Staff and patient accounts of PRN medication administration and non-pharmacological interventions for anxiety

International Journal of Mental Health Nursing
Krystle MartinN Zoe Hilton

Abstract

Most psychiatric inpatients will receive psychotropic PRN medication during their hospital stay for agitation, anxiety, and/or insomnia. While helpful in some cases, caution is warranted with regard to PRN use due to inherent risks of additional medication; therefore, experts advise that non-pharmacological interventions should be attempted first where indicated. However, research to date highlights that, in practice, non-pharmaceutical approaches are attempted in a minority of cases. While some information is known about the practice of PRN administration and the use of and barriers to implementing non-pharmacological interventions for treating acute psychiatric symptoms, full understanding of this practice is hampered by poor or altogether missing documentation of the process. This study used interviews with patients and staff from two psychiatric hospitals to collect first-person accounts of administering PRN medication for anxiety, thereby addressing the limitations of relying on documented notation found in previous research. Our results indicate that nurses are engaging in non-pharmacological interventions more often than had previously been captured in research. However, the types of strategies suggested are not typicall...Continue Reading

References

Mar 23, 1999·JAMA : the Journal of the American Medical Association·C M MorinD Brink
Mar 13, 2001·New Directions for Mental Health Services·R H Hunter
Sep 13, 2002·The Australian and New Zealand Journal of Psychiatry·Josh GeffenLaurence Geffen
Oct 29, 2002·Patient Education and Counseling·Julie BarlowJenny Hainsworth
Jul 19, 2003·Contemporary Nurse·Kim UsherLauretta Luck
Nov 17, 2004·Journal of Psychiatric and Mental Health Nursing·J A Duxbury, J Baker
Sep 9, 2005·Psychiatric Services : a Journal of the American Psychiatric Association·Dennis C Donat
Jul 10, 2008·The Australian and New Zealand Journal of Psychiatry·Michael F Hilton, Harvey A Whiteford
Mar 18, 2009·Journal of Advanced Nursing·Kim UsherBelinda Stocks
May 23, 2009·Journal of Psychiatric Practice·Anil Srivastava
Jan 16, 2010·International Journal of Mental Health Nursing·Joy A DuxburyPamela Barnes
Mar 31, 2010·Journal of Psychosocial Nursing and Mental Health Services·Kathleen S CummingsCraig M Coldwell
Jan 5, 2011·International Journal of Mental Health Nursing·Andrea McCloughenLouise O'Brien
Feb 16, 2011·Behaviour Research and Therapy·Jon VøllestadGeir Høstmark Nielsen
Mar 24, 2012·Journal of the American Psychiatric Nurses Association·Pamela L Lindsey, Kathleen C Buckwalter
May 16, 2012·International Journal of Mental Health Nursing·Michelle ClearyGlenn E Hunt
Jul 18, 2012·Journal of Psychosocial Nursing and Mental Health Services·Luke MolloyDouglas Holmes
Aug 7, 2012·International Journal of Mental Health Nursing·Duncan StewartLen Bowers
Sep 28, 2012·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Theresa NovakTimothy Clarke
Jan 10, 2013·Depression and Anxiety·Gordon J G AsmundsonJasper A J Smits
Oct 24, 2013·Depression and Anxiety·Carolin M WirtzMatthias Berking
Feb 26, 2014·International Psychogeriatrics·Camilla Haw, Lindsey Wolstencroft
Nov 3, 2016·International Journal of Mental Health Nursing·Krystle MartinRenee Tremblay
Mar 2, 2017·International Journal of Mental Health Nursing·Krystle MartinRenee Tremblay

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Citations

Jan 3, 2020·Journal of Psychosocial Nursing and Mental Health Services·Kathleen R Delaney
Oct 22, 2020·Journal of Psychiatric and Mental Health Nursing·Kirsi HippMari Kangasniemi
Oct 30, 2020·Pharmacy : Journal of Pharmacy, Education and Practice·Mojtaba VaismoradiManela Glarcher
May 25, 2021·The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmières·Krystle Martin, Rosemary Ricciardelli

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