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The RANA Model Revisited: How a Primary Nursing Model for Professional Psychiatric Nursing Practice Has Withstood the Test of Time. 重温 RANA 模式：精神科专业护理实践的初级护理模式如何经受住了时间的考验。
IF 1.5 4区 医学
Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2023-04-08 DOI: 10.1177/10783903231166669
Stacey M Meyers, Patricia Roberts, Maureen Slade
{"title":"The RANA Model Revisited: How a Primary Nursing Model for Professional Psychiatric Nursing Practice Has Withstood the Test of Time.","authors":"Stacey M Meyers, Patricia Roberts, Maureen Slade","doi":"10.1177/10783903231166669","DOIUrl":"10.1177/10783903231166669","url":null,"abstract":"<p><strong>Objective: </strong>This article revisits the responsible, accountable nurse with authority (RANA) model and its continued application to psychiatric-mental health nursing care nearly 30 years after its development. It will ascertain key elements of the model that remain in use today, while identifying parts of the model that have transformed over the years.</p><p><strong>Methods: </strong>This article will also explore the theoretical underpinnings of the model, including Peplau's interpersonal relations theory. The impact of the primary nursing and relationship-based care models that influenced the RANA role will also be explored.</p><p><strong>Results: </strong>Specific examples of how the RANA model has affected unit outcomes will be identified, such as improved patient safety measures and satisfaction with care.</p><p><strong>Conclusions: </strong>The nurse-patient relationship and therapeutic alliance is fundamental to the RANA model and directly affects patient outcomes.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"799-804"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9614761","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
Alcohol Withdrawal Assessment Tool (AWAT) Reliability and Validity: Implications for Nurses Caring for Inpatients With Mental Health Disorders. 酒精戒断评估工具（AWAT）的可靠性和有效性：对护理精神疾病住院患者的护士的启示。
IF 1.5 4区 医学
Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2023-06-30 DOI: 10.1177/10783903231183910
Carmen R Davis, Alyson Keen, Lauren Compton, Tiffany Rader, Rachel Harbison, Renee Twibell
{"title":"Alcohol Withdrawal Assessment Tool (AWAT) Reliability and Validity: Implications for Nurses Caring for Inpatients With Mental Health Disorders.","authors":"Carmen R Davis, Alyson Keen, Lauren Compton, Tiffany Rader, Rachel Harbison, Renee Twibell","doi":"10.1177/10783903231183910","DOIUrl":"10.1177/10783903231183910","url":null,"abstract":"<p><strong>Background: </strong>Alcohol use affects 14.5 million Americans and high prevalence of use and potential for withdrawal among hospitalized patients presents a challenge for health care professionals to anticipate and manage effectively. Due to the acuity and fast-paced nature of the hospital environment, nurses need assessment tools that can be readily completed and drive efficient protocol-based treatment. The purpose of this study was to examine psychometric properties of the alcohol withdrawal assessment tool (AWAT).</p><p><strong>Aims: </strong>The aims were to examine AWAT (1) reliability, (2) validity, and (3) usability.</p><p><strong>Methods: </strong>Patients (<i>n</i> = 55) and nurses (<i>n</i> = 47) were recruited from six hospitals within one health care system in the Midwest. Psychometric testing included inter-rater reliability and criterion-related validity testing, using the Clinical Institute Withdrawal Assessment of Alcohol Scale-Revised (CIWA-Ar) as a comparison. Usability was assessed with a 5-item Likert-type scale.</p><p><strong>Results: </strong>Findings supported strong agreement (ICC: .931) between raters on the AWAT and a moderate correlation (Pearson <i>r</i>: .548) between scores on the AWAT and CIWA-Ar. Nurses agreed/strongly agreed that the AWAT took 2 min or less to complete (<i>n</i> = 42; 89%), was easy to use for assessment (<i>n</i> = 42; 89%) was easy to learn (<i>n</i> = 40; 85%), and they were confident using the AWAT (<i>n</i> = 39; 83%).</p><p><strong>Conclusions: </strong>Study findings provide evidence of reliability, validity, and usability of the AWAT in the hospital setting. The AWAT has potential to improve assessment efficiency and nurses caring for inpatients with mental health disorders should consider implementing the tool into practice.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"757-764"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9698335","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
Updates to American Psychiatric Nurses Association: Seclusion and Restraint Position Statement and Standards of Practice. 美国精神科护士协会更新：隔离与约束立场声明和实践标准》。
