Nurses' use of pro re nata medication in adult acute mental healthcare settings: An integrative review
This integrative review explores the current pro re nata (PRN) medication practice in acute adult mental health settings. PRN medication is commonly used in acute mental health settings but there is lack of evidence of effectiveness of this practice. PRN medications have a number of adverse effects...
Gespeichert in:
| Veröffentlicht in: | International journal of mental health nursing 2023-10, Vol.32 (5), p.1243-1258 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1258 |
|---|---|
| container_issue | 5 |
| container_start_page | 1243 |
| container_title | International journal of mental health nursing |
| container_volume | 32 |
| creator | Wong, Susanna Müller, Amanda |
| description | This integrative review explores the current pro re nata (PRN) medication practice in acute adult mental health settings. PRN medication is commonly used in acute mental health settings but there is lack of evidence of effectiveness of this practice. PRN medications have a number of adverse effects and increase the risk of morbidity in patients with a mental illness. Articles were identified from MEDLINE, CINAHL, Scopus, PubMed, PsycINFO, and Web of Science database. The STROBE critical appraisal tool was used to evaluate the quality of evidence, and inductive thematic analysis was used to extract main themes. Five themes regarding prescription practices, poor documentation, reasons to administer, medication misuse, and insufficient use of non‐pharmacological interventions emerged among the 12 eligible articles. The study identified PRN medication practice gaps in adult mental health settings included insufficient documentation practice, underuse of therapeutic non‐pharmacological interventions, and significant variability in PRN medication practice across the mental health professionals due to different levels of knowledge and experience. |
| doi_str_mv | 10.1111/inm.13148 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2798710579</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2860290212</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3888-11137fc60325ca1806428741e14b4cf12a3c24c47cd46e392a7f5f5c3241fa733</originalsourceid><addsrcrecordid>eNp1kE1LAzEQhoMoflQP_gEJeFAP2-Zrm6y3UvyCWi96DjGdaGS7q0m2pf_e1KoHwVwmMM-8zDwIHVPSp_kNfDPvU06F2kL7VAhZEC6q7a9_WSjOyR46iPGNECorKnbRHpeElUTyfeSmXYgQz3AXAbcOv4cWB8CNSQbPYeatSb5tsG-wmXV1wsZ2CXKnSabGr2Dq9GpNHoiQkm9e4iUerekELyFPLiCHLTwsD9GOM3WEo-_aQ0_XV4_j22LycHM3Hk0Ky5VSRT6GS2eHhLPSGqrIUDAlBQUqnoV1lBlumbBC2pkYAq-Yka50peVMUGck5z10vsnNd3x0EJOe-2ihrk0DbRc1k5WSlJSyyujpH_St7UKTt9NMDQmrCKMsUxcbyoY2xgBOvwc_N2GlKdFr-TrL11_yM3vyndg9Z3e_5I_tDAw2wNLXsPo_Sd9N7zeRnwDijJE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2860290212</pqid></control><display><type>article</type><title>Nurses' use of pro re nata medication in adult acute mental healthcare settings: An integrative review</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Sociological Abstracts</source><creator>Wong, Susanna ; Müller, Amanda</creator><creatorcontrib>Wong, Susanna ; Müller, Amanda</creatorcontrib><description>This integrative review explores the current pro re nata (PRN) medication practice in acute adult mental health settings. PRN medication is commonly used in acute mental health settings but there is lack of evidence of effectiveness of this practice. PRN medications have a number of adverse effects and increase the risk of morbidity in patients with a mental illness. Articles were identified from MEDLINE, CINAHL, Scopus, PubMed, PsycINFO, and Web of Science database. The STROBE critical appraisal tool was used to evaluate the quality of evidence, and inductive thematic analysis was used to extract main themes. Five themes regarding prescription practices, poor documentation, reasons to administer, medication misuse, and insufficient use of non‐pharmacological interventions emerged among the 12 eligible articles. The study identified PRN medication practice gaps in adult mental health settings included insufficient documentation practice, underuse of therapeutic non‐pharmacological interventions, and significant variability in PRN medication practice across the mental health professionals due to different levels of knowledge and experience.