A structured observation of the interaction between nurses and patients during the administration of medication in an acute mental health unit

Duxbury, Joy; Wright, Karen; Hart, Anna; Bradley, Diane; Roach, Pamela; Harris, Neil; Carter, Bernie

doi:10.1111/j.1365-2702.2010.03291.x

Cited by 15 publications

(38 citation statements)

References 32 publications

(58 reference statements)

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“…), we found that nurses stated that sometimes, patients have a lack of motivation and willingness to take personal responsibility for their medical treatment (Duxbury et al . ). Some patients placed their trust on professionals’ qualifications and expected them to make decisions on their behalf (Baker et al .…”

Section: Resultsmentioning

confidence: 97%

“…It has also been observed that in 75% of medication round instances, nurses checked that they have understood the patients’ perspective (Duxbury et al . ). However, patients have reported that professionals can prompt PRN use and that their point of view is not always considered (Cleary et al .…”

Section: Resultsmentioning

confidence: 97%

“…One study reported its findings that nurses only checked that patients consent in 25% of cases during medication rounds (Duxbury et al . ) and an interview study found that only three of the 40 patients the researchers spoke to had been asked for their consent for PRN (Cleary et al . ).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Patient participation in pro re nata medication in psychiatric inpatient settings: An integrative review

Hipp

Kuosmanen

Repo-Tiihonen

et al. 2017

Int J Mental Health Nurs

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Pro re nata (PRN) medication is widely used and studied in psychiatric care, but our knowledge about patient participation in its administration is fragmented. The aim of this integrative review was to describe and synthesize previous knowledge of patient participation in PRN in psychiatric inpatient settings. We conducted both electronic and manual searches, using the CINAHL, Scopus, PsycINFO, and PubMed databases, and eight scientific journals. Searches were limited to the English language, to the years 2006-2016, and to selected papers using inclusion, exclusion, and quality criteria. We identified 16 relevant papers, and these showed that patient participation included patient-related starting points, including the patients' willingness to participate and their knowledge of the medication. The patients' participation in PRN practices was demonstrated by the opportunity to request PRN and to refuse any PRN that was offered. Patient participation was shown to be linked to certain situations where PRN was recommended. The role that the professionals played in patient participation included interacting with patients, providing counselling and alternatives for PRN. Our results also revealed that coercion was used administering PRN. The existing literature exposed challenges that need to be addressed if patient participation in the use of PRN medication is to be effectively achieved in psychiatric inpatient settings. Equal partnerships between patients, nurses, and physicians are an essential part of this process, and further research into PRN medication is urgently needed, particularly studies that focus on patients' experiences.

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 97%

See 1 more Smart Citation

Patient participation in pro re nata medication in psychiatric inpatient settings: An integrative review

Hipp

Kuosmanen

Repo-Tiihonen

et al. 2017

Int J Mental Health Nurs

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“…Service users have also identified lack of information about drugs they have been prescribed (Happell et al, 2004;Duxbury et al, 2010b), and this may be attributable, in part, to MHNs feeling they have insufficient knowledge to discuss psychotropic medication. Lack of knowledge of psychotropics has also been identified as a potential cause of medicine administration error (Hemingway et al 2014b).…”

Section: Pharmacology Workbookmentioning

confidence: 99%

“…Contributing to this poor medication literacy is mental health nurses' (MHNs) failure to provide consistent medication information and education to service users when undertaking medication management (MM) interventions (Happell et al, 2004;Duxbury et al, 2010a). Another concerning influence is medicine errors by MHNs, where, for example, busy, environmentally distracting wards, may negate their ability to concentrate on the task of administering medicines (Duxbury et al, 2010b). MHNs' lack of knowledge of psychotropic medicines can also increase the potential for errors to occur (Hemingway et al, 2014b).…”

Section: Introductionmentioning

confidence: 99%

Can student mental health nurses be prepared for medicines management?

Hemingway

2014

Nurse Prescribing

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Stakeholders views of medicines administration by pharmacy technicians on mental health inpatient wards

2019

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Background The involvement of pharmacy technicians in medicines administration has been highlighted as an opportunity to enhance medicines management support for nurses and service users. Currently, there is no published evidence around this development within psychiatry. Objective To explore the perceptions of key stakeholders toward the feasibility and acceptability of pharmacy technician-led medicines administration within a mental health inpatient setting. Setting Ten acute adult and older-adult wards across five inpatient units within one UK mental health provider. Method Stratified purposeful sampling was used to recruit participants from primary (pharmacy technician, nurse and service user) and secondary (pharmacist, doctor and senior manager) stakeholder groups. One-to-one, semi-structured interviews were audio recorded, transcribed and analysed thematically using Framework analysis. Main Outcome Measure Themes arising from perspectives of stakeholders concerning the feasibility and acceptability of pharmacy technician-led medicines administration. Results Twenty participants were recruited, including twelve primary stakeholders. Attitudes towards implementation were favourable overall. Anticipated risks included de-skilling of nurses around medicines and a potentially detrimental impact on the nurse-patient therapeutic relationship; these were contrasted by potential benefits including the release of nurse time and medicines education opportunities with staff and service users. Conclusion Technician-led medicines administration was perceived as a feasible service, potentially bringing opportunities for medicines optimisation and released nursing time to care. These findings may be a source of guidance for policymakers and researchers who wish to explore the development of such services. Further exploration of safety and effectiveness is required, particularly within mental health settings.

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A structured observation of the interaction between nurses and patients during the administration of medication in an acute mental health unit

Abstract: The Ward Administration of Medication Schedule can be used as a clinical or educational tool in the administration of medication. In both instances, it may be self-administered and used to reflect on personal skills or employed as an observational tool during peer review and audit.

Cited by 15 publications

References 32 publications

Patient participation in pro re nata medication in psychiatric inpatient settings: An integrative review

Patient participation in pro re nata medication in psychiatric inpatient settings: An integrative review

Can student mental health nurses be prepared for medicines management?

Stakeholders views of medicines administration by pharmacy technicians on mental health inpatient wards

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