患者参与司法精神病护理中的康复药物:对患者和护士的访谈研究

IF 1.3 4区 医学 Q3 CRIMINOLOGY & PENOLOGY
K. Hipp, M. Kangasniemi
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引用次数: 4

摘要

摘要Pro-renata(PRN,根据需要)药物通常用于法医精神病住院治疗,但对患者参与其处方和管理知之甚少。本研究描述了在法医精神病住院治疗中患者参与PRN药物治疗的情况。数据是在采访芬兰一家法医精神病医院的34名住院患者和19名注册护士时收集的。数据经过归纳内容分析。我们发现,患者参与PRN与患者的个人需求和健康状况有关,PRN的使用涉及病房社会背景下的私人决策。PRN是日常护理的一个组成部分,它涉及三个利益相关者,即患者、护士和医生;然而,患者在此次合作中的作用尚不明确。PRN的给药事件是多种形式的,取决于患者和护士对PRN需求的一致程度。未来,应更多地关注如何激励患者,为他们提供参与PRN规划的平等机会,并优化共享决策,以便将患者和护士的专业知识用于PRN的管理和评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient Participation in Pro Re Nata Medication in Forensic Psychiatric Care: Interview Study with Patients and Nurses
Abstract Pro re nata (PRN, as-needed) medication is commonly used in forensic psychiatric inpatient care, but little is known about the participation of patients in its prescription and administration. This study describes patient participation in PRN medication treatment in forensic psychiatric inpatient care. Data were collected during interviews with 34 inpatients and 19 registered nurses in a Finnish forensic psychiatric hospital. The data underwent inductive content analysis. We found that patient participation in PRN was related to patients’ individual needs and health conditions, and the use of PRN involved private decisions made in the social context of the ward. PRN was an integrated part of daily care, and it involved three stakeholders, namely patients, nurses, and physicians; however, the role of patients in this collaboration was undefined. The administration events for PRN were multiform, and depended on the level of agreement between patients and nurses on the need for PRN. In the future, more attention should be paid to how to motivate patients and provide them with equal opportunities to be involved in the planning of PRN, and to optimize shared decision making so that the expertise of both patients and nurses is utilized in the administration and evaluation of PRN.
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来源期刊
CiteScore
2.80
自引率
7.10%
发文量
24
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