Forskrivning, bruk og dokumentasjon av effekt

Rønningen, Stine Wang; Bakken, Kjersti; Granås, Anne Gerd

doi:10.4220/sykepleienf.2013.0005

Cited by 2 publications

(4 citation statements)

References 43 publications

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Section: Description Of the Selected Studiesmentioning

confidence: 99%

“…The selected studies comprised three studies from Australia [37,43,44], one from the USA [38], one from Norway [39], one from Canada [40], and two from Germany [41,42]. They were all published in English except one that was in Norwegian [39]. Most studies used quantitative methods, including cross-sectional surveys [37,39,41,42,44], a secondary analysis of a prospective cohort [40], and a prospective longitudinal intervention study [43].…”

Section: Description Of the Selected Studiesmentioning

confidence: 99%

“…They were all published in English except one that was in Norwegian [39]. Most studies used quantitative methods, including cross-sectional surveys [37,39,41,42,44], a secondary analysis of a prospective cohort [40], and a prospective longitudinal intervention study [43]. There was one qualitative study of interviews and documentations [38].…”

Section: Description Of the Selected Studiesmentioning

confidence: 99%

“…In addition, variations in reporting PRN medications in terms of percentages and means hindered comparison of the studies' findings and derivation of a single overall figure. Prevalence ranged from 1.1% of prescriptions [39] to 35.9% of prescriptions [42], depending on residents' underlying conditions. Additionally, a few studies provided data on the actual administration of prescribed PRN medications, rather than prescriptions.…”

Section: Prevalence and Type Of Prn Prescription And Administrationmentioning

confidence: 99%

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PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review

et al. 2019

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Many medications are prescribed and administered PRN (pro re nata, as needed). However, there are few integrative reviews to inform PRN psychotropic medication use in long-term care facilities and nursing or care homes. Accordingly, this integrative systematic review aimed to improve our understanding of PRN medicines management with a focus on psychotropic medications (antipsychotics, sedatives, anxiolytics, and hypnotics) in long-term care settings. Keywords relating to PRN in English, Norwegian, and Spanish were used, and articles published between 2009 and 2019 were retrieved. Based on the inclusion criteria, eight articles were used for data analysis and synthesis. This review offers a description of PRN prescription and administration of psychotropic medications in long-term care. Variations were observed in the management of PRN psychotropic medications based on residents’ underlying health conditions and needs, duration of use, and changes between medications and doses. Neither the reasons for PRN prescription and administration nor the steps taken to identify and manage any associated adverse reactions or adverse drug events were reported. Further initiatives are needed to improve PRN medicines management to explore factors that affect PRN prescription and administration and to develop appropriate PRN guidelines to prevent harm and improve the safety of people living in long-term care facilities.

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Section: Description Of the Selected Studiesmentioning

confidence: 99%

Section: Description Of the Selected Studiesmentioning

confidence: 99%

Section: Description Of the Selected Studiesmentioning

confidence: 99%

Section: Prevalence and Type Of Prn Prescription And Administrationmentioning

confidence: 99%

See 2 more Smart Citations

PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review

et al. 2019

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Nurses’ knowledge sources when making decisions involving pro re nata medication in sheltered housings for older people: A qualitative descriptive study

Nilsen

Sletvold

Olsen

2022

Nordic Journal of Nursing Research

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Although pro re nata medications (PRNM) are widely used among older patients in long-term care, current knowledge about nurses’ PRNM management is scarce. The study aim was to describe which knowledge sources nurses working in sheltered housing for older people use when making decisions regarding PRNM. This was a qualitative interview study with registered nurses ( n = 4) and assistant nurses ( n = 4) working in sheltered housings in mid and eastern Norway. Data analysis was based on qualitative and abductive content analysis, where evidence-based practice (EBP) was used in the abduction. The COREQ checklist was followed. Several knowledge sources are used when making decisions regarding PRNM, that represent the four elements of EBP. ‘Practitioner experience and judgement’ was a prominent source of knowledge among the nurses, while ‘Evaluated external evidence’ was less emphasized in PRNM decision-making. The results support previous research on EBP in nursing, and bring new knowledge regarding PRNM in the context of sheltered housing. To achieve appropriate and safe management of PRNM, there is a need to support nurses’ decision-making process, e.g. through PRNM guidelines and systems for documentation and information exchange. EBP in PRNM decision processes should be given attention, utilizing all elements including ‘Evaluated external evidence’ as a knowledge source.

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Forskrivning, bruk og dokumentasjon av effekt

Cited by 2 publications

References 43 publications

PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review

PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review

Nurses’ knowledge sources when making decisions involving pro re nata medication in sheltered housings for older people: A qualitative descriptive study

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