Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.
Int J Older People Nurs. 2021 Jan;16(1):e12350. doi: 10.1111/opn.12350.
Behavioural and psychological symptoms of dementia occur in approximately 75% of people with dementia admitted to acute care. Acute care nurses' decision-making regarding administering 'as needed' (pro re nata or PRN) psychotropic medications to persons with dementia are not well understood. This is an important clinical concern because 'as needed' medications are given at the discretion of the nurse. A comprehensive, systematic search and screen for studies that explored nurses' decision-making related to administering as needed psychotropic medication to persons with dementia in acute care settings was conducted. No studies that reported nurses' decision-making related to administration of as needed psychotropic medications to hospitalized persons with dementia were identified. In light of this, we present a discussion based on a narrative review of what is known on this topic from other settings, based on papers found in our original review. We will briefly explore what is needed in future research to address the gap in knowledge about nurse' decision-making related to administering as needed psychotropic medications. IMPLICATIONS FOR PRACTICE: Research is needed to understand and inform the decision-making process in the administration of as needed psychotropic medications to hospitalized persons with dementia.
痴呆的行为和心理症状发生在大约 75%被收住在急性护理病房的痴呆患者中。急性护理护士在决定是否给痴呆患者开“按需”（即释或 PRN）精神药物时，他们的决策过程并不被人们所理解。这是一个重要的临床问题，因为“按需”药物是由护士自行决定给予的。我们进行了一次全面、系统的搜索和筛选，以寻找探索急性护理环境中护士在给痴呆患者开“按需”精神药物方面的决策的研究。没有发现报告与给住院痴呆患者开“按需”精神药物相关的护士决策的研究。鉴于此，我们根据从我们原始综述中找到的论文，基于其他环境中关于该主题的已知内容，进行了一个基于叙述性综述的讨论。我们将简要探讨未来研究中需要解决有关护士在给住院痴呆患者开“按需”精神药物方面的决策方面的知识空白。
实践意义：需要研究来了解和告知给住院痴呆患者开“按需”精神药物的决策过程。
