Journal of the American Psychiatric Nurses Association最新文献

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Text Message Reminders for Long-Acting Injectable Antipsychotics in Patients with Schizophrenia Spectrum Disorders. 针对精神分裂症谱系障碍患者的长效注射抗精神病药物短信提醒。
IF 1.5 4区 医学
Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2023-07-06 DOI: 10.1177/10783903231183918
Christina J Chen, Wanda Hilliard
{"title":"Text Message Reminders for Long-Acting Injectable Antipsychotics in Patients with Schizophrenia Spectrum Disorders.","authors":"Christina J Chen, Wanda Hilliard","doi":"10.1177/10783903231183918","DOIUrl":"10.1177/10783903231183918","url":null,"abstract":"<p><strong>Background: </strong>Individuals with schizophrenia spectrum disorders have a chronic disease process that is difficult to manage. Medication nonadherence increases the risk for relapse and subsequent rehospitalization. Long-acting injectable (LAI) antipsychotics have greater effectiveness in promoting medication adherence.</p><p><strong>Aims: </strong>To determine whether text message reminders for LAI antipsychotic administration improve medication adherence.</p><p><strong>Methods: </strong>The setting is a community mental health clinic in the west Texas region. Reminders deliver upon scheduling the appointment 3 weeks, 3 days, and 3 hr before the medication is due. This project aimed to determine the effectiveness of text reminders for LAI compliance in patients with schizophrenia spectrum disorders. Primary outcome measures include compliance percentage and target day variability. After exclusion criteria, there was a sample size of 49 patients.</p><p><strong>Results: </strong>This pre- and post-intervention study utilized descriptive statistics and nonparametric analysis. Pre-intervention metrics outline 84.39% compliance with 3.55 target day variability. Post-intervention data resulted in a significant increase in compliance percentage to 91.24% (<i>p</i> = .014) and a decrease in target day variability to 1.33 days (<i>p</i> < .05).</p><p><strong>Conclusion: </strong>Text message reminders may be an effective intervention in increasing LAI compliance for individuals with schizophrenia spectrum disorders.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"828-833"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10132839","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
Stevens-Johnson Syndrome, Toxic Epidermal Necrolysis: Macules, Papules, and Bullae. 史蒂文斯-约翰逊综合征,中毒性表皮坏死症:斑丘疹、丘疹和水疱。
IF 1.5 4区 医学
Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2024-06-13 DOI: 10.1177/10783903241252810
Helene Vossos, Patricia M Delgado
{"title":"Stevens-Johnson Syndrome, Toxic Epidermal Necrolysis: Macules, Papules, and Bullae.","authors":"Helene Vossos, Patricia M Delgado","doi":"10.1177/10783903241252810","DOIUrl":"10.1177/10783903241252810","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this discussion paper is to illuminate the importance of early identification and treatment of Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN). SJS/TEN may occur as quickly as 4 days, more commonly 4 to 8 weeks after starting a new medication and early identification is essential.</p><p><strong>Methods: </strong>A review of literature revealed there is a lack of diagnostic awareness related to the clinical presentation and diverse populations at risk for this devastating syndrome.</p><p><strong>Results: </strong>A Boolean search was conducted, and six quantitative and qualitative research articles were discovered that indicate a knowledge disparity between \"rash\" versus SJS/TEN. Research indicates evidence-based best clinical practices for nurses and health care practitioners for assessment of risks, clinical presentation, and treatment.</p><p><strong>Conclusions: </strong>Prompt diagnosis and discontinuation of the suspected medication will reduce potential life-threatening sequelae.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"749-756"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141310980","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
Board Column: The Remarkable Role Our Senses Play in Connection. 棋盘专栏:我们的感官在联系中发挥的显著作用。
IF 1.5 4区 医学
Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2024-06-17 DOI: 10.1177/10783903241260694
Lora Peppard
{"title":"Board Column: The Remarkable Role Our Senses Play in Connection.","authors":"Lora Peppard","doi":"10.1177/10783903241260694","DOIUrl":"10.1177/10783903241260694","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"834-836"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141419683","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
Navigating the Future of Psychedelic-Assisted Therapies in Psychiatry: Ethical Considerations, Nursing Roles, and Research Imperatives. 引领精神病学中迷幻辅助疗法的未来:伦理考量、护理角色和研究要务。
IF 1.5 4区 医学
Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2024-05-18 DOI: 10.1177/10783903241252163
Chang Jui-Man, Lien-Chung Wei
{"title":"Navigating the Future of Psychedelic-Assisted Therapies in Psychiatry: Ethical Considerations, Nursing Roles, and Research Imperatives.","authors":"Chang Jui-Man, Lien-Chung Wei","doi":"10.1177/10783903241252163","DOIUrl":"10.1177/10783903241252163","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"747-748"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140957778","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