</description><identifier>ISSN: 1445-8330</identifier><identifier>EISSN: 1447-0349</identifier><identifier>DOI: 10.1111/inm.13148</identifier><identifier>PMID: 37025073</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Adults ; Documentation ; Drugs ; Health care ; Health services ; inpatients ; Intervention ; Medical personnel ; Mental disorders ; Mental health ; Mental health professionals ; Mental health services ; Morbidity ; Nurses ; prescriptions ; psychotropic drugs ; Side effects</subject><ispartof>International journal of mental health nursing, 2023-10, Vol.32 (5), p.1243-1258</ispartof><rights>2023 The Authors. published by John Wiley & Sons Australia, Ltd.</rights><rights>2023 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3888-11137fc60325ca1806428741e14b4cf12a3c24c47cd46e392a7f5f5c3241fa733</citedby><cites>FETCH-LOGICAL-c3888-11137fc60325ca1806428741e14b4cf12a3c24c47cd46e392a7f5f5c3241fa733</cites><orcidid>0000-0002-8726-8231</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Finm.13148$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Finm.13148$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,33751,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37025073$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wong, Susanna</creatorcontrib><creatorcontrib>Müller, Amanda</creatorcontrib><title>Nurses' use of pro re nata medication in adult acute mental healthcare settings: An integrative review</title><title>International journal of mental health nursing</title><addtitle>Int J Ment Health Nurs</addtitle><description>This integrative review explores the current pro re nata (PRN) medication practice in acute adult mental health settings. PRN medication is commonly used in acute mental health settings but there is lack of evidence of effectiveness of this practice. PRN medications have a number of adverse effects and increase the risk of morbidity in patients with a mental illness. Articles were identified from MEDLINE, CINAHL, Scopus, PubMed, PsycINFO, and Web of Science database. The STROBE critical appraisal tool was used to evaluate the quality of evidence, and inductive thematic analysis was used to extract main themes. Five themes regarding prescription practices, poor documentation, reasons to administer, medication misuse, and insufficient use of non‐pharmacological interventions emerged among the 12 eligible articles. The study identified PRN medication practice gaps in adult mental health settings included insufficient documentation practice, underuse of therapeutic non‐pharmacological interventions, and significant variability in PRN medication practice across the mental health professionals due to different levels of knowledge and experience.</description><subject>Adults</subject><subject>Documentation</subject><subject>Drugs</subject><subject>Health care</subject><subject>Health services</subject><subject>inpatients</subject><subject>Intervention</subject><subject>Medical personnel</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health professionals</subject><subject>Mental health services</subject><subject>Morbidity</subject><subject>Nurses</subject><subject>prescriptions</subject><subject>psychotropic drugs</subject><subject>Side effects</subject><issn>1445-8330</issn><issn>1447-0349</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1kE1LAzEQhoMoflQP_gEJeFAP2-Zrm6y3UvyCWi96DjGdaGS7q0m2pf_e1KoHwVwmMM-8zDwIHVPSp_kNfDPvU06F2kL7VAhZEC6q7a9_WSjOyR46iPGNECorKnbRHpeElUTyfeSmXYgQz3AXAbcOv4cWB8CNSQbPYeatSb5tsG-wmXV1wsZ2CXKnSabGr2Dq9GpNHoiQkm9e4iUerekELyFPLiCHLTwsD9GOM3WEo-_aQ0_XV4_j22LycHM3Hk0Ky5VSRT6GS2eHhLPSGqrIUDAlBQUqnoV1lBlumbBC2pkYAq-Yka50peVMUGck5z10vsnNd3x0EJOe-2ihrk0DbRc1k5WSlJSyyujpH_St7UKTt9NMDQmrCKMsUxcbyoY2xgBOvwc_N2GlKdFr-TrL11_yM3vyndg9Z3e_5I_tDAw2wNLXsPo_Sd9N7zeRnwDijJE</recordid><startdate>202310</startdate><enddate>202310</enddate><creator>Wong, Susanna</creator><creator>Müller, Amanda</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8726-8231</orcidid></search><sort><creationdate>202310</creationdate><title>Nurses' use