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"100-110"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10590249","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

Investigation of Posttraumatic Stress and Depression Symptoms in Children Who Experienced the Kahramanmaraş Earthquake. 卡赫拉曼马拉什地震儿童创伤后压力和抑郁症状调查

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-03-01 Epub Date: 2024-07-27 DOI: 10.1177/10783903241257631

Mehmet Emin Düken, Sibel Küçükoğlu, Fethiye Kiliçaslan

{"title":"Investigation of Posttraumatic Stress and Depression Symptoms in Children Who Experienced the Kahramanmaraş Earthquake.","authors":"Mehmet Emin Düken, Sibel Küçükoğlu, Fethiye Kiliçaslan","doi":"10.1177/10783903241257631","DOIUrl":"10.1177/10783903241257631","url":null,"abstract":"Background: Trauma is important in the etiology of many problems including childhood anxiety, somatization, hostility and sleep disturbance.Aims: This study was conducted to examine the posttraumatic stress and depression symptoms of children who experienced the Kahramanmaraş earthquakes in Turkey.Methods: The research, designed as a descriptive and relational type, was conducted with 636 children in the 10 to 18 age group who experienced the earthquake. Data were obtained through the Child Information Form, the Child Posttraumatic Stress Disorder Reaction Index (CPTSD-RI), and the Depression Inventory for Children.Results: According to the scale scores, 100% of the children had depression symptoms, while 23% had severe trauma and 77% had very severe posttraumatic stress symptoms. It was revealed that children's posttraumatic stress reactions explained 71% of their depression (p < .001). It has been determined that the most important triggers affecting children's posttraumatic stress reactions were being trapped under debris and the problems they experienced in reaching shelter and assistance (B: -3.706; B: -1.547; B: 3.969).Conclusions: It was determined that there was a strong relationship between posttraumatic stress reactions and depression symptoms of children who experienced the earthquake. It has been observed that the experiences of children during and after the earthquake can have an impact on their trauma situations.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"165-175"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788488","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

Beyond Crisis: Enhancing Behavioral Response Through a Conceptual Framework. 超越危机：通过概念框架增强行为反应。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-03-01 Epub Date: 2025-02-02 DOI: 10.1177/10783903251315947

Alirio Olmedo, Jane Muir

{"title":"Beyond Crisis: Enhancing Behavioral Response Through a Conceptual Framework.","authors":"Alirio Olmedo, Jane Muir","doi":"10.1177/10783903251315947","DOIUrl":"10.1177/10783903251315947","url":null,"abstract":"ObjectiveThe objective was to present a conceptual model informed by existing literature surrounding behavioral health crises and response teams.MethodThe Behavioral Crisis Response Model (BCRM) was developed through a comprehensive literature review, synthesizing existing knowledge to clarify the structure, relationships, and processes between patients and Behavioral Response Teams (BRTs), focusing on published literature from 2018 to 2023. Themes to inform the BCRM were developed through iterative review and discussion with an expert panel.ResultsThe BCRM framework comprises five key domains: Patient-Centered Care, Preparation, Planning, Execution, and Evaluation. Each domain encompasses specific actions and strategies to ensure comprehensive and effective crisis intervention. The Patient-Centered Care domain ensures the patient remains the focus during a crisis. The Preparation domain focuses on readiness through training and resource verification. The Planning domain involves initial and risk assessments, followed by devising a tailored response plan. The Execution domain emphasizes the implementation of the response plan with adaptable leadership styles. The Evaluation domain involves debriefing, root cause analysis, and performance reviews to promote continuous improvement.ConclusionThe BCRM offers a patient-centered, structured approach to managing behavioral health crises and enhancing team cohesion and effectiveness. Further evaluation of adopting the BCRM is needed within health care institutions to improve patient outcomes, reduce harm, and advance better care quality.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"111-120"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080574","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

Keeping Our Patients and Ourselves Safe: Evidence-Based Knowledge to Prevent and Manage Violence in PMH Nursing Care. 保证病人和我们自身的安全：在 PMH 护理中预防和管理暴力的循证知识。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-03-01 Epub Date: 2025-03-12 DOI: 10.1177/10783903251318342

Linda S Beeber, Kathleen R Delaney, Angel Johann Solorzano Martinez

引用次数: 0

PMH Care: A Changing Field in Search of Leaders. PMH 护理：不断变化的领域，寻找领导者。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-03-01 Epub Date: 2025-02-22 DOI: 10.1177/10783903251316576

Joyce M Shea

引用次数: 0

Improving Access to Mental Health Care in Residents of Long-Term Care Living Facilities. 改善长期护理生活设施居民获得精神卫生保健的机会。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-02-28 DOI: 10.1177/10783903251320663

Robin Arends, Victoria Walker, Muriel Engbrecht

{"title":"Improving Access to Mental Health Care in Residents of Long-Term Care Living Facilities.","authors":"Robin Arends, Victoria Walker, Muriel Engbrecht","doi":"10.1177/10783903251320663","DOIUrl":"https://doi.org/10.1177/10783903251320663","url":null,"abstract":"Objective: Residents of long-term care facilities have reduced access to mental health care due to the availability of providers, transportation, and staff or family members who must accompany the resident. As a result, many residents wait up to 6 months for a first appointment with a psychiatric provider or utilize their primary care provider to meet their mental health care needs.Methods: To increase access to mental health care, tablets were placed in long-term care facilities to access telehealth visits with mental health providers. Psychiatric visits were conducted via telehealth to assess, diagnose, and treat residents of the facilities. Psychiatric Mental Health Nurse Practitioners also worked to ensure the correct diagnosis and treatment were applied to each resident. In addition, there was a focus on prescribing psychotropic medications such as antipsychotics and benzodiazepines only when clinically indicated and at the lowest effective doses and ensuring gradual dose reduction efforts were being conducted safely.Results: Results of this project showed a decrease in time to first appointment from 6 months to 20 days, an increase in the application of clinical criteria to determine diagnoses, improvement in initiating gradual dose reduction requirements when clinically indicated, and resident, staff, and family satisfaction with care.Conclusions: The results of this project show that it is feasible and safe to provide mental health visits to residents of long-term care facilities through telehealth and should be considered to improve access to mental health care services for this population.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251320663"},"PeriodicalIF":1.5,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523726","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