Psychiatric Deprescribing: A Narrative Review. 精神科开药不足:叙述性评论。
IF 1.5 4区 医学
Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2023-07-01 DOI: 10.1177/10783903231185353
Shari L Harding, Kerri A Ellis, John Boisseau, Victor Petreca
{"title":"Psychiatric Deprescribing: A Narrative Review.","authors":"Shari L Harding, Kerri A Ellis, John Boisseau, Victor Petreca","doi":"10.1177/10783903231185353","DOIUrl":"10.1177/10783903231185353","url":null,"abstract":"<p><strong>Objective: </strong>Psychiatric deprescribing is an intervention where psychiatric medications are reduced or discontinued with the goal to improve health and reduce unnecessary risks. The purpose of this study was to synthesize the literature related to psychiatric deprescribing to discuss practice and research implications.</p><p><strong>Methods: </strong>A structured search of the literature was conducted from May to September 2022, yielding 29 articles meeting inclusion criteria. Articles were reviewed and synthesized.</p><p><strong>Results: </strong>Psychiatric deprescribing is a complex process with many potential facilitators and barriers. The extant literature provides insight into current gaps in knowledge and implications for clinical practice and research.</p><p><strong>Conclusions: </strong>In current clinical practice, psychiatric deprescribing is a priority but there are significant barriers. Several areas of future research could be pursued to better support evidence-based practice in this area.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"810-818"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9726898","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
Are We Ready for the Next Pandemic? 我们准备好应对下一次大流行了吗?
IF 1.5 4区 医学
Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2024-06-17 DOI: 10.1177/10783903241259944
Geraldine S Pearson
{"title":"Are We Ready for the Next Pandemic?","authors":"Geraldine S Pearson","doi":"10.1177/10783903241259944","DOIUrl":"10.1177/10783903241259944","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"745-746"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141419682","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
Tai Chi as a Complementary Therapy for Depression and Anxiety Among U.S. Veterans in a Mental Health Inpatient Setting. 在心理健康住院的美国退伍军人中,太极作为抑郁症和焦虑症的补充疗法。
IF 1.5 4区 医学
Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2023-09-21 DOI: 10.1177/10783903231201592
Eileen R Jimenez, Jorge Juarez, Leeza Struwe, Marlene Z Cohen
{"title":"Tai Chi as a Complementary Therapy for Depression and Anxiety Among U.S. Veterans in a Mental Health Inpatient Setting.","authors":"Eileen R Jimenez, Jorge Juarez, Leeza Struwe, Marlene Z Cohen","doi":"10.1177/10783903231201592","DOIUrl":"10.1177/10783903231201592","url":null,"abstract":"<p><strong>Background: </strong>Depression and anxiety are two of the top five mental illnesses veterans report. Treatment for depression and anxiety includes medications and psychiatric treatment in inpatient, outpatient, and residential treatment programs; the use of complementary and alternative medicine (CAM) can have beneficial results by decreasing symptoms, recognize patients' preference for CAM, and be cost-effective.</p><p><strong>Aim: </strong>This study aimed to evaluate the effects of Tai Chi on depression and anxiety symptoms on inpatient psychosocial or substance use disorder (SUD) rehabilitation treatment program residents since little evidence exists regarding the effectiveness of Tai Chi on participants in residential mental health treatment programs. METHOD: A mixed-method, cohort design with 88 participants (41 usual treatment without Tai Chi, 47 intervention) used a demographic survey, Hamilton Anxiety Scale, Quick Inventory of Depressive Symptomatology, self-report, and the Patient Health Questionnaire-9 at Weeks 1 and 4 of the treatment program. After Week 4, the intervention group responded to six open-ended questions about Tai Chi's effects on their overall depression and anxiety.</p><p><strong>Results: </strong>The anxiety level of the intervention group was significantly decreased, as evidenced by the Hamilton Anxiety Scale scores (<i>p</i> = .02). However, the measures of depression did not differ between the groups. Two themes, mindfulness and satisfaction, were identified from the written responses regarding the Tai Chi intervention.</p><p><strong>Conclusion: </strong>Tai Chi effectively reduced symptoms of anxiety that varied by age and ethnicity. This study increased the insight regarding the benefit of including Tai Chi as a complementary therapy for those participating in residential treatment programs.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"778-784"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41139769","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
Supporting the Safe Use of the Dorsogluteal Intramuscular Injection Site: An Evidence-Based Quality Improvement Project. 支持安全使用背臀部肌肉注射部位:以证据为基础的质量改进项目。
IF 1.5 4区 医学
Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2023-06-27 DOI: 10.1177/10783903231178556
Grainne Kilroy, Meghan Lorbiecki, Florine Ndakuya-Fitzgerald, Mary Hagle