IF 1.5 4区 医学
Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2023-06-29 DOI: 10.1177/10783903231184200
Evelyn Perkins, Ellen W Blair, Diane E Allen, Lincoln Akre Teal, Pamela E Marcus, Jennifer L Fordmeir
{"title":"Updates to American Psychiatric Nurses Association: Seclusion and Restraint Position Statement and Standards of Practice.","authors":"Evelyn Perkins, Ellen W Blair, Diane E Allen, Lincoln Akre Teal, Pamela E Marcus, Jennifer L Fordmeir","doi":"10.1177/10783903231184200","DOIUrl":"10.1177/10783903231184200","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this discussion paper is to summarize the 2022 updates to the American Psychiatric Nurses Association's (APNA) Seclusion and Restraint Position Statement and Seclusion and Restraint Standards of Practice.</p><p><strong>Method: </strong>Both documents were the work of the APNA 2022 Seclusion and Restraint Task Force that consisted of APNA nurses with expertise in the use of Seclusion and Restraint, who practice across a wide range of clinical settings.</p><p><strong>Results: </strong>The 2022 Updates to the APNA Position Statement and Standards were guided by evidence-based information found in the review of seclusion and restraint literature and clinical expertise from the 2022 Seclusion and Restraint Task Force.</p><p><strong>Conclusions: </strong>Updates were evidence-based and in line with APNA's core values and initiatives in diversity, equity, and inclusion.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"805-809"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9749245","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
Longitudinal Outcomes of Resilience, Quality of Life, and Community Integration in Treatment-Resistant Depression: A Two-Group Matched Controlled Trial. 耐治性抑郁症患者的恢复力、生活质量和社区整合的纵向结果：一项两组匹配的对照试验。
IF 1.5 4区 医学
Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2023-10-30 DOI: 10.1177/10783903231204881
Chia-Yi Wu, Ming-Been Lee, Pham Thi Thu Huong, I-Ming Chen, Hsi-Chung Chen, Min-Hsien Hsieh
{"title":"Longitudinal Outcomes of Resilience, Quality of Life, and Community Integration in Treatment-Resistant Depression: A Two-Group Matched Controlled Trial.","authors":"Chia-Yi Wu, Ming-Been Lee, Pham Thi Thu Huong, I-Ming Chen, Hsi-Chung Chen, Min-Hsien Hsieh","doi":"10.1177/10783903231204881","DOIUrl":"10.1177/10783903231204881","url":null,"abstract":"<p><strong>Background: </strong>Current evidence of nonpharmacological intervention for patients with treatment-resistant depression (TRD) is lacking. AIMS: To examine whether an 8-week nurse-led cognitive-behavioral based group intervention would enhance resilient coping and life quality among community-based patients with TRD.</p><p><strong>Method: </strong>The participants were randomly sampled from a cohort of TRD recruited from two general teaching hospitals. The two groups were assessed with multiple outcome measures at baseline (T<sub>0</sub>); 8-week post-baseline (T<sub>1</sub>); and at 3, 6, and 9 months after T<sub>1</sub> (T<sub>2-4</sub>). Psychoeducation was nested in the cognitive behavioral group intervention to facilitate discussion.</p><p><strong>Results: </strong>Of the 23 participants (mean age 56 years, 69.6% female) in the experimental group, higher resilient coping and lower mental distress levels at T<sub>1</sub> as well as later improved quality of life and community integration at T<sub>2-4</sub> were observed compared to the controls across COVID-19 (T<sub>3</sub>). Overall, the scores of resilience and community integration were higher throughout the four follow-up points of observations for the experimental group.</p><p><strong>Conclusion: </strong>The findings indicated that an 8-week nurse-led cognitive-behavioral based group intervention may enhance the TRD patients' resilient coping and mental distress levels while providing the potentials for community reintegration after mental health psychoeducation engagement. It is imperative for the nurses caring for patients with TRD to extend from clinical-based intervention to community-based self-care approach, with the importance of short-term stress management and healthy lifestyle development highlighted during the community reintegration trajectory.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"765-777"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412760","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
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
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
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
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
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