of pro re nata medication in adult acute mental healthcare settings: An integrative review</title><author>Wong, Susanna ; Müller, Amanda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3888-11137fc60325ca1806428741e14b4cf12a3c24c47cd46e392a7f5f5c3241fa733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adults</topic><topic>Documentation</topic><topic>Drugs</topic><topic>Health care</topic><topic>Health services</topic><topic>inpatients</topic><topic>Intervention</topic><topic>Medical personnel</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental health professionals</topic><topic>Mental health services</topic><topic>Morbidity</topic><topic>Nurses</topic><topic>prescriptions</topic><topic>psychotropic drugs</topic><topic>Side effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, Susanna</creatorcontrib><creatorcontrib>Müller, Amanda</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of mental health nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wong, Susanna</au><au>Müller, Amanda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nurses' use of pro re nata medication in adult acute mental healthcare settings: An integrative review</atitle><jtitle>International journal of mental health nursing</jtitle><addtitle>Int J Ment Health Nurs</addtitle><date>2023-10</date><risdate>2023</risdate><volume>32</volume><issue>5</issue><spage>1243</spage><epage>1258</epage><pages>1243-1258</pages><issn>1445-8330</issn><eissn>1447-0349</eissn><abstract>This integrative review explores the current pro re nata (PRN) medication practice in acute adult mental health settings. PRN medication is commonly used in acute mental health settings but there is lack of evidence of effectiveness of this practice. PRN medications have a number of adverse effects and increase the risk of morbidity in patients with a mental illness. Articles were identified from MEDLINE, CINAHL, Scopus, PubMed, PsycINFO, and Web of Science database. The STROBE critical appraisal tool was used to evaluate the quality of evidence, and inductive thematic analysis was used to extract main themes. Five themes regarding prescription practices, poor documentation, reasons to administer, medication misuse, and insufficient use of non‐pharmacological interventions emerged among the 12 eligible articles. The study identified PRN medication practice gaps in adult mental health settings included insufficient documentation practice, underuse of therapeutic non‐pharmacological interventions, and significant variability in PRN medication practice across the mental health professionals due to different levels of knowledge and experience.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37025073</pmid><doi>10.1111/inm.13148</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0002-8726-8231</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1445-8330 |
| ispartof | International journal of mental health nursing, 2023-10, Vol.32 (5), p.1243-1258 |
| issn | 1445-8330 1447-0349 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2798710579 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library Journals Frontfile Complete; Sociological Abstracts |
| subjects | Adults Documentation Drugs Health care Health services inpatients Intervention Medical personnel Mental disorders Mental health Mental health professionals Mental health services Morbidity Nurses prescriptions psychotropic drugs Side effects |
| title | Nurses' use of pro re nata medication in adult acute mental healthcare settings: An integrative review |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T17%3A22%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Nurses'%20use%20of%20pro%20re%20nata%20medication%20in%20adult%20acute%20mental%20healthcare%20settings:%20An%20integrative%20review&rft.jtitle=International%20journal%20of%20mental%20health%20nursing&rft.au=Wong,%20Susanna&rft.date=2023-10&rft.volume=32&rft.issue=5&rft.spage=1243&rft.epage=1258&rft.pages=1243-1258&rft.issn=1445-8330&rft.eissn=1447-0349&rft_id=info:doi/10.1111/inm.13148&rft_dat=%3Cproquest_cross%3E2860290212%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2860290212&rft_id=info:pmid/37025073&rfr_iscdi=true |