Supplementary prescribing: a new way of working for psychiatrists and nurses

Harborne, Giles; Jones, Adrian

doi:10.1192/pb.bp.107.016311

Cited by 9 publications

(15 citation statements)

References 6 publications

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“…Some have argued that nurse prescribing has been a deliberate ploy to dismantle the power and professional remit of medical staff. SP has led to an extended role for nursing staff and has led to interesting and novel ways to deliver inpatient care (Harborne & Jones 2008). The art and science of prescribing takes on tasks such as diagnosis, treatment and formulation, and these tasks are still seen as the remit of doctors.…”

Section: Resultsmentioning

confidence: 99%

“…The practical application of SP is beginning to be clearly documented. Case studies have been written describing a process of how SP could be used in hospital settings for people with bipolar disorder and schizophrenia (Jones & Harborne 2005, Harborne & Jones 2008, Jones & Jones 2008). The National Prescribing Center (2005) has also outlined how SP could be used across a range of community settings and has provided good practice examples of how nurses could be supported in practice.…”

Section: Introductionmentioning

confidence: 99%

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Independent mental health nurse prescribing

Jones

Harborne²

2009

Psychiatric Ment Health Nurs

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Independent prescribing (IP) is a new form of prescriptive authority for mental health services. Very little is known about where IP is being implemented and factors to support or constrain its adoption. An opportunistic sample of 119 respondents made up of nurses, doctors, support workers, occupational therapists and social workers completed an online survey. The sample worked in adult, old age and substance misuse services. Hospital wards and community mental health teams were identified as the highest ranked areas for implementation. A total of 68% of the sample identified pharmacology as the area for further training. And 40% of the sample felt that IP had been introduced to make services more effective. This opportunistic sample supported IP as a means to offer greater patient choice and as a method to broaden the boundaries of nursing practice. Integral to this development is the link between the psychiatrist and IP nurse in terms of work allocation and supervision.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Independent mental health nurse prescribing

Jones

Harborne²

2009

Psychiatric Ment Health Nurs

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“…There was no statistically signi cant difference in the JOA and VAS scores between the two groups, p>0.05. An integrated management model of the whole course enables CDH patients to receive percutaneous endoscopic treatment and obtain effects consistent with the classical surgical procedure while avoiding or signi cantly reducing the complications associated with that approach; it also improves the patient compliance rate, signi cantly reduces the length of hospital stay, and reduces the recurrence rate of symptoms [32][33][34] . Through the integrated management of the whole course, we can promote the consistency of medical and health education, improve the compliance of CDH patients so that they actively cooperate with the treatment, cultivate and maintain good living and work habits, and strengthen awareness of maintaining the health of the cervical spine [3,14,24].…”

Section: Discussionmentioning

confidence: 99%

“…Its wide application in the clinic still needs to be explored. In addition, considering the rehabilitation needs of different diseases, for some special patients, the whole-process integrated management model can be extended to cooperation with dietitians, rehabilitators, pharmacists and other multi-professional personnel to discuss and optimize the management plan for the rehabilitation of patients during hospitalization and after discharge [33][34][35] .…”

Section: Discussionmentioning

confidence: 99%

Analysis of compliance and efficacy of integrated management of whole process in the choice of percutaneous full-endoscopic surgery for patients with cervical disc herniation

Jiang

Wang

et al. 2020

Preprint

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Background: Percutaneous spinal endoscopy is a new type of surgery for the treatment of cervical disc herniation. It can avoid the complications of the classic anterior cervical discectomy and fusion (ACDF) approach and the risk of adjacent spondylosis. How can we effectively improve patients' awareness of spinal endoscopy and their election of endoscopic techniques?Objective: To analyze the compliance and clinical effect of the integrated management of the whole process in the choice of percutaneous full-endoscopic surgery for patients with cervical disc herniation.Methods: Retrospective analysis of 72 patients with cervical disc herniation undergoing surgery in our hospital from August 2015–August 2017 was performed. The whole-process integrated management model was used for all the patients. The 36 patients in the experimental group were treated by percutaneous full-endoscopic cervical discectomy, and the 36 patients in the control group were treated by ACDF. The postoperative feeding time, time to get out of bed, length of hospital stay, compliance, clinical efficacy, and recurrence rate of neck pain were observed. Changes between the preoperative and postoperative pain visual analog scale (VAS) scores and neurological function Japan Orthopaedic Association (JOA) scores were assessed.Results: The postoperative feeding time in the experimental group was 8.319 ± 1.374 hours, the postoperative time to get out of bed was 16.64 ± 3.728 hours, and the hospitalization time was 6.403 ± 0.735 days. The excellent and good clinical efficacy rate was 91.67%, the compliance rate was 88.89%, and the neck pain recurrence rate was 5.56%. The postoperative feeding time in the control group was 26.56 ± 9.512 hours, the postoperative time to get out of bed was 45.06 ± 9.027 hours, and the length of hospital stay was 8.208 ± 0.865 days. The excellent and good clinical efficacy rate was 88.89%, the compliance rate was 69.4%, and the neck pain recurrence rate was 8.33%. There was no significant difference between the two groups in the excellent efficacy rate and the neck pain recurrence rate, p>0.05. The compliance rate in the experimental group was better than that in the control group, and the difference was statistically significant, p<0.05. The hospitalization time of the experimental group was significantly lower than that of the control group, and the difference was statistically significant, p<0.05. The postoperative VAS scores and JOA scores of the two groups were significantly better than the preoperative scores, and the difference was statistically significant, p<0.05; there was no significant difference between the two groups, p>0.05.Conclusion: The integrated management of the whole course can effectively improve the compliance of patients with cervical disc herniation receiving endoscopic treatment, yield the same treatment effect as the classic operation, shorten the hospitalization time, speed up the turnover of hospital beds, and improve satisfaction with medical quality and is worthy of clinical application.

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“…They play a plethora of roles ranging from that of a case manager to a source of compassionate support in the therapeutic process. [1] Over the years, choice of psychiatry as a profession has been found to be low among undergraduate nursing students. [23] Internationally, the shortage of psychiatry nurses is attributed to negative attitudes of nursing students toward mental illness and the subsequent decision to elect out of psychiatric placements.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of attitudes toward psychiatry among nursing students across successive training years

Balhara¹,

Mathur²

2013

Indian J Psychol Med

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Context:Psychiatry nurses are an integral component of a multidisciplinary mental health-care team.Aim:The current study aimed at understanding the attitude of undergraduate nursing students toward psychiatry. Additionally, the attitudes toward psychiatry have been compared across the training years among these students.Materials and Methods:The study was carried out at a tertiary care nurse-training institute. All the nursing students enrolled with the institute at the time of the study constituted the sample frame. The study questionnaire used in the current study was a 29-item questionnaire that assessed attitudes toward psychiatry.Statistical Analysis:The data were analyzed using SPSS ver 17.Results:Overall, the majority of the nursing students from all four groups had a favorable response to the statements of the Likert scale. Most of the significantly positive responses (as assessed by the Kruskal-Wallis analysis of variance of the rank order) were from the third-year and internship students. These findings were supported by the significant correlation between these statements and ranked order of the nurse-training years.Conclusions:The findings of the current study present some interesting insights into the attitude of nursing students toward psychiatry.

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Supplementary prescribing: a new way of working for psychiatrists and nurses

Cited by 9 publications

References 6 publications

Independent mental health nurse prescribing

Independent mental health nurse prescribing

Analysis of compliance and efficacy of integrated management of whole process in the choice of percutaneous full-endoscopic surgery for patients with cervical disc herniation

A comparative study of attitudes toward psychiatry among nursing students across successive training years

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