Home Based Treatment Team, Ballyfermot/Lucan Community Mental Health Service Primary, Care Centre, Ballyfermot, Dublin, Ireland.
Home Based Treatment Team, Tallaght Mental Health Service, Dublin, Ireland.
Issues Ment Health Nurs. 2021 Jul;42(7):660-666. doi: 10.1080/01612840.2020.1820120. Epub 2020 Sep 29.
Prescribing in mental health nursing in the Republic of Ireland is still an unusual occurrence and despite an uptake in prescriber training, this does not often translate to practice. Recent Irish research, however, has identified that nurse prescribing when offered, is perceived to enhance care and offer better delivery of services. Since the legislation was introduced in the Republic of Ireland to enable nurses and midwives to prescribe in May 2007, there are now 1,123 nurses registered to prescribe medication. Mental health nurses, however, do not tend to be a priority when it comes to training in prescribing; in the UK it took two years after nurse prescribing was rolled out to extend the scheme to mental health nursing. Although nurse and other professional perspectives explored this topic, there is limited research specifically detailing the experience of service users in long term care who are prescribed by mental health nurse practitioners in a home care setting. This research follows a qualitative exploratory research design using thematic analysis to explore service user (n = 12) experiences of mental health nurse prescribing. The following four themes emerged from the analysis: 'empowerment and trust'; 'person-centered care'; 'time and flexibility' and 'collaborative approach'. Results indicate a positive and rich experience of nurse prescribing, which facilitate a more trusting, holistic and autonomous therapeutic relationship. Future research looking at other issues relating to medication including reduction and support for coming off where appropriate is recommended.
在爱尔兰共和国，精神科护理中的处方仍然是不常见的现象，尽管已经有越来越多的人接受了处方培训，但这并不总是能转化为实践。然而，最近的爱尔兰研究表明，提供护士处方被认为可以增强护理并提供更好的服务交付。自 2007 年 5 月爱尔兰共和国引入立法，使护士和助产士能够开处方以来，现在已有 1123 名护士注册开处方。然而，在开处方培训方面，精神科护士往往不是优先考虑的对象；在英国，在推出护士处方两年后，才将该计划扩大到精神科护理。尽管有护士和其他专业人士探讨了这个话题，但关于在家庭护理环境中由精神科护士从业者为长期护理的服务使用者开处方的具体经验，研究有限。这项研究采用定性探索性研究设计，使用主题分析来探索服务使用者（n=12）在精神科护士开处方方面的体验。分析得出了以下四个主题：“赋权和信任”；“以患者为中心的护理”；“时间和灵活性”和“协作方法”。结果表明，护士开处方的体验积极而丰富，促进了更信任、更全面和更自主的治疗关系。建议未来进行其他与药物相关的研究，包括在适当的情况下减少和支持停药。
