The Administration of Pro re nata Medication by Mental Health Nurses: A Thematic Analysis.

This study aimed to explore the process of PRN medication administration by mental health nurses. Using a qualitative descriptive design, semi-structured interviews were undertaken with 19 mental health nurses in three acute inpatient units in one mental health service in Ireland. Most participants reported undertaking an assessment of the patient before administering PRN medication; however, many also reported having observed incidents of poor practice. There was evidence of some interdisciplinary sensitivities around instructions regarding the use of PRN medications between doctors who prescribed them and nurses who dispensed them. A need for service improvements were also identified including the use of alternative strategies to PRN use such as de-escalation techniques and education around psychopharmacology. PRN medication is commonly used in mental health settings; however, this study suggests that there is potential for improvement in relation to how it is prescribed and administered. Overuse of PRN medication has been associated with increased morbidity. Mental health nurses are required to carefully consider whether PRN medication is warranted in the first instance and how its use might impact on patients. PMID: 30917088 [PubMed - as supplied by publisher]
Source: Issues in Mental Health Nursing - Category: Nursing Tags: Issues Ment Health Nurs Source Type: research

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Source: Express Scripts _____ Express Scripts Launches First Digital Health Formulary for Apps &Devices (HIT Consultant): “Starting in January 2020, Express Scripts Digital Health Formulary will initially include 15 solutions for remote monitoring services and digital therapeutics that aid in the management of eight of the country’s most common chronic conditions: diabetes, prediabetes, hypertension, asthma, pulmonary disease, depression, anxiety, and insomnia … Participating health plans and employers can increase patients’ access to emerging products and technologies simply and affordably and...
Source: SharpBrains - Category: Neuroscience Authors: Tags: Cognitive Neuroscience Health & Wellness Technology anxiety cognitive-behavioral-therapy depression digital health Digital Health Formulary digital therapeutics Express Scripts insomnia Learn to Live SilverCloud Source Type: blogs
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Conditions:   Psychiatric Disorder;   Depression;   Anxiety Disorders;   Insomnia Interventions:   Behavioral: Internet-delivered cognitive behavioral therapy for major depressive disorder;   Behavioral: Internet-delivered cognitive behavioral therapy for insomnia;   Behavioral: Internet-delivered cognitive behavioral therapy for health anxiety disorder Sponsor:   Karolinska Institutet Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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Source: Psychiatric Quarterly - Category: Psychiatry Source Type: research
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Source: Saude e Sociedade - Category: International Medicine & Public Health Source Type: research
DiscussionThe study results will be used to clarify the effectiveness and elucidate the mechanism by which acupuncture improves sleep quality in patients with insomnia disorder.Trial registrationChinese Clinical Trials Register,ChiCTR1800015282. Registered on 20 March 2018.
Source: Trials - Category: Research Source Type: clinical trials
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Source: Cancer Nursing - Category: Nursing Tags: ARTICLES Source Type: research
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Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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