{"title":"Supporting the Safe Use of the Dorsogluteal Intramuscular Injection Site: An Evidence-Based Quality Improvement Project.","authors":"Grainne Kilroy, Meghan Lorbiecki, Florine Ndakuya-Fitzgerald, Mary Hagle","doi":"10.1177/10783903231178556","DOIUrl":"10.1177/10783903231178556","url":null,"abstract":"<p><strong>Introduction: </strong>Administering intramuscular (IM) injections is common in the adult mental health patient care setting, using the deltoid, vastus lateralis, ventrogluteal, or dorsogluteal site. Mental health nurses frequently use the dorsogluteal site to administer short and long-acting IM injections as specified in the drug package insert or because of patient agitation. However, the site is often not recommended due to the potential risk of nerve injury.</p><p><strong>Aims: </strong>Aims of this evidence-based quality improvement project were to (1) determine the best evidence for supporting the safe use of the dorsogluteal site for short and long-acting IM injections and (2) implement this evidence through nurse education.</p><p><strong>Method: </strong>This project had two phases: Determining best evidence through an integrative literature review and implementing the recommendations to use the dorsogluteal site when directed by the drug package insert, clinical need, nursing judgment, or patient preference. Implementation followed the Plan-Do-Study-Act quality improvement process and involved written resources and simulation.</p><p><strong>Results: </strong>Evidence supported the use of the dorsogluteal site in four instances and the importance of education. Nurses were highly satisfied with the education and opportunity to practice their skills with feedback during return demonstration. After studying nurses' follow-up survey results, a refresher simulation and medical center guideline were completed. There were no reports of IM injection patient injuries after 2 years and approximately 768 dorsogluteal and ventrogluteal IM injections in the academic medical center.</p><p><strong>Conclusion: </strong>Pursuing recent and possibly overlooked evidence provided guidance in supporting the safe use of the dorsogluteal site for IM injections.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"819-827"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9687145","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
Determining the Mental Status, Sleep Quality, and Eating Behaviors of University Students During the COVID-19 Pandemic: A Cross-Sectional Study. 确定 COVID-19 大流行期间大学生的精神状态、睡眠质量和饮食行为:一项横断面研究
IF 1.5 4区 医学
Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2023-09-12 DOI: 10.1177/10783903231197656
Hilal Şahin, Kadir Çebi, Arzu Yıldırım, Rabia Hacıhasanoğlu Aşılar
{"title":"Determining the Mental Status, Sleep Quality, and Eating Behaviors of University Students During the COVID-19 Pandemic: A Cross-Sectional Study.","authors":"Hilal Şahin, Kadir Çebi, Arzu Yıldırım, Rabia Hacıhasanoğlu Aşılar","doi":"10.1177/10783903231197656","DOIUrl":"10.1177/10783903231197656","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has resulted in adverse effects on individuals' physical and mental health worldwide, with university students also being adversely affected by this process.</p><p><strong>Objectives: </strong>This research aimed to determine the mental condition, sleep quality, and eating behaviors of university students during the COVID-19 process.</p><p><strong>Method: </strong>This cross-sectional study was conducted with 1,065 university students. Study data were collected with an online questionnaire including a personal information form, the Depression Anxiety Stress Scale, the Pittsburgh Sleep Quality Index, and the Dutch Eating Behavior Scale.</p><p><strong>Results: </strong>Students' poor sleep quality was determined to be 69.5%. It was also determined that students' depression and stress levels were moderate that their anxiety levels were low, their eating behaviors were generally problematic, and more than half had poor sleep quality. In addition, eating disorders and poor sleep quality increased as depression, anxiety, and stress levels increased, and eating disorders increased as poor sleep quality increased (<i>p</i> < .05).</p><p><strong>Conclusions: </strong>The results emphasize the importance of the strengthening of students' mental health, particularly by improving their sleep quality and eating habits. Evidence-based interventions regarding the effects of the pandemic should be made for students under the leadership of a psychiatric nurse, and effective strategies must be developed accordingly.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"785-798"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10590245","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
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 : 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":"https://doi.org/10.1177/10783903241257633","url":null,"abstract":"<p><strong>Background: </strong>The therapeutic relationship serves as a cornerstone in psychiatric mental health nursing practice, providing a basis for implementing various interventions.</p><p><strong>Aims: </strong>This study aimed to explore the perspectives of psychiatric mental health nurses regarding factors that facilitate and impede the therapeutic nurse-patient relationship.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903241257633"},"PeriodicalIF":1.5,"publicationDate":"2024-06-24","